Epilepsy surgery without lipoma removal for temporal lobe epilepsy associated with lipoma in the Sylvian fissure.
Acta Neurochir (Wien)
; 165(1): 265-269, 2023 01.
Article
de En
| MEDLINE
| ID: mdl-35934751
ABSTRACT
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.
Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Tumeurs du cerveau
/
Épilepsie
/
Épilepsie temporale
/
Lipome
Type d'étude:
Risk_factors_studies
Limites:
Humans
Langue:
En
Journal:
Acta Neurochir (Wien)
Année:
2023
Type de document:
Article
Pays d'affiliation:
Japon