Management and Return to Play Considerations in an Elite Hockey Player with Temporal Lobe Epilepsy

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Temporal lobe epilepsy (TLE) is a common form of epilepsy that presents with complex partial seizures and in some cases with generalization to tonic-clonic activity that are often well controlled with antiepileptic medication in up to two thirds of patients. The remaining one third with “medically intractable” TLE may benefit from surgical temporal lobectomy, which offers considerably higher rates of seizure freedom than medication alone (1–3). A new diagnosis of TLE in athletes competing in contact sports can present a challenge for managing physicians who must weigh the risks and benefits of continued sports participation (4,5) and plan for potential future injuries including concussions.
Here, we report the case of a 17-year-old male junior hockey player who presented with newly diagnosed TLE to illustrate the value of a multidisciplinary approach to medical and return-to-sports management in this unique athlete population.

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