Structural (Symptomatic) Focal Epilepsy

  • Thalia Valeta


Structural (or symptomatic) epilepsy is any type of epilepsy caused by damage of brain structure for example injury, infection, tumours, anoxia, hereditary or metabolic diseases. Lesions may be the remaining of an old problem (residual) while others may get worse in time (progressive). The symptoms of epileptic seizures depend on the brain site of the lesion (frontal, parietal, temporal, occipital). Mesial temporal lobe epilepsy is the commoner type of structural epilepsy. The outcome depends on the underlying cause and the extent of the lesion. The needs of patients with structural epilepsy vary significant depending on the severity of epilepsy and the severity of brain damage.


Frontal Parietal Temporal Occipital epilepsy Epigastric aura Visual hallucinations Deja vu Automatisms Brain MRI Psychosocial needs Neurosurgical treatment 


  1. 1.
    Sillanpaa M, Schmidt D. Predicting antiepileptic drug response in children with epilepsy. Expert Rev Neurother. 2011;11:877–85.CrossRefGoogle Scholar
  2. 2.
    Kramer G. The limitations of antiepileptic drug monotherapy. Epilepsia. 1997;38(Suppl 5):S9–S13.CrossRefGoogle Scholar
  3. 3.
    Schmidt D. AED discontinuation may be dangerous for seizure-free patients. J Neural Transm. 2011;118:183–6.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Thalia Valeta
    • 1
    • 2
  1. 1.First Neurology and Psychiatry ClinicUniversity of Athens, Aeginition HospitalAthensGreece
  2. 2.Department of Clinical Neurophysiology and EpilepsiesSt. Thomas’ HospitalLondonUK

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