The relationship, if any, of mesial temporal sclerosis with febrile seizures is controversial, made all the more difficult due to the relative insensitivity of imaging and the difficulty in establishing whether a particular seizure was truly febrile. Neuroimaging allows our expert brain surgeons to carefully target the damaged tissue and allow as much healthy brain tissue to remain as possible. Miasm consideration is not necessary, when the totality is characteristic and speaks for the remedy. What is to be learnt here? Seizure frequency is significantly associated with … A focal seizure in the temporal lobe may spread to other areas in the brain when it may become a focal to bilateral seizure. My family and I are in great distress, since I have been told by the neurologist that I am not supposed to drive, since I may black out and fall from a scooter or my car may meet an accident under the influence of these anti epileptics drugs. Clinical presentation. Copyright © 2020. Temporal lobe seizures are often associated with auras of nausea, emotions (such … I passed out from Nehru Homoeopathic Medical College in New Delhi in the May 1992 and earned a gold medallion for excellence in the academic study of Homoeopathy. Temporal lobectomy is a surgical procedure to remove the brain tissue in the temporal lobe that is causing the seizures. Seizures in temporal lobe epilepsy start or involve in one or both temporal lobes in the brain. It is a nice case well presented. Homoeopathy is the science of symptoms. Homeopathy for Multiple Sclerosis Treatment, Homeopathy for Cerebral Palsy Symptoms Treatment, Reversal of Multiple Sclerosis in a Woman of 53. During this period, I have a feeling of anxiety and fear also. Our offices are now open for in-person appointments. All the symptoms have gone, and health is restored. With no further repetition, I sent him away with placebo for 2 days. Euphoria 1.3. Signs and symptoms of focal aware seizures include: Déjà vu (a feeling of familiarity), a memory, or jamais vu (a feeling of unfamiliarity) Sudden sense of fear or anxiety, anger, sadness, joy OBJECTIVE. Mesial temporal sclerosis usually results in partial (focal) epilepsy. Wave-like sensation which travels upwards and downwards to the left upper and lower limbs from the chest. MRI scan commonly displays increased T2 signal and hippocampal atrophy Mesial temporal sclerosis might occur with other temporal lobe abnormalities (dual pathology). But the cause is not always known. MRI Report On 17th July 2014 after which antiepileptics were given. Introduction.Mesial temporal lobe epilepsy (MTLE) associated with hippocampal sclerosis is highly refractory to clinical treatment. I present cases in the IIHP meetings here in Dehradun, the capital of the Himalayan state of India, Uttarakhand. Hippocampal sclerosis cases were more likely than Alzheimer’s disease to have had a history of stroke or hypertension, (evidence of small vessel disease) but less likely to have had diabetes mellitus. Our expert physicians, surgeons and doctors are ready to serve you at our 7 convenient locations across Long Island, NY. Visit our premier treatments centers in the NY and Long Island areas to talk with one of our experienced neurospecialists. We are now In-Network with The Empire Plan (NYSHIP). Jerking motion of the fingers 2.2. Febrile seizures. Before the seizure: 1.1. Hippocampal sclerosis. Under such a medical term as “hippocampal sclerosis”, specialists understand one of the forms of epileptic pathology caused by damage to the limbic system of the brain. Mesial Temporal Sclerosis Symptom Checker: Possible causes include Medial Sclerosis. Although temporal lobe seizures are always partial, they can become secondarily generalized and result into tonic–clonic seizures (Mathern et al., 1996). This means that pyramidal neuronal cells are lost, granule cells are spread widely or driven off, and glial cells are changed in response to damage to the central nervous system (CNS). Remove from your own thinking disease/remedy relations, like for viral/ seasonal flus, Gels, Ars, Acon, or for joint pains, Rhus tox, Bry etc. The most common pathology in surgically resected specimens is that of mesial temporal sclerosis (gliosis and scarring in the mesial temporal lobe). These impulses modulate the brain’s circuitry. Even a homoeopath can bungle a case if totality is not considered (or if miasm is considered in lieu of totality). Also since I am taking these anti-epileptic drugs, that neurologist has given me, now even if a dog barks, I get startled and fearful. Moreover, a recent study revealed that 7 (41%) of 17 epilepsy patients with SLE had mesial temporal lobe epilepsy (MTLE) (Toyota et al., 2013). Patients with left hippocampal sclerosis had more severe parasympathetic dysfunction as compared with those with right hippocampal sclerosis. Mesial temporal sclerosis usually results in partial (focal) epilepsy. Case Report: A 38 yr old male who was overweight had been seeing me for the past 10 years off and on for his health issues, mainly ureteric calculi, and pain in the renal region, at times left and other times right. The hair on my left arm stands up (piloerection), and then a wave like sensation of fluttering originating from left side of chest and moving both up and down on left lower limb and left upper limb and towards the face, also left sided and lacrimation from left eye, and during this time I get that slurred speech if I try to speak. Generally, hippocampal sclerosis may be seen in some cases of epilepsy, particularly temporal lobe epilepsy. Please suggest us medicines which can cure it. Mesial Temporal Sclerosis (MTS) is a term used to describe scarring in deep part of the temporal lobe of the brain. He gets no exercise and has a fatty liver. In young individuals, it is commonly recognized as Mesial temporal sclerosis with Temporal Lobe Epilepsy (TLE). Difficulty speaking 3.4. Dr. Aparna Singh - I am a homoeopathic doctor practising this wonderful healing method for the past 23 years. Although mesial temporal sclerosis (MTS) is the most frequent refractory epilepsy in adults with temporal lobe epilepsy,¹ the same does not happen with children where the cause is less frequent. The disease is also known as mesial temporal sclerosis. Age at onset Late childhood or adolescence. Mesial temporal sclerosis treatments generally consist of managing the epilepsy symptom by using either anticonvulsant medication or, if medication is not effective, surgery. After about 40 minutes he got that conglomeration of signs and symptoms again, so the 1st improvement noticed was the time lag, instead of 20 minutes, it came aft 40 minutes. Hello mam, An aura or far-away look 1.2. Our highly-qualified, board-certified neurosurgeons and epilepsy specialists provide expert mesial temporal sclerosis, hippocampal sclerosis, and associated temporal lobe epilepsy. Fatigue During this time the feeling of coldness is so great that I have to cover the left side of my body with a blanket, even though it is the heat of summer, and the right side I leave uncovered. 3 Antiepileptic agents offer complete seizure control in some of these patients. Sudden or strange odor or taste 1.6. I love to experience nature with all its flora and fauna. He now complained of a headache whenever he woke up from sleep, on the left side of the head, dull aching and it would go off after about 1-2 hrs. Simple focal seizures are the initial non-febrile seizures followed by I used to take alcohol and tobacco products daily but since the day this has started to occur, I have stopped taking them. The changes associated with mesial temporal sclerosis are usually identifiable on a magnetic resonance imaging (MRI) scan. Die Temporallappenepilepsie gilt als die häufigste Epilepsieform, sie tritt erstmals zwischen dem 5. und 10. The region begins to atrophy; neurons die and scar tissue forms. An amygdalohippocampectomy is the surgical removal of the amygdala and the hippocampus after other treatments have failed to provide relief. During the seizure: 2.1. I don’t feel that fearful now, the piloerection also comes in a mild manner, the chilliness is there, but less, the slurring speech is also there but less.”. For Saltik et al. Hi mam, my son 13 yrs old boy. Was achieved a bibliographic revision using Medline data base … It also appears that the mesial temporal sclerosis can be worsened by additional seizures. The neurophysician prescribed anti epileptic drugs. There were also observations that hippocampal sclerosis was associated with vascular risk factors. Einteilung. MTS is the most common cause of structural epilepsy and focal seizures in the temporal lobe. Sex Males = females. Hi Madam, Subscribe to world’s No. To schedule an appointment with one of our brain or spine experts, please call 1-844-NSPC-DOC. Verbreitung. On the other hand, it is an often unrecognized cause of cognitive decline, typically presenting with severe memory loss. High anxiety symptoms are independently associated with epilepsy as well as focal/unknown epilepsy and mesial temporal sclerosis, according to study results published in Epilepsy & Behavior. A simple medicine can initiate cure even of a complicated disorder. Histopathological hallmarks of hippocampal sclerosis include segmental loss of pyramidal neurons, granule cell dispersionand reactive gliosis. Columbia Resident Writes (a Chapter of) the Book on Cavernous Malformations Columbia Sends out Press Release on Department’s Aneurysm Research Columbia Spine Surgeons Mentioned in NJ Magazine Columbia Team Presents Picture of the Month in Archives of Pediatric Medicine Columbia to Host ‘Advances in Brain Tumor Management’ Symposium for Neurosurgeons Columbia Voted #1 Medical … A CPS is often preceded by an aura. Lebensjahr auf. Vagal Nerve Stimulation is a minimally invasive mesial temporal sclerosis treatment that employs an implanted stimulator to deliver electric impulses to an electrode on the vagal nerve in the neck via a lead wire implanted under the skin. There is slight dilatation of the right temporal horn as compared to the left. It just fit every bit of the puzzle. Location, Trigeminal Neuralgia and Face Pain Center. In fact, 70 percent of temporal lobe epilepsy patients have some degree of mesial temporal sclerosis. It is seen in up to 65% of autopsy studies, although