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Remain Aggressive Behavior in Children with Temporal Lobe Epilepsy after Surgery

机译:手术后颞叶癫痫患儿仍具有攻击性

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Behavioral problems have a high rate in patients with temporal lobe epilepsy but there have been few detailed reports about pediatric patients. We report two children with temporal lobe epilepsy who manifest behavior abnormality remaining after surgery. One child developed complex partial seizures at 10 years and 3 months of age caused by a left temporal ganglioglioma and manifested behavioral problems of lability, aggression, impulsivity and disinhibition. Seizures were relieved after temporal lobe resection at 10 years and 8 months of age but behavioral symptoms had been remained. The second child developed epilepsy at 3 years of age. He manifested similar behavioral problems at 7 years old. Seizures were relieved after temporal lobe resection at 13 years old but behavioral symptoms had been remained. Their courses suggested that aggressive behavior might be associated with not only temporal lesion but also other lesions such as frontal lobe or neural circuitry between both lobes. It is important to inform families of patients that behavioral disorders may not improve after epileptic surgery.
机译:颞叶癫痫患者的行为问题发生率很高,但是有关儿科患者的详细报道很少。我们报道了两名颞叶癫痫患儿在手术后表现出行为异常。一个孩子在10岁和3个月大时出现了由左颞神经节神经胶质瘤引起的复杂的部分性癫痫发作,并表现出行为不稳定,攻击性,冲动性和抑制性的行为问题。 10岁和8个月大的颞叶切除术后癫痫发作得到缓解,但行为症状仍然存在。第二个孩子在3岁时出现癫痫病。他在7岁时就表现出类似的行为问题。 13岁的颞叶切除术后癫痫发作得到缓解,但行为症状仍然存在。他们的课程表明,侵略性行为可能不仅与颞部病变有关,而且还与额叶或两个肺叶之间的神经回路等其他病变有关。告知患者家属,癫痫手术后行为障碍可能不会改善。

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