Liang Chuandong,Wu Jiang,Yue Xiangyong,Zhao Lei,Li Wenling,Zheng Jie,Guo Tao,He Libing,Li Ying,Zhao Jiankai,Lyu Dongfang.Clinical characteristics of different subtypes of focal cortical dysplasia at temporal lobe[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(14):1430-1434.
Liang Chuandong,Wu Jiang,Yue Xiangyong,Zhao Lei,Li Wenling,Zheng Jie,Guo Tao,He Libing,Li Ying,Zhao Jiankai,Lyu Dongfang.Clinical characteristics of different subtypes of focal cortical dysplasia at temporal lobe[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(14):1430-1434.DOI:
Clinical characteristics of different subtypes of focal cortical dysplasia at temporal lobe
Objective To compare the clinical characteristics of different subtypes of focal cortical dysplasia (FCD) at human temporal lobe according to 2011 International League Against Epilespy (ILAE) classification. Methods Totally
241 cases of temporal lobe epilepsy were divided into different pathological subtypes of FCD according to 2011 ILAE classification. The clinical characteristics including epileptic seizure starting age
epilepsy duration
surgery age
seizure frequency
etc. were analyzed. Results Among 92 patients with FCD
the epileptic seizure average age of the associated FCD was 19.2 years old
significantly older than that of the isolated FCD
with statistically significant difference (P=0.038). In the patients with associated FCD
the epileptic seizure average age of FCD Ⅲc was 30.7 years old
significantly older than that of other subtypes of associated FCD(P=0.007). The average epilepsy duration of the associated FCD was 7.8 years
significantly shorter than that of the isolated FCD(P=0.003). In different pathological subtypes of the associated FCD
the epilepsy duration of FCD Ⅲb was 3.5 years(P=0.016)
and that of FCD IIIc was 5.3 years(P=0.041). Average surgery age of FCD Ⅲc was 35.8 years old
significantly later than that of other subtypes of associated FCD(P=0.014). Conclusion The epileptic seizure average age of the associated FCD is late
especially FCD IIIc. The average epilepsy duration of the associated FCD is short
especially FCD IIIb and FCD IIIc. In the patients with associated FCD
the average surgery age of FCD IIIc is significantly later than that of other subtypes of associated FCD. The isolated FCD and associated FCD show different clinical characteristics.