Epilepsy surgery without lipoma removal for temporal lobe epilepsy associated with lipoma in the Sylvian fissure

被引：0
作者：
Nomura, Kazuki [1 ,2 ]
Suzuki, Hiroharu [1 ]
Iimura, Yasushi [1 ]
Mitsuhashi, Takumi [1 ]
Tamrakar, Samantha [1 ]
Ueda, Tetsuya [1 ]
Nishioka, Kazuki [1 ]
Fusegi, Keiko [1 ]
Tada, Mari [3 ]
Nakajima, Madoka [1 ]
Kakita, Akiyoshi [3 ]
Sugano, Hidenori [1 ]
机构：
[1] Juntendo Univ, Dept Neurosurg, Tokyo, Japan
[2] Natl Def Med Coll, Dept Neurosurg, Saitama, Japan
[3] Niigata Univ, Brain Res Inst, Dept Pathol, Niigata, Japan
来源：
ACTA NEUROCHIRURGICA | 2023年 / 165卷 / 01期
基金：
日本学术振兴会;
关键词：
Temporal lobe epilepsy; Sylvian fissure; Intracranial lipoma; Epilepsy surgery; Intraoperative electrocorticography; Focal cortical dysplasia; INTRACRANIAL LIPOMA; DERMOID CYST; DYSPLASIA; FEATURES; SEIZURE;
D O I：
10.1007/s00701-022-05330-7
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Epileptic seizure is the common symptom associated with lipomas in the Sylvian fissure (Sylvian lipomas). Removal of these lipomas carries risks of hemorrhage and brain damage. We report a surgical strategy of not removing the lipoma in a case of intractable temporal lobe epilepsy associated with Sylvian lipoma. We performed anterior temporal lobectomy with preservation of the pia mater of the Sylvian fissure and achieved seizure freedom. Focal cortical dysplasia type 1 of the epileptic neocortex adjacent to the Sylvian lipoma was pathologically diagnosed. We recommend our surgical procedure in similar cases to avoid complications and achieve adequate seizure control.
引用
收藏
页码：265 / 269
页数：5
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