Temporal sclerosis
ICD-10 G93.81 is a billable code used to indicate a diagnosis of temporal sclerosis.
Temporal sclerosis, also known as mesial temporal sclerosis (MTS), is a neurological condition characterized by the scarring and atrophy of the temporal lobe, particularly affecting the hippocampus. This condition is often associated with epilepsy, particularly temporal lobe epilepsy, and can lead to various neurological symptoms including memory impairment, seizures, and cognitive dysfunction. Patients may experience chronic pain syndromes due to the neurological impact of the condition, as well as autonomic disorders that can manifest as changes in heart rate, blood pressure, and gastrointestinal function. Hydrocephalus can also occur as a secondary complication, leading to increased intracranial pressure and further neurological deficits. The diagnosis of temporal sclerosis typically involves neuroimaging studies such as MRI, which can reveal characteristic changes in the temporal lobe. Management may include antiepileptic medications, surgical interventions, and supportive therapies aimed at addressing the multifaceted symptoms associated with this condition.
Detailed neurological examination findings, imaging results, and treatment plans.
Patients presenting with seizures, memory loss, or cognitive decline.
Ensure that all neurological deficits are documented and linked to the diagnosis.
Surgical notes, pre-operative assessments, and post-operative follow-up documentation.
Patients undergoing surgical intervention for refractory epilepsy due to temporal sclerosis.
Document the rationale for surgery and any complications that arise.
Used to evaluate seizure activity in patients with temporal sclerosis.
EEG results must be documented, including seizure types and frequency.
Neurologists should ensure that EEG findings correlate with clinical symptoms.
Common symptoms include seizures, memory loss, cognitive decline, and autonomic dysfunction. Patients may also experience chronic pain syndromes.
Diagnosis typically involves a combination of clinical evaluation, neurological examination, and imaging studies such as MRI that reveal characteristic changes in the temporal lobe.
