[Refractory temporal XXXX . An analysis of 33 cases submitted to surgery].

@entity1 @entity410 @entity1315 @entity302 @entity25
AIM: To analyze clinical manifestations, ictal, interictal and intraoperative EEG monitoring in @entity1 with medical treatment refractory temporal @entity302 successfully controlled surgically. @entity1 AND METHODS: Retrospective analysis, 33 @entity1 . Mean age: 36    11.40; number of monthly @entity410 : 9    14.23; mean duration of disease: 22 years; number of anti- @entity302 drugs: 3    0.93; average monitoring duration on Intensive Video-EEG Monitoring Unit: 6.42    3.61 days. Scalp EEG was recorded with surface electrodes placed according to the 10-20 international system. RESULTS: 158 @entity410 were recorded, most of them focal complex. 82% of @entity1 presented aura. Disturbances of consciousness appeared in 94.3%, being more precocious than the automatisms in the majority of the sample. The most frequent and precocious automatisms were oromandibular. Intercritical: epileptiform activity was observed in 87.9% of cases; sharp waves in 93.1%, increasing with @entity25 in 97%. Polyspikes during REM sleep in 21.2%. @entity302 in 21.1%. Ictal activity: changes on EEG activity was observed previous to clinical manifestation in more than 69%. Type of ictal onset: flattening (46%), rhythmic slow activity (41.7%). Ictal onset was focal in 48.9%. CONCLUSIONS: Detailed knowledge of clinical and electrical manifestations of @entity1315 would allow a precocious diagnosis and a reduction of accessing time of these @entity1 to surgical treatment in case of pharmaco-resistance.
