Objective To reviewe the operated temporal lobe epilepsy (TLE) with hypermotor seizures (HMS) in our center and to discuss the clinical decision-making for this type patients. Methods One hundred and two operated TLE patients from 2007-2009 were reviewed. All presurgical evaluation data of these patients including history, MRI, scalp video-electroencephalography ( VEEG) , PET and intracranial EEG recording were analyzed, retrospectively. HMS behavior was recognized according to Luders' s description. Results Two patients exhibited typical hypermotor seizures. The scalp-EEG suggested temporal lobe onset although their semiological feature of frontal orign. One patient was given intracranial monitoring and another was directly performed operation without invasive examination for his positive finding of MRI. These two patients were seizure-free for more than two years after undergoing anterior temporal lobe resection. Conclusions Hypermotor seizure semiology may occasionally occur in patients with TLE. If scalp EEG patterns and neuroimaging findings are correspond, the postoperative seizure outcome is favorable in such patients.%目的 过度运动性发作常见于额叶癫痫,总结我中心病例,探讨颞叶癫痫表现为过度运动性发作时的临床决策.方法 回顾2007～2009年进行手术治疗的颞叶癫痫患者,对所有患者的术前评估资料包括病史、MRI、头皮视频脑电图、PET和颅内脑电记录进行回顾性分析.根据Luders的描述对过度运动性发作进行识别.结果 102例患者中有2例表现为典型的过度运动性发作,尽管症状学提示额叶起源,但是头皮脑电图均提示颞叶为发作起始区,1例进行颅内电极监测,另1例因为MRI的阳性发现而直接进行手术切除.2例患者进行了前颞叶切除术,术后2a以上无发作.结论 过度运动性发作发作偶尔可见于颞叶癫痫,如果其头皮EEG结果与影像学检查一致,则手术治疗效果比较理想.
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