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Contradictory imaging and EEG results in resection surgery of bitemporal lobe epilepsy: A case report

The present study describes the case of a 27-year-old, right-handed female with bilateral mesial temporal lobe epilepsy. Electroencephalogram (EEG) monitoring from implanted electrodes displayed two different and independent onsets on the two sides of the mesial temporal structures, which specifical...

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Autores principales: YANG, KANG, SU, JING, LANG, YUE, LIU, SHU-PING, YIN, JIAN
Formato: Online Artículo Texto
Lenguaje:English
Publicado: D.A. Spandidos 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3919855/
https://www.ncbi.nlm.nih.gov/pubmed/24520276
http://dx.doi.org/10.3892/etm.2013.1462
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author YANG, KANG
SU, JING
LANG, YUE
LIU, SHU-PING
YIN, JIAN
author_facet YANG, KANG
SU, JING
LANG, YUE
LIU, SHU-PING
YIN, JIAN
author_sort YANG, KANG
collection PubMed
description The present study describes the case of a 27-year-old, right-handed female with bilateral mesial temporal lobe epilepsy. Electroencephalogram (EEG) monitoring from implanted electrodes displayed two different and independent onsets on the two sides of the mesial temporal structures, which specifically included clinical generalized tonic clonic seizure (GTCS) discharges originating from the left mesial temporal lobe, as well as complex partial seizure (CPS) discharges arising from the right mesial region. However, fluid-attenuated inversion recovery magnetic resonance imaging (FLAIR MRI) showed a unilateral abnormality, as in right mesial temporal lobe sclerosis. A decision was made to resect one side of the mesial temporal lobe, in order to avoid memory function impairment, and, relying on the MRI results, the right side was selected. However, surgery did not leave the patient seizure-free. The CPSs gradually eased, while the GTCSs originating from the left side became severely aggravated. In describing this case, the drawbacks of current epileptic diagnostic methods and surgical strategies for bitemporal lobe epilepsy are discussed, and the requirement for more treatment options is emphasized.
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spelling pubmed-39198552014-02-11 Contradictory imaging and EEG results in resection surgery of bitemporal lobe epilepsy: A case report YANG, KANG SU, JING LANG, YUE LIU, SHU-PING YIN, JIAN Exp Ther Med Articles The present study describes the case of a 27-year-old, right-handed female with bilateral mesial temporal lobe epilepsy. Electroencephalogram (EEG) monitoring from implanted electrodes displayed two different and independent onsets on the two sides of the mesial temporal structures, which specifically included clinical generalized tonic clonic seizure (GTCS) discharges originating from the left mesial temporal lobe, as well as complex partial seizure (CPS) discharges arising from the right mesial region. However, fluid-attenuated inversion recovery magnetic resonance imaging (FLAIR MRI) showed a unilateral abnormality, as in right mesial temporal lobe sclerosis. A decision was made to resect one side of the mesial temporal lobe, in order to avoid memory function impairment, and, relying on the MRI results, the right side was selected. However, surgery did not leave the patient seizure-free. The CPSs gradually eased, while the GTCSs originating from the left side became severely aggravated. In describing this case, the drawbacks of current epileptic diagnostic methods and surgical strategies for bitemporal lobe epilepsy are discussed, and the requirement for more treatment options is emphasized. D.A. Spandidos 2014-03 2013-12-27 /pmc/articles/PMC3919855/ /pubmed/24520276 http://dx.doi.org/10.3892/etm.2013.1462 Text en Copyright © 2014, Spandidos Publications http://creativecommons.org/licenses/by/3.0 This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.
spellingShingle Articles
YANG, KANG
SU, JING
LANG, YUE
LIU, SHU-PING
YIN, JIAN
Contradictory imaging and EEG results in resection surgery of bitemporal lobe epilepsy: A case report
title Contradictory imaging and EEG results in resection surgery of bitemporal lobe epilepsy: A case report
title_full Contradictory imaging and EEG results in resection surgery of bitemporal lobe epilepsy: A case report
title_fullStr Contradictory imaging and EEG results in resection surgery of bitemporal lobe epilepsy: A case report
title_full_unstemmed Contradictory imaging and EEG results in resection surgery of bitemporal lobe epilepsy: A case report
title_short Contradictory imaging and EEG results in resection surgery of bitemporal lobe epilepsy: A case report
title_sort contradictory imaging and eeg results in resection surgery of bitemporal lobe epilepsy: a case report
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3919855/
https://www.ncbi.nlm.nih.gov/pubmed/24520276
http://dx.doi.org/10.3892/etm.2013.1462
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