Epilepsy surgery without lipoma removal for temporal lobe epilepsy associated with lipoma in the Sylvian fissure.
Epilepsy surgery
Focal cortical dysplasia
Intracranial lipoma
Intraoperative electrocorticography
Sylvian fissure
Temporal lobe epilepsy
Journal
Acta neurochirurgica
ISSN: 0942-0940
Titre abrégé: Acta Neurochir (Wien)
Pays: Austria
ID NLM: 0151000
Informations de publication
Date de publication:
01 2023
01 2023
Historique:
received:
21
04
2022
accepted:
25
07
2022
pubmed:
8
8
2022
medline:
18
1
2023
entrez:
7
8
2022
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 35934751
doi: 10.1007/s00701-022-05330-7
pii: 10.1007/s00701-022-05330-7
pmc: PMC9840568
doi:
Types de publication
Case Reports
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
265-269Subventions
Organisme : Arthritis Research UK
ID : FC001039
Pays : United Kingdom
Informations de copyright
© 2022. The Author(s).
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