Clinical Factors Related With Response to Anti-epileptics in Temporal Lobe Epilepsy With Hippocampal Sclerosis
Journal of the Korean Neurological Association
;
: 104-109, 2008.
Article
in Korean
| WPRIM
| ID: wpr-83427
ABSTRACT
BACKGROUNDS Temporal lobe epilepsy with hippocampal sclerosis (TLE-HS) is not always intractable to antiepileptic drugs (AEDs). To identify the responsiveness to AEDs and related clinical factors in TLE-HS, we performed this study. METHODS:
Consecutive 100 (51 men, mean age=30.2+/-6.6, age range=19-50) patients with TLE-HS were divided into two groups by their responsiveness to AEDs. Intractable TLE-HS was defined if they had any seizures for the preceding year with at least two AEDs. Clinical factors were analyzed to find the association of the responsiveness to AEDs.RESULTS:
Intractable TLE-HS was found in 68% of patients. The younger age of onset (12+/-4 vs. 31+/-8 years, p<0.0001), longer duration of epilepsy (17+/-6 vs. 2+/-1 years, p<0.0001), more than five tonic-clonic seizures (GTCs) with secondary generalization (29.4 vs. 6.3%, p=0.0009) and bilateral epileptiform abnormalities on EEG (30.9 vs 6.3%, p=0.0054) were significantly correlated with the intractable TLE-HS. According to multiple logistic regression analysis, bilateral epileptiform abnormalities on EEG (adjusted OR=9.4, 95% CI 1.98~44.76) and more than five GTC (adjusted OR=7.7, 95% CI 1.60~33.39) were independently related with poor responsiveness to AEDs in TLE-HS.CONCLUSIONS:
The presence of hippocampal sclerosis does not necessarily mean intractability to AEDs. The clinical variables related with the poor response to ADEs in TLE-HS are more than five GTCs and bilateral epileptiform abnormalities on EEG.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Sclerosis
/
Seizures
/
Temporal Lobe
/
Logistic Models
/
Age of Onset
/
Electroencephalography
/
Epilepsy
/
Epilepsy, Temporal Lobe
/
Generalization, Psychological
/
Anticonvulsants
Type of study:
Prognostic study
/
Risk factors
Limits:
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Neurological Association
Year:
2008
Type:
Article
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