Temporal anteroinferior XXXX : An underrecognized etiology of @entity1315 ?

@entity1 @entity410 @entity1625 @entity3976 @entity5219 @entity1315 @entity302 @entity528
OBJECTIVE: To report the increasing frequency with which temporal anteroinferior @entity3976 is a cause of adult @entity1315 , to illustrate the clinical and imaging characteristics of this condition, and to report its surgical treatment in a series of 23 adult @entity1 . METHODS: @entity302 @entity1 diagnosed with temporal anteroinferior @entity3976 from January 2006 to December 2013 in a national @entity302 reference center were included in this noninterventional study. RESULTS: Twenty-three @entity302 @entity1 (14 female, mean age 43.8 years) were diagnosed with temporal anteroinferior @entity3976 in our institute. Thirteen @entity1 had >= 2 encephaloceles; 7 cases presented bilaterally. The estimated frequency of this condition was 0.3% among MRI examinations performed due to newly diagnosed @entity302 (n = 6) and 1.9% among drug-resistant @entity1 referred to our center (n = 17). Nine @entity1 with local @entity3976 disconnection (n = 4) or anterior temporal lobectomy and amygdalohippocampectomy (n = 5) have become @entity410 -free (Engel 1) for a mean 2.8 years (range 3 months-6.2 years) of follow-up. Three @entity1 with local @entity3976 disconnection were almost @entity410 -free or exhibited worthwhile improvement. Histologically, all 12 surgical @entity1 had @entity5219 at the base of the @entity3976 ; some had cortical laminar disorganization (n = 5) or mild @entity528 (n = 1). CONCLUSIONS: The possibility of a temporal @entity3976 should be considered when interpreting MRI examinations of @entity1 with medically intractable @entity1625 . These @entity1 can significantly benefit from @entity302 surgery, even in cases with bilateral encephaloceles.
