The objective of this study was to compare the neuropsychological findings between patients with amygdalo-hippocampal and lateral temporal lobe seizure.
Thirty-nine patients undergone epilepsy surgery for intractable seizures were estimated neuropsychological findings composed of Wechsler adult intelligence scale-revised, Minnesota multiphasic personality inventory, Wechsler memory scale-revised, verbal paired-associates learning test, story recall test, Benton's visual retention test, Rey-Osterrieth's complex figure test, Kana pick-out test, Japanese Raven's colored progressive matrices, and Japanese western aphasia battery.
There were twenty-eight patients with amygdalo-hippocampal seizure whose mean age at seizure onset was 13.8 years and mean age at surgery was 36.0 years. In these patients, seven patients showed psychiatric manifestations including delusion of reference and persecution. There were eleven patients with lateral temporal lobe seizure whose mean age at seizure onset was 13.6 years and the age at surgery was 29.2 years. There were more oversights in Kana pick-out test in patients with amygdalo-hippocampal seizure than in patients with lateral temporal lobe seizure (p<0.05). Discussion: Kana pick-out test reflects the function of orbito-frontal lobe, which suggests that patients with amygdalo-hippocampal seizure might have frontal lobe dysfunctions than patients with lateral temporal lobe seizure.

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We report two girls who had intractable recurrent febrile convulsions with fatal outcome. They had no family history of convulsions. Their first febrile convulsion developed at 6 months of age, recurred frequently and was resistant against anticonvulsants. At 10 years of age, they both died unexpectedly of status epileptics. The total frequency of febrile convulsions were 24 and 56 times respectively. EEG during the clinical course showed few epileptic discharges. Blood, liquor and neuroimaging examinations were normal.
Of the 99 patients with common recurrent febrile convulsions studied, boys accounted for 67.7% and 40.4% of them had a family history of convulsions. The cumulative frequency of convulsions at 3 years of age was 5.6±3.1 times (mean±SD). Convulsions ended earlier in the cases with the first febrile convulsion younger than one year or girls.
When girls younger than one year of age develop first febrile convulsion, have repeated febrile seizures more than 12 times up to 3 years of age despite anticonvulsive therapy and show few epileptic discharges on EEG, febrile convulsions with poor prognosis should be guarded.

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