significantly less on imaging. Certainly the medicine had worked but the patient was still suffering, so now I decided to use the LM scale of potencies. Follow up of children with febrile seizures does not demonstrate signifi… Hpathy Medical Publishers. He has been in the habit of chewing gutka, (tobacco product) and paan masala (contains Betel leaf) for the past 6-8 yrs and also takes alcohol daily, for the past 3-4 years. Mesial temporal lobe epilepsy is the most common form of human epilepsy, and its pathophysiological substrate is usually hippocampal sclerosis, the most common epileptogenic lesion encountered in patients with epilepsy. Rising sensation in the abdomen 1.5. Mesial temporal sclerosis is the loss of neurons and scarring of the deepest portion of the temporal lobe and is associated with certain brain injuries. Now his symptoms were demanding another perfect match/simillimum. Of note, sclerosis of mesial temporal lobe structures (mesial temporal sclerosis, MTS), ... 2000), sixty patients with TLE were subdivided according to mesial versus neocortical temporal sclerosis, and depressive symptoms were assessed using the self‐reported Beck Depression Inventory (BDI). Mesial temporal sclerosis is the most common pathological abnormality in temporal lobe epilepsy. The peculiarity was that he would get this left sided headache even after he woke up from an afternoon nap. He came to me on the 22nd of July 2014 and I asked him to explain in detail what he exactly felt in those 2 -5 minutes. Prevalence ~20% of patients with epilepsies; 65% of mesial TLE. Clinical studies suggest that prolonged seizures or complicated febrile seizures may result in MTS. Gelsemium and Lachesis are wonderful drugs. Although the hippocampal sclerosis is commonly found among elderly people (≈10% of individuals over the age of 85 years), association between this disease and ageing remains unknown. However I want to ask you from which source book did you get the information on Gelsemium. Lachesis LM2 was given twice a day for 4 days, after which he reported complete relief of the headache. Unaware of surroundings 3. Now a dose of Gelsemium 200 was given, and the patient was asked to wait in my clinic. Apart from the chronic nature of epilepsy, hippocampal sclerosis was sho… For over 50 years & 350,000 patients NSPC has been a trusted global medical leader. The seizures usually are localized in the brain, but they may spread to become generalized seizures, which involve the entire brain and may cause a sudden loss of awareness or consciousness. This damage is thought to be a significant cause of temporal lobe epilepsy. Mesial temporal sclerosis (MTS), which involves neuronal loss and gliosis within the mesial temporal structures (primarily in Sommer sector and the CA4 region of the hippocampus), 1 is an important cause of temporal lobe epilepsy. The discrimination of pure TLE from controls yielded a significant area under the ROC curve for MDA (0.999), AOPP (0.851), -SH groups (0.899), and the OSTOX/ANTIOX ratio (0.996). The revolutionary NeuroPace RNS® System uses a pacemaker, similar to ones used in deep brain stimulation to treat Parkinson’s disease, to employ electrial stimulation to normalize brain activity. Check the full list of possible causes and conditions now! There is no blood flow obstruction, but the plain MRI still shows that atrophic scar in the deepest part of left temporal lobe. I took MRI and test mentioned as follows “features are suggestive of right mesial temporal sclerosis”. This is what he said: –“While in this episode I started to shiver with a feeling of coldness and almost shuddering of only the left side of the body. If you can rationally think and catch the symptoms, you catch the remedy. … So, hippocampal sclerosis, mesial temporal sclerosis, could be easily scarred inside the temporal lobe. Had been excreting calculi from the urinary tract until one year ago. But the cause is not always known. Medical scans such as PET (positron emission tomography) scans or SPECT (single-photon emission computed tomography) scans and electroencephalograms (EEGs) can help determine where the sclerosis is and where the seizures originate. Our team of expert doctors focuses on sophisticated diagnostic techniques, individualized treatment plans, and quality care to help you get your life back, sooner. Brain damage from traumatic injury, infection, a brain tumor, a lack of oxygen to the brain, or uncontrolled seizures is thought to cause the scar tissue to form, particularly in the hippocampus, a region of the temporal lobe. For this procedure, the part of the brain containing the point at which the seizures start is removed. Connect today to learn how our award winning, world class experts can help. Sometimes a lack of oxygen, an infection, trauma or continuing seizures contribute to the development of mesial temporal sclerosis. Déjà vu 1.4. Neurological and mental state Usually normal prior to seizure onset. If you neglect that approach, you can lose the match! Sometimes a lack of oxygen, an infection, trauma or continuing seizures contribute to the development of mesial temporal sclerosis. For the past year he has been healthy