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2 years ago

Facial Paresis in Patients with Mesial Temporal Sclerosis: Clinical and Quantitative MRI-based Evidence of Widespread Disease

1 answer:

4 0

A valid lateralizing symptom in MTLE is facial paresis, which has been linked to an IPI history of complicated febrile seizures, younger age at disease onset, and atrophy of the temporal pole across from the MTS, indicating a more severe disease.

In 46 cases, central-type Facial Paresis was discovered. True facial motor paresis was visible in 41 (89%) of 46 cases, and it was characterized by voluntary and emotional expression. Of the 46 patients, 33 (72%) had FP on the opposite side from the MTS. We discovered a reduction in TP volume ipsilateral to MTS in 61% of patients with FP and in 33% of those without using a 2-SD threshold from the mean of normal controls (p = 0.01). 34% of the patients experienced febrile seizures as the initial precipitating injury (IPI), which were categorized as complex in 12 (26%) of the 46 patients with FP and in five (9%) of the 54 patients without FP (p = 0.02).

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