| Literature DB >> 35934751 |
Kazuki Nomura1,2, Hiroharu Suzuki3, Yasushi Iimura1, Takumi Mitsuhashi1, Samantha Tamrakar1, Tetsuya Ueda1, Kazuki Nishioka1, Keiko Fusegi1, Mari Tada4, Madoka Nakajima1, Akiyoshi Kakita4, Hidenori Sugano1.
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.Entities:
Keywords: Epilepsy surgery; Focal cortical dysplasia; Intracranial lipoma; Intraoperative electrocorticography; Sylvian fissure; Temporal lobe epilepsy
Year: 2022 PMID: 35934751 DOI: 10.1007/s00701-022-05330-7
Source DB: PubMed Journal: Acta Neurochir (Wien) ISSN: 0001-6268 Impact factor: 2.816