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Hippocampal sclerosis (HS) or mesial temporal sclerosis (MTS) is a neuropathological condition with severe neuronal cell loss and gliosis in the hippocampus. [1] Neuroimaging tests such as magnetic resonance imaging (MRI) and positron emission tomography (PET) may identify individuals with hippocampal sclerosis. [2]
The temporal lobe is located beneath the lateral fissure on both cerebral hemispheres of the mammalian brain. [3] The temporal lobe is involved in processing sensory input into derived meanings for the appropriate retention of visual memory, language comprehension, and emotion association. [4]: 21 Temporal refers to the head's temples.
It is separated from the apex of the temporal lobe by a sulcus called the rhinal sulcus. [1] Although superficially continuous with the hippocampal gyrus, the uncus forms morphologically a part of the rhinencephalon. An important landmark that crosses the inferior surface of the uncus is the band of Giacomini or tail of the dentate gyrus. [2]
Middle temporal gyrus is a gyrus in the brain on the temporal lobe. It is located between the superior temporal gyrus and inferior temporal gyrus. It corresponds largely to Brodmann area 21. The middle temporal gyrus is bounded by: the superior temporal sulcus above; the inferior temporal sulcus below;
The middle cranial fossa is formed by the sphenoid bones, and the temporal bones. It lodges the temporal lobes, and the pituitary gland. [1] [2] It is deeper than the anterior cranial fossa, is narrow medially and widens laterally to the sides of the skull. It is separated from the posterior cranial fossa by the clivus and the petrous crest.
Nearly all reports of seizure outcome following these procedures indicate that the best outcome group includes patients with MRI evidence of mesial temporal sclerosis (hippocampal atrophy with increased T-2 signal). The range of seizure-free outcomes for these patients is reported to be between 80% and 90%, which is typically reported as a sub ...
Temporal lobe epilepsy is the most common focal onset epilepsy, and 80% of temporal lobe epilepsy is mesial (medial) temporal lobe epilepsy, temporal lobe epilepsy arising from the inner part of the temporal lobe that may involve the hippocampus, parahippocampal gyrus or amygdala.
Hippocampal sclerosis including Ammon's horn sclerosis that is specific to the mesial temporal lobe, is the most common type of such tissue damage. [ 129 ] [ 130 ] It is not yet clear, however, whether the epilepsy is usually caused by hippocampal abnormalities or whether the hippocampus is damaged by cumulative effects of seizures. [ 131 ]