Temporal lobe epilepsy with hippocampal sclerosis (TLE-HS)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Temporal lobe epilepsy with hippocampal sclerosis (TLE-HS). Lip smacking, Chewing, Swallowing, Fumbling. Fully referenced neurology checklist.

Motor symptoms

  • Lip smacking
  • Chewing
  • Swallowing
  • Fumbling
  • Feet shuffling
  • Violence
  • Aggression
  • Laughter: gelastic epilepsy
  • Running: epilepsy procursiva
  • Going around in circles: volvular epilepsy
  • Aimless wandering: poriomania

Visual illusions

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Auditory and gustatory symptoms

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Dyscognitive and affective symptoms

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Other symptoms

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Post-ictal features

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Differential features of TLE-HS versus lateral temporal lobe epilepsy

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Magnetic resonance imaging (MRI): features

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References

  1. Ropper AH, Brown RH. Principles of Neurology Eighth edition. McGraw Hill New York 2005 pp277-278.
  2. McKeon A, Vaughan C, Delanty N. Seizure versus syncope. Lancet Neurol 2006; 5:171-180.
  3. Postma TS, Cury C, Baxendale S, et al. Hippocampal shape is associated with memory deficits in temporal lobe epilepsy. Ann Neurol 2020; 88:170-182.
  4. Sachdev HS, Waxman SG. Frequency of hypergraphia in temporal lobe epilepsy: an index of interictal behaviour syndrome. JNNP 1981; 44:358–360.
  5. No YJ, Zavanone C, Bielle F, et al. Medial temporal lobe epilepsy associated with hippocampal sclerosis is a distinctive syndrome. J Neurol 2017; 264:875-881.
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