EEG questions -- Temporal lobe, etc.

Hi, folks. I am new here, so please bear with me!

My second-opinion epileptologist received two video-EEG CDs to examine. She wrote notations regarding right temporal lobe sharp waves or spikes and intermittent left temporal lobe slowing. A theta rhythm in the left temporal lobe and left parietal lobe was also noted, though it was most likely the result of a postictal state. This is based on the order in which it followed a clinical event. (This can also result from drugs, early sleep, etc., I am told.)

The EEG also detected seizures during sleep. I knew that I was having these -- by the way I felt in the morning and, later, how my fiancee would describe their generalization. (She has generalized epilepsy, secondary to a left frontal lobe, benign tumor.) Is there any part of the brain from which these most commonly originate? I was just wondering. Has anyone else out there had this detected and, if so, were you given any more information?

I also have questions about discharges from sphenoidal leads. Since the physician said it was possible that I had a right hippocampus with decreased volume, and she saw sharp waves or spikes from the right sphenoidal lead (SP2), does that lead to the right temporal lobe being more of an epileptogenic focus? There was left temporal lobe slowing -- and possible parietal lobe slowing -- so who knows. Physicians postulate in literature I have read that sharp waves are often seen coming from the sphenoidal leads in temporal lobe epilepsy. ...

She really is the first epileptologist to review more than one of my MRIs but I wonder why she is the first to even mention the possible loss of right hippocampal volume. I had a cleanly cut temporal lobe protocol MRI this year at another hospital that showed no abnornmalities. Is this, on her part, what someone calls an "educated guess?" Strangely, she is the same epileptologist who is sending a report to my mother's neurologist about a possible epilepsy diagnosis amid questions about Alzheimer's Disease.

So far, my regular epileptologist has diagnosed me with partial-onset, refractory epilepsy, with simple partial and complex partial seizures. (Although, I have had myoclonic-type seizures since 1988 -- which are now under control.) I just have a lot of questions. ...

Thanks!

Labspanielmix