Symptomatic Epilepsy In Dual Temporal Pathology. Case Report Analysis

Dual pathologies are quite often observed in patients with epilepsy during neuroimaging. In a study by V. Salanova et al. 37 (15.4%) of 240 patients with lesional temporal epilepsy had dual pathology presented on MRI. Several other authors (S. Eriksson et al.) report the prevalence of dual pathology from 5% to 30% in pharmacoresistent temporal epilepsy. In most cases seizure semiology as well as data from interictal and ictal EEG help to identify pathological process which causes seizures. However, in some cases one pathology might disguise another, thus clinical data and results of other additional investigation methods might direct a clinician the wrong way. This article is dedicated to one of those clinical cases.