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J Neurol Neurosurg Psychiatry 2004;75:346 doi:10.1136/jnnp.2003.019307
  • Correspondence

Potentially misleading extratemporal lobe lesions

  1. A Szûcs1,
  2. G Rásonyi1,
  3. J Janszky1,
  4. P Halász1
  1. 1National Institute of Psychiatry and Neurology, 1021 Hûvösvölgyi út 116, Budapest 1021, Hungary
  1. Correspondence to:
 Dr A Szûcs;
 szucsanbakats.tvnet.hu

    We read with interest the paper by Dr Alsaadi and colleagues on “potentially misleading extratemporal lobe lesions” in patients with symptoms of temporal lobe epilepsy.1 Most of their successfully operated patients with extratemporal lesions also had hippocampal atrophy on the operated side, which has positive prognostic value for mesiotemporal surgery in temporal lobe epilepsy, even in the presence of extratemporal lesions.2 Their material provides excellent evidence that not all lesions in an epileptic brain are epileptogenic, and in some cases epilepsy may originate from morphologically intact mesio-temporal structures in a lesioned brain. However, this situation is only one of the possible scenarios of the very complicated relations between …

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