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Epilepsy surgery without lipoma removal for temporal lobe epilepsy associated with lipoma in the Sylvian fissure.
Nomura, Kazuki; Suzuki, Hiroharu; Iimura, Yasushi; Mitsuhashi, Takumi; Tamrakar, Samantha; Ueda, Tetsuya; Nishioka, Kazuki; Fusegi, Keiko; Tada, Mari; Nakajima, Madoka; Kakita, Akiyoshi; Sugano, Hidenori.
Affiliation
  • Nomura K; Department of Neurosurgery, Juntendo University, Tokyo, Japan.
  • Suzuki H; Department of Neurosurgery, National Defense Medical College, Saitama, Japan.
  • Iimura Y; Department of Neurosurgery, Juntendo University, Tokyo, Japan. hi-suzuki@juntendo.ac.jp.
  • Mitsuhashi T; Department of Neurosurgery, Juntendo University, Tokyo, Japan.
  • Tamrakar S; Department of Neurosurgery, Juntendo University, Tokyo, Japan.
  • Ueda T; Department of Neurosurgery, Juntendo University, Tokyo, Japan.
  • Nishioka K; Department of Neurosurgery, Juntendo University, Tokyo, Japan.
  • Fusegi K; Department of Neurosurgery, Juntendo University, Tokyo, Japan.
  • Tada M; Department of Neurosurgery, Juntendo University, Tokyo, Japan.
  • Nakajima M; Department of Pathology, Brain Research Institute, Niigata University, Niigata, Japan.
  • Kakita A; Department of Neurosurgery, Juntendo University, Tokyo, Japan.
  • Sugano H; Department of Pathology, Brain Research Institute, Niigata University, Niigata, Japan.
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.
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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

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