Understanding Temporal Lobe Seizure -- Diagnosis and Treatment
How Is a Temporal Lobe Seizure Diagnosed?
If someone has a seizure for the first time, if a seizure lasts longer than two to three minutes, or if multiple seizures occur one after the other, take him or her to the emergency room or call 911 immediately.
If a seizure disorder is suspected, the doctor will begin by taking a thorough medical history, including any birth trauma, serious head injury, or infections of the brain, such as encephalitis or meningitis.
To diagnose epilepsy, your doctor will take a detailed medical history (including a family history of seizures), gather information about your behavior before, during, and after the episode, and do a physical exam. Make sure someone who witnessed the seizure goes to the doctor with you.
An electroencephalogram (EEG) -- a brain wave study -- can reveal abnormal brain waves characteristic of epilepsy and sleep deprivation. Keeping someone awake for 24 hours increases the chances of finding abnormalities...
Brain function can be "viewed" with an electroencephalogram, or EEG, which detects the electrical signals that relay information from one brain cell to another. EEGs may show characteristic, abnormal patterns during different types of seizures.
In addition, X-rays, CT scans, and MRIs of the head can help rule out specific causes of seizures.
What Are the Treatments for Temporal Lobe Seizures?
Anticonvulsant medications may help reduce or eliminate recurrent seizures in some people. They include:
divalproex sodium (Depakote)
valproic acid (Depakene)
However, temporal lobe seizures may be difficult to completely control with medication alone.
Some people with temporal lobe seizures respond well to surgery that removes the abnormal part of the brain. This procedure is called a temporal lobectomy.
Also, the FDA approved a procedure called the vagus nerve stimulation. A device is implanted under the collarbone that stimulates the left vagus nerve, resulting in an inhibition of seizures.