Neurosurgical treatment of nonconvulsive status epilepticus due to focal cortical dysplasia

We present a rare case of focal cortical dysplasia (FCD) and nonconvulsive status epilepticