A Surgical Case of Frontal Lobe Epilepsy Due to Focal Cortical Dysplasia Accompanied by Olfactory Nerve Enlargement: Case Report

A 45-year-old man came to our clinic due to refractory general tonic seizure and an attack of unintended yelling. Magnetic resonance imaging (MRI) demonstrated mild cortical hyperintensity on fluid attenuated inversion recovery (FLAIR) image in the left basal frontal area. Enlargement of the left ol...

Descripción completa

Detalles Bibliográficos
Autores principales: MINAMI, Noriaki, UDA, Takehiro, MATSUMOTO, Takahiro, NAGAI, Taiki, UCHIDA, Tatsuya, KAMEI, Takamasa, MORINO, Michiharu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Neurosurgical Society 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4533458/
https://www.ncbi.nlm.nih.gov/pubmed/24390184
http://dx.doi.org/10.2176/nmc.cr.2013-0173
_version_ 1782385339939160064
author MINAMI, Noriaki
UDA, Takehiro
MATSUMOTO, Takahiro
NAGAI, Taiki
UCHIDA, Tatsuya
KAMEI, Takamasa
MORINO, Michiharu
author_facet MINAMI, Noriaki
UDA, Takehiro
MATSUMOTO, Takahiro
NAGAI, Taiki
UCHIDA, Tatsuya
KAMEI, Takamasa
MORINO, Michiharu
author_sort MINAMI, Noriaki
collection PubMed
description A 45-year-old man came to our clinic due to refractory general tonic seizure and an attack of unintended yelling. Magnetic resonance imaging (MRI) demonstrated mild cortical hyperintensity on fluid attenuated inversion recovery (FLAIR) image in the left basal frontal area. Enlargement of the left olfactory nerve was also detected below the affected gyrus. Subtotal resection of the MRI-visible epileptogenic lesion was performed without any neurological deficit. The final pathological diagnosis was focal cortical dysplasia (FCD) type IIa. Seizures and yelling attacks subsided after surgery. Extracerebral abnormalities, including cranial nerve enlargement, are common in patients with hemimegalencephaly. However, such abnormalities are rare with FCD.
format Online
Article
Text
id pubmed-4533458
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher The Japan Neurosurgical Society
record_format MEDLINE/PubMed
spelling pubmed-45334582015-11-05 A Surgical Case of Frontal Lobe Epilepsy Due to Focal Cortical Dysplasia Accompanied by Olfactory Nerve Enlargement: Case Report MINAMI, Noriaki UDA, Takehiro MATSUMOTO, Takahiro NAGAI, Taiki UCHIDA, Tatsuya KAMEI, Takamasa MORINO, Michiharu Neurol Med Chir (Tokyo) Case Report A 45-year-old man came to our clinic due to refractory general tonic seizure and an attack of unintended yelling. Magnetic resonance imaging (MRI) demonstrated mild cortical hyperintensity on fluid attenuated inversion recovery (FLAIR) image in the left basal frontal area. Enlargement of the left olfactory nerve was also detected below the affected gyrus. Subtotal resection of the MRI-visible epileptogenic lesion was performed without any neurological deficit. The final pathological diagnosis was focal cortical dysplasia (FCD) type IIa. Seizures and yelling attacks subsided after surgery. Extracerebral abnormalities, including cranial nerve enlargement, are common in patients with hemimegalencephaly. However, such abnormalities are rare with FCD. The Japan Neurosurgical Society 2014-07 2013-12-27 /pmc/articles/PMC4533458/ /pubmed/24390184 http://dx.doi.org/10.2176/nmc.cr.2013-0173 Text en © 2014 The Japan Neurosurgical Society This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Case Report
MINAMI, Noriaki
UDA, Takehiro
MATSUMOTO, Takahiro
NAGAI, Taiki
UCHIDA, Tatsuya
KAMEI, Takamasa
MORINO, Michiharu
A Surgical Case of Frontal Lobe Epilepsy Due to Focal Cortical Dysplasia Accompanied by Olfactory Nerve Enlargement: Case Report
title A Surgical Case of Frontal Lobe Epilepsy Due to Focal Cortical Dysplasia Accompanied by Olfactory Nerve Enlargement: Case Report
title_full A Surgical Case of Frontal Lobe Epilepsy Due to Focal Cortical Dysplasia Accompanied by Olfactory Nerve Enlargement: Case Report
title_fullStr A Surgical Case of Frontal Lobe Epilepsy Due to Focal Cortical Dysplasia Accompanied by Olfactory Nerve Enlargement: Case Report
title_full_unstemmed A Surgical Case of Frontal Lobe Epilepsy Due to Focal Cortical Dysplasia Accompanied by Olfactory Nerve Enlargement: Case Report
title_short A Surgical Case of Frontal Lobe Epilepsy Due to Focal Cortical Dysplasia Accompanied by Olfactory Nerve Enlargement: Case Report
title_sort surgical case of frontal lobe epilepsy due to focal cortical dysplasia accompanied by olfactory nerve enlargement: case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4533458/
https://www.ncbi.nlm.nih.gov/pubmed/24390184
http://dx.doi.org/10.2176/nmc.cr.2013-0173
work_keys_str_mv AT minaminoriaki asurgicalcaseoffrontallobeepilepsyduetofocalcorticaldysplasiaaccompaniedbyolfactorynerveenlargementcasereport
AT udatakehiro asurgicalcaseoffrontallobeepilepsyduetofocalcorticaldysplasiaaccompaniedbyolfactorynerveenlargementcasereport
AT matsumototakahiro asurgicalcaseoffrontallobeepilepsyduetofocalcorticaldysplasiaaccompaniedbyolfactorynerveenlargementcasereport
AT nagaitaiki asurgicalcaseoffrontallobeepilepsyduetofocalcorticaldysplasiaaccompaniedbyolfactorynerveenlargementcasereport
AT uchidatatsuya asurgicalcaseoffrontallobeepilepsyduetofocalcorticaldysplasiaaccompaniedbyolfactorynerveenlargementcasereport
AT kameitakamasa asurgicalcaseoffrontallobeepilepsyduetofocalcorticaldysplasiaaccompaniedbyolfactorynerveenlargementcasereport
AT morinomichiharu asurgicalcaseoffrontallobeepilepsyduetofocalcorticaldysplasiaaccompaniedbyolfactorynerveenlargementcasereport
AT minaminoriaki surgicalcaseoffrontallobeepilepsyduetofocalcorticaldysplasiaaccompaniedbyolfactorynerveenlargementcasereport
AT udatakehiro surgicalcaseoffrontallobeepilepsyduetofocalcorticaldysplasiaaccompaniedbyolfactorynerveenlargementcasereport
AT matsumototakahiro surgicalcaseoffrontallobeepilepsyduetofocalcorticaldysplasiaaccompaniedbyolfactorynerveenlargementcasereport
AT nagaitaiki surgicalcaseoffrontallobeepilepsyduetofocalcorticaldysplasiaaccompaniedbyolfactorynerveenlargementcasereport
AT uchidatatsuya surgicalcaseoffrontallobeepilepsyduetofocalcorticaldysplasiaaccompaniedbyolfactorynerveenlargementcasereport
AT kameitakamasa surgicalcaseoffrontallobeepilepsyduetofocalcorticaldysplasiaaccompaniedbyolfactorynerveenlargementcasereport
AT morinomichiharu surgicalcaseoffrontallobeepilepsyduetofocalcorticaldysplasiaaccompaniedbyolfactorynerveenlargementcasereport

Ejemplares similares