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This question was answered on Tue 17, Jun 2008 03:52pm by Dr.Bhumika Aggarwal
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Don't understand what this test results mean, mentions focal epilepsy



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on Thu 12, Jun 2008 10:25am :

Can anyone tell me what this means; "This is an abnormal awake and drowsy electroencephalogram due to the presence of epileptiform discharges most noted in the T4 or Temporal and parietal area suggested of focal epilepsy, clinical correlation advised.
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Answer by Dr.Bhumika Aggarwal (doctor) on Tue 17, Jun 2008 03:52pm:

Hi, Has an MRI of he brain been done. The above EEG findings mean that there are focal or localised areas in the brain in the region of the temporal and parietal lobe which have foci which could be responsible for seizure activity in the patient. http://www.emedicine.com/NEURO/topic365.htm '# The etiologies of TLE include the following: # * Infections, eg, herpes encephalitis, bacterial meningitis, neurocysticercosis * Trauma producing contusion or hemorrhage that results in encephalomalacia or cortical scarring; difficult traumatic delivery such as forceps deliveries * Hamartomas * Malignancies (eg, meningiomas, gliomas, gangliomas) * Vascular malformations (ie, arteriovenous malformation, cavernous angioma) * Cryptogenic: A cause is presumed but has not been identified. * Idiopathic (genetic): This is rare. Familial TLE was described by Berkovic and colleagues, and partial epilepsy with auditory features ' 'The majority of epilepsy is caused by things we do not completely understand, such as abnormal neuronal migration. It is not uncommon for seizures to begin with a portion of the parietal lobe. The type of seizure events depends on where in the parietal lobe. Sometimes, the seizure actually begins in the temporal lobe and we only see the electrical activity in the parietal lobe because the detection electrodes were not placed on the surface of the head to detect temporal lobe discharges from the mesial temporal lobe. Anyway, one could see tinnitus and/or tingling from parietal lobe epilepsy.' http://www.medhelp.org/forums/neuro/messages/30147.html Let us know if you need any further information. Do consult your doctor about the reports. Regards.

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