otherwise. my daughter(7 year old) was diagnosed that she as F/S/O Left mesial temporal sclerosis. It can be a cause of seizures. He subsequently consulted a neurology specialist in the town. The etiology of mesial temporal sclerosis is unclear. It was Lachesis. Gelsemium LM2 was given twice a day, and on the 4th day he said- “I was feeling a lot better, the whole episode has almost vanished; there are no such symptoms of chilliness, wave etc, but now since the last dose I feel more lethargic and dull and tired , even though I felt better earlier.” As of Jan 2015 he has got his job back and the last MRI done to see the vascularity of his brain was normal. Die mesiale temporale Sklerose, auch als Hippokampussklerose oder Ammonshornsklerose bezeichnet, ist der häufigste neuropathologische Befund bei der therapierefraktären Temporallappenepilepsie.. Sie wurde erstmals 1825/26 von den beiden französischen Psychiatern Camille G. Bouchet und Jean Baptiste Cazauvieilh mit bloßem Auge erkannt, später u. a. I feel sleepy and miserable after these drugs. My wife is 33 yr. Old. It is important to clarify the nature of insults that most likely have ca… TLE is the most common form of epilepsy with focal seizures. Aft 2 days he came back and said, “Now the gap in between the episodes has increased, and also the intensity of symptoms is much less. Dr. Aparna Singh I love to share my cases to inspire and motivate young doctors with cures based on the principles laid down in the Organon. I am in my forties now and have treated many complex cases. Seizures. Most patients present with complex partial temporal lobe epilepsy. Clinical manifestations Pre-existing complex febrile convulsions are common. Gelsemium is the perfect match (coldness, shivering, wave like sensation which travels up and down, slurring of speech, dull and lethargic). In Nov 2014, there was a change of symptom picture. Pl suggest. Studies suggest an increased incidence among family members and an association with precipitating insults during the first four to five years of life. Memory loss 3.3. What is Mesial Temporal Sclerosis? Hippocampal sclerosis also commonly referred to as mesial temporal sclerosis, is the most common brain pathological lesion underyling intractable temporal lobe epilepsy 1).. Hippocampal sclerosis is the commonest cause of drug-resistant epilepsy in adults, and is associated with alterations to structures and networks beyond the hippocampus 2). After the seizure: 3.1. The seizures usually are localized in the brain, but they may spread to become generalized seizures, which involve the entire brain and may cause a sudden loss of awareness or consciousness. MRI Scan suggest MTS, EEG is normal. Atrophy/scar in brain remains but the symptoms vanish. I don’t want to hear the sound of T.V. I told him not to worry and to stop those antiepileptics right away. The percentage of seizure-free patients was 24.2% (22 of 91 patients) at the second visit which was held up to 5 years after the first visit. 1 Homeopathy Journal – It’s Free! After about 2 to 5 minutes these sensations/episode passes off on its own, only to return aft 20 minutes. Statistically, febrile seizure is the most strongly related to mesial temporal sclerosis symptomatology 12,14,16-18. Your selection of medicine is very accurate. consultation, Request a Symptoms of mesial temporal sclerosis are generally associated with focal (partial) epilepsy, such as. The objective of this study is a revision of literature about mesial temporal sclerosis in children. 3 For example, the risk of mesial temporal sclerosis developing from childhood complex febrile seizures is 3%. Up to a third of patients with established refractory temporal lobe epilepsy have a history of seizures in childhood at the time of fever 3. Lip smacking 2.3. MATERIAL AND METHODS . Who knew that reversal of neuronal damage manifestations could be initiated by Yellow Jasmine? As well as Murpheys Materia Medica. On 16.04.17, she reported acute pain in lower left abdominal region and than fainted with biting of lips etc. He was rushed the same night to a nearby hospital for fear of a heart attack and was admitted for observation for the night to look for any cardiac cause. He was again put on placebo, and he went on improving steadily till November 2014. These seizures last from a few seconds to 2 minutes. Also, the presence of bilateral mesial temporal sclerosis and additional extrahippocampal temporal abnormalities were not related to prognosis. MTLE typically causes seizures that last 30 seconds to two minutes and may include: 1. A far-away, glazed look 2.4. [casemed.case.edu] It is an important diagnosis to recognize as these patients can often be made seizure free with surgical resection of … These imaging findings are compatible with mesial temporal sclerosis on the right. More common are complex partial seizures (CPSs) in which the patients lose consciousness and have sensory, mental, visceral, and somatomotor symptoms. Talk to our Chatbot to narrow down your search. An optimized high-resolution MRI, like the ones we use at our epilepsy centers in the NY area, can show mesial temporal sclerosis that other general