Neurology
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Neurology 2003;60:1209-1210
© 2003 American Academy of Neurology
Brief Communications

Right hippocampal sclerosis is more common than left after febrile seizures

J. Janszky, MD PhD, F.G. Woermann, MD, P. Barsi, MD PhD, R. Schulz, MD, P. Halász, MD PhD and A. Ebner, MD

From the National Institute of Psychiatry and Neurology (Drs. Janszky, Barsi, and Halász), Budapest, Hungary; and Epilepsy Center Bethel, Bielefeld (Drs. Janszky, Woermann, Schulz, and Ebner).

Address correspondence and reprint requests to Dr. J. Janszky, Epilepsie-Zentrum Bethel, Mara Krankenhaus, Maraweg 21, Bielefeld 33617 Germany; e-mail: janszky{at}index.hu

Temporal lobe epilepsy (TLE) is frequently associated with hippocampal sclerosis (HS) and a history of febrile convulsions (HFC). The authors investigated 292 patients with TLE due to HS. Left HS occurred more frequently (57%) than right HS (43%, p = 0.01). Forty-seven percent of the patients had HFC. In patients with right HS, HFC occurred in 59.6%, whereas in patients with left HS, HFC was present in 37.5%, showing a highly significant lateralization difference.






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