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Temporal Lobe Epilepsy: A Literature Review

1326 words - 5 pages

Studies of the disease were found by using the Texas A&M Corpus Christi library through electronic search of temporal lobe epilepsy. Four primary research and one review article were used to complete this literature analysis. The articles discussed are condensed in Table 1.
Regarding EI in patients with TLE and patients with extra temporal lobe epilepsy was a case-control study that had three groups. Group 1 consisted of forty patients with TLE. Group 2 consisted of thirty patients with extra temporal lobe epilepsy. Group 3 consisted of thirty healthy control volunteers [1].
The studies that were conducted consisted of clinical evaluation and neuropsychological testing. To collect neuropsychological data these methods were used; Progressive matrices test to examine IQ, General Health Questionnaire (GHQ), Social Readjustment Rating Scale (SRRS), Emotional intelligence scale, Electroencephalogram (EEG), and Brain magnetic resonance imaging (MRI) [1].
Clinical evaluation was the explanation of epilepsy obtained from the patient, witnesses and medical analysis. Kasr El-Aini psychiatric interview sheet was used for all three groups. Neuropsychological testing using Progressive matrices test to examine IQ: Developed by Raven, is used to test intelligence without the use of language, and utilizes 60 “visual pattern” objects that escalate in complexity. General Health Questionnaire: Shorted 28 item GHQ that contained 4 factors, A (somatic symptoms), B (anxiety and insomnia), C (social dysfunction), and D (severe depression) scale. Social Readjustment Rating Scale (SRRS): Schedule of recent experience questionnaire developed by Homlmes and colleagues to measure adaptations necessary to function by life occurrences. Emotional intelligence scale: Developed by Mayer and Salovey (62 statements) and edited by Schutte and colleagues (chose 33 statements) which include 13 statements for decision making and expression, 10 statements for emotional control, and 10 statements for use of emotion. EEG: Conscious interictal EEG was done for all patients. Light stimulation and hyperventilation were performed to initiate prevailing defect. EEGs were examined for incidence rate, amplitude, background action and any defects. Brain magnetic resonance imaging (MRI): All patients received a non-enhanced MRI [1].
Data was presented in regards to range, median, mean ± standard deviation (±SD), number of cases (frequencies) and percentages. Statistically significant data had a p-value less than 0.05 [1].
There were no statistical differences between the three groups (Group 1: 40 patients with TLE, Group 2: 30 patients with extra temporal lobe epilepsy. Group 3: 30 healthy control) observed regarding age (p-value 0.8), sex (0.8), marital status (0.2), occupation (0.08) and education (0.07) [1].
Comparison: There was no significant difference between TLE and extra temporal lobe epilepsy patients regarding EI (p=0.560). There was a significant difference between TLE...

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