Stereotactic Radiosurgery for Treatment of Operculoinsular Refractory Epilepsy After Incomplete Resection in a Child

被引：0
作者：
Canh Duy Phan [1 ]
Anh Tuan Dang [2 ]
Van Anh Ton-Nu [3 ]
Huu Son Nguyen [4 ]
Nhu Hiep Pham [1 ]
机构：
[1] Hue Cent Hosp, Oncol Ctr, Hue City, Vietnam
[2] Natl Hosp Pediat, Neurol Dept, Hanoi, Vietnam
[3] Hue Univ, Pediat Dept, Hue Univ Med & Pharm, 06 Ngo Quyen St, Hue City, Vietnam
[4] Hue Cent Hosp, Pediat Ctr, Hue City, Vietnam
来源：
INTERNATIONAL MEDICAL CASE REPORTS JOURNAL | 2021年 / 14卷
关键词：
stereotactic radiosurgery; epilepsy; refractory; epilepsy surgery; TEMPORAL-LOBE EPILEPSY; GAMMA-KNIFE RADIOSURGERY; SURGERY; FAILURE;
D O I：
10.2147/IMCRJ.S329878
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 13-year-old right-handed girl had operculoinsular refractory epilepsy with several seizures per week after temporal lobe epilepsy surgery despite appropriate antic-onvulsant therapy. Instead of reoperation, she underwent stereotactic radiosurgery (SRS), which was performed using a linac-based Elekta Axesse SRS machine with a marginal dose of 24 Gy (gross target volume: 6.67 cm(3)) in one fraction. Post-radiosurgery, she had no clinical or radiological complications. She was maintained on two anti-seizure medications following treatment (valproate and levetiracetam) and was seizure free at the time of this report (during four weeks after SRS). Monthly follow-up was planned for the evaluation of long-term outcomes. SRS may be a safe option for treating intractable focal epilepsy or recurrent after failure in children.
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收藏
页码：597 / 603
页数：7
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