Temporal epilepsy: case report <b>[Abstract in English]</b>

Abstract

This study was made to divulgue a powerfull resource in the treatment of mesial temporal lobe epilepsy due to hippocampal sclerosis (MTLE-HS): the surgery. Aproximatelly 25.000 patients with this patology are medically refractary in the South Brazil and that many of these patients came to neurosurgeon with history of 30, 40 years of evolution, many times yet mutilated in cause of the convulsion crisis. Partial convulsion originated in the temporal lobe are common, and many of them are originate on mesials structures (mesial temporal sclerosis). Considering that the temporal lobe is the headquarters of nervous sistem noble functions – memory, learning, behavior, among others –, the symptoms may present like alterations in anyone of these. Might be sticked out the necessity of correct diagnosis and methods to make it: trough the anamnesis, magnetic ressonanci imaging, EEG, “VÍDEO-EEG”, and sometimes trough intracranial sensors (strips). Despite trustfull methods to accomplish the diagnosis, candidates to surgery and surgical methods with high success rate, the desinformation of the professionals that attend patients with MTE takes to prolongation of inefficients clinical treatments, and people with physical, psycological and social complications due to many years of temporal mesial lobe epileptic crisis.
KEY WORDS: EPILEPSY; TEMPORAL LOBE; SURGERY.