II. Epidemiology

  1. Most common Seizure

III. Pathophysiology

  1. Starts in Temporal Lobe
  2. Frontal Lobe commonly involved

IV. Symptoms

  1. Complex and variable
  2. Aura may be present
    1. Gastrointestinal symptoms
    2. Fear

V. Signs

  1. Motionless stare heralds Seizure
  2. Consciousness is always impaired
  3. Automatisms
  4. Oral facial moves
  5. Fumbling or picking movements
  6. Duration: 30 seconds to 2 minutes
  7. May progress to Generalized Tonic Clonic Seizure

VI. Differential diagnosis

  1. Absence Seizure (typical or atypical)
  2. Behavioral disturbance
  3. Migraine Headache

VII. Management

  1. Medications (60-70% response rate)
    1. Carbamazepine (Tegretol)
    2. Phenytoin (Dilantin)
  2. Surgery: Temporal Lobe Resection
    1. Indicated for failed medical therapy after 1-2 years
    2. Efficacy
      1. Better TLE Seizure control than with anticonvulsant
      2. Wiebe (2001) N Engl J Med 345:311-8 [PubMed]

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Ontology: Epilepsy, Temporal Lobe (C0014556)

Definition (MSH) A localization-related (focal) form of epilepsy characterized by recurrent seizures that arise from foci within the temporal lobe, most commonly from its mesial aspect. A wide variety of psychic phenomena may be associated, including illusions, hallucinations, dyscognitive states, and affective experiences. The majority of complex partial seizures (see EPILEPSY, COMPLEX PARTIAL) originate from the temporal lobes. Temporal lobe seizures may be classified by etiology as cryptogenic, familial, or symptomatic (i.e., related to an identified disease process or lesion). (From Adams et al., Principles of Neurology, 6th ed, p321)
Concepts Disease or Syndrome (T047)
MSH D004833
SnomedCT 84340007, 155040000, 314001000009105, 193000002
English Epilepsies, Temporal Lobe, Epilepsy, Temporal Lobe, EPILEPSY TEMPORAL LOBE, Temporal Lobe Epilepsies, Temporal Lobe Epilepsy, Convulsion psychomotor, Epilepsy temporal lobe, Psychomotor seizures, Epilepsy, Temporal Lobe [Disease/Finding], psychomotor seizure, disorder temporal lobe epilepsy, tle, Epilepsy;temporal lobe, lobe seizures temporal, lobe temporal seizure, psychomotor seizures, epilepsy lobe temporal, seizures temporal lobe, temporal lobe seizure, temporal lobe epilepsy, Seizures, temporal lobe, Psychomotor seizure (finding), Temporal lobe epilepsy, Psychomotor seizure, TLE - Temporal lobe epilepsy, Temporal lobe epilepsy (disorder), convulsions; psychomotor, epilepsy; temporal lobe, psychomotor; convulsions, temporal lobe; epileptic, Temporal lobe epilepsy (disorder) [Ambiguous], Epilepsy, temporal lobe
French EPILEPSIE TEMPORALE, Convulsion psychomotrice, Crise psychomotrice, Epilepsie du lobe temporal, Épilepsie temporale
Portuguese EPILEPSIA DO LOBO TEMPORAL, Convulsão psicomotora, Crises psicomotoras, Epilepsia do lobo temporal, Epilepsia do Lobo Temporal
Italian Crisi convulsive psicomotorie, Convulsione psicomotoria, Epilessia del lobo temporale
Dutch psychomotorische convulsie, epilepsie temporaalkwab, convulsie; psychomotoor, epilepsie; temporaalkwab, psychomotoor; convulsie, temporaalkwab; epilepsie, psychomotorische insulten, temporaalkwab epilepsie, Epilepsie, temporale, Temporale epilepsie
German Konvulsion psychomotorisch, Epilepsie Temporallappen, TEMPORALLAPPENEPILEPSIE, Temporallappenepilepsie, psychomotorische Anfaelle, Epilepsie, Temporallappen-
Spanish Convulsión psicomotora, EPILEPSIA LOBULO TEMPORAL, convulsión sicomotora, convulsión psicomotora, epilepsia sicomotora, epilepsia psicomotora, convulsión psicomotriz, epilepsia del lóbulo temporal (concepto no activo), epilepsia del lóbulo temporal (trastorno), epilepsia del lóbulo temporal, Crisis psicomotoras, Epilepsia del lóbulo temporal, Epilepsia del Lóbulo Temporal
Japanese 精神運動発作, 精神運動痙攣, セイシンウンドウケイレン, セイシンウンドウホッサ, ソクトウヨウテンカン, てんかん-鉤状回, 側頭葉てんかん, 側頭葉癲癇, 側頭てんかん, 癲癇-側頭葉, 鉤状回てんかん, てんかん-側頭葉
Swedish Temporallobsepilepsi
Czech epilepsie temporálního laloku, Psychomotorické záchvaty, Epilepsie temporálního laloku, Křeč psychomotorická
Finnish Temporaaliepilepsia
Russian EPILEPSIIA, PORAZHENIE KRIUCHKA GOLOVNOGO MOZGA, EPILEPSIIA VISOCHNAIA, EPILEPSIIA VISTSERAL'NAIA, EPILEPSIIA DETSKAIA PSIKHOMOTORNAIA DOBROKACHESTVENNAIA, ЭПИЛЕПСИЯ ВИСОЧНАЯ, ЭПИЛЕПСИЯ ВИСЦЕРАЛЬНАЯ, ЭПИЛЕПСИЯ ДЕТСКАЯ ПСИХОМОТОРНАЯ ДОБРОКАЧЕСТВЕННАЯ, ЭПИЛЕПСИЯ, ПОРАЖЕНИЕ КРЮЧКА ГОЛОВНОГО МОЗГА
Croatian EPILEPSIJA TEMPORALNOG REŽNJA
Polish Padaczka skroniowa, Padaczka łagodna psychomotoryczna dziecięca
Hungarian Psychomotoros rohamok, Psychomotoros convulsio, Temporalis lebeny epilepsia
Norwegian Temporallappsepilepsi