Frontal Encephalocele Plus Epilepsy: A Case Report and Review of the Literature

被引：4

作者：

Yamazaki, Ken ^{[1
,2
]}

Kanaya, Kohei ^{[1
,2
]}

Uda, Takehiro ^{[3
]}

Fukuyama, Tetsuhiro ^{[2
,4
]}

Nishioka, Makoto ^{[2
,4
]}

Hoshino, Yumi ^{[2
,5
]}

Kaneko, Tomoki ^{[6
]}

Hardian, Ridzky Firmansyah ^{[1
]}

Yamazaki, Daisuke ^{[1
]}

Kuwabara, Haruki ^{[1
]}

Funato, Kohei ^{[1
]}

Horiuchi, Tetsuyoshi ^{[1
]}

机构：

[1] Shinshu Univ, Sch Med, Dept Neurosurg, Matsumoto, Nagano 3908621, Japan

[2] Shinshu Univ Hosp, Div Epilepsy, Matsumoto, Nagano 3908621, Japan

[3] Osaka Metropolitan Univ, Grad Sch Med, Dept Neurosurg, Osaka 5458585, Japan

[4] Shinshu Univ, Sch Med, Dept Pediat, Matsumoto, Nagano 3908621, Japan

[5] Shinshu Univ, Sch Med, Dept Med Neurol & Rheumatol, Matsumoto, Nagano 3908621, Japan

[6] Shinshu Univ, Sch Med, Dept Radiol, Matsumoto, Nagano 3908621, Japan

来源：

BRAIN SCIENCES | 2023年 / 13卷 / 01期

关键词：

encephalocele; refractory epilepsy; intraoperative electroencephalography; MENINGITIS; MANAGEMENT; SEIZURES; SURGERY;

D O I：

10.3390/brainsci13010115

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

An encephalocele is a pathological brain herniation caused by osseous dural defects. Encephaloceles are known to be regions of epileptogenic foci. We describe the case of a 44-year-old woman with refractory epilepsy associated with a frontal skull base encephalocele. Epilepsy surgery for encephalocele resection was performed; however, the epilepsy was refractory. A second epilepsy surgery for frontal lobectomy using intraoperative electroencephalography was required to achieve adequate seizure control. Previous reports have shown that only encephalocele resection can result in good seizure control, and refractory epilepsy due to frontal lobe encephalocele has rarely been reported. To the best of our knowledge, this is the first report of frontal encephalocele plus epilepsy in which good seizure control using only encephalocele resection was difficult to achieve. Herein, we describe the possible mechanisms of encephalocele plus epilepsy and the surgical strategy for refractory epilepsy with encephalocele, including a literature review.

引用

页数：5

共 19 条

[1]

Ammar H., 2012, BMJ CASE REP, V2012

[2] Epilepsy Surgery for Skull-Base Temporal Lobe Encephaloceles: Should We Spare the Hippocampus from Resection? [J].