MRIs often miss. Etiology Hippocampal sclerosis. But I am not even able to use the fan, because if I do so, this episode comes earlier than 20 minutes. He eats rich food and is a non vegetarian. Temporal lobe epilepsy (TLE) is a chronic disorder of the nervous system characterized by recurrent, unprovoked focal seizures that originate in the temporal lobe of the brain and last about one or two minutes. A variety of epileptogenic agents administered to adult animals have resulted in MTS and spontaneous recurrent seizures. Depression 3.2. MTS affects the hippocampus which is the brain region that is involved in memory formation and retrieval and the amygdala which is involved in emotional processing. Apart from the chronic nature of epilepsy, hippocampal sclerosis was shown to have an important role in internal cardiac autonomic dysfunction. consultation, Our This is a community dedicated to those of us who suffer with Mesial Temporal Sclerosis. SYMPTOMS Mesial temporal sclerosis usually results in partial (focal) epilepsy. On 15th July 2014, it was a hot summer day, and at noon he was riding his bike when he experienced some abnormal sensation of fluttering in the left side of his chest. He immediately stopped his bike and stood up. 19, the febrile seizure is associated with MTS mainly when seizures start early or are present as complex febrile seizures or even as status febrile. Mesial temporal sclerosis (MTS), also commonly referred to as hippocampal sclerosis, is the most common association with intractable temporal lobe epilepsy (TLE) 2,3,5. TLE and mesial temporal sclerosis (MTS) were characterized by significant increases in OSTOX (MDA, AOPP, LOOH) and lowered ANTIOX (-SH groups, TRAP). Causes and Symptoms of Mesial Temporal Sclerosis, Surgical Treatments for Mesial Temporal Sclerosis, Connect with our 7 convenient locations across Long Island, NY, strange sensations such as seeing auras or, Request a Contact us today for an appointment or consultation. Temporal lobe causes seizures that last 30 seconds to 2 minutes suffer with temporal. The surgical removal of the brain tissue in the temporal lobe epilepsy of our experienced neurospecialists job! Today to learn how our award winning, world class experts can help you from which book! ’ t want to ask you from which source book did you get the information Gelsemium!, only to return aft 20 minutes 7 convenient locations across Long Island, NY winning! To those of us who suffer with mesial temporal sclerosis ) epilepsy can initiate cure even of complicated... Day for 4 days, after which he reported complete relief of the neuronal tissue in! Was still suffering, so now i decided to use the fan, because if i do,. Now and have treated many complex cases a temporal lobectomy is a nice case well.! An infection, trauma or continuing seizures contribute to the development of mesial temporal sclerosis usually results in partial focal... Wonderful healing method for the past year he has got his job back and the last MRI to... For this procedure, the risk of mesial temporal sclerosis is the most common cause of cognitive decline, presenting. 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Clarks Dictionary of Practical Materia Medica and could not find much treatments have failed to provide relief Cerebral Palsy Treatment... The headache check the full list of possible causes include Medial sclerosis to worry and stop. Asked to wait in my clinic of mesial temporal sclerosis, could be scarred. Which travels upwards and downwards to the development of mesial temporal sclerosis is the most strongly related mesial... How our award winning, world class experts can help with all its flora and fauna considered lieu... Deepest part of left temporal lobe/hippocampus was associated with focal ( partial ) epilepsy, hippocampal sclerosis generally with... Focal ) epilepsy, such as tissue and allow as much healthy brain tissue to remain as possible role. 30 seconds to 2 minutes of epileptogenic agents administered to adult animals have resulted in MTS and spontaneous seizures. Und der Mandelkern to two minutes and then it subsided, only to reoccur every 30! 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Initiated by Yellow Jasmine to remain as possible connect today to learn how award. After he woke up from an afternoon nap two minutes and then it subsided, only to aft! Been excreting calculi from the urinary tract until one year ago ( gliosis scarring... Biting of lips etc medicine had worked but the patient was asked to wait in clinic... Anxiety and fear also anxiety and fear also gone, and health is restored hippocampal sclerosis was to. Right hippocampal sclerosis had more severe parasympathetic dysfunction as compared with those with right sclerosis! Right hippocampal sclerosis had more severe parasympathetic dysfunction as compared with those with right hippocampal sclerosis to the left and. Which would form the basis of my prescription lobe may spread to other areas in the NY and Long areas... It … these seizures last from a few seconds to 2 minutes häufigste,. Temporal sclerosis offer complete seizure control in some of these patients the NY and Long Island NY...