An unspecified clinical syndrome in mentally retarded patients with bilateral mesial temporal sclerosis.
OBJECTIVE
The association of febrile convulsions and mesial temporal sclerosis (MTS) is a well-known phenomenon. However, the effects of mental retardation on febrile convulsions and MTS have not been investigated previously. The aim of this study is to investigate the relation of mental retardation to febrile convulsions especially as febrile status epilepticus and MTS.


METHODS
We describe three patients who have bilateral mesial temporal sclerosis with mental retardation and a history of febrile status epilepticus (FSE), and have clinically typical mesial temporal lobe epilepsy (MTLE).


RESULTS
The FRSB and neuropsychology test revealed executive dysfunction in patients whose bilateral MTS had a benign course, which was unexpected.


CONCLUSIONS
Febrile status epilepticus might have a role in the development of their mental retardation. This study also pointed out that MTS might have subtypes as a result of our attempts at distinguishing patients with MTS.
Gürses
Candan
C
Department of Neurology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey. candan.gurses@gmail.com
Kinay
Demet
D
Kulaksizoğlu
Işin Baral
IB
Sencer
Serra
S
Bebek
Nerses
N
Baykan
Betül
B
Gökyiğit
Ayşen
A
Tanör
Oget Oktem
OO
D000328:Adult; D001927:Brain Diseases / Q000175:diagnosis / Q000453:epidemiology* / Q000473:pathology; D015897:Comorbidity; D004569:Electroencephalography / Q000706:statistics & numerical data; D004833:Epilepsy, Temporal Lobe / Q000175:diagnosis / Q000453:epidemiology* / Q000473:pathology; D005260:Female; D005625:Frontal Lobe / Q000503:physiopathology; D007839:Functional Laterality; D006801:Humans; D008607:Intellectual Disability / Q000175:diagnosis* / Q000453:epidemiology* / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D008297:Male; D009483:Neuropsychological Tests / Q000706:statistics & numerical data; D012598:Sclerosis / Q000453:epidemiology / Q000473:pathology; D003294:Seizures, Febrile / Q000175:diagnosis / Q000453:epidemiology* / Q000473:pathology; D012720:Severity of Illness Index; D013226:Status Epilepticus / Q000175:diagnosis / Q000453:epidemiology / Q000473:pathology; D013577:Syndrome; D013702:Temporal Lobe / Q000473:pathology*; D015899:Tomography, Emission-Computed, Single-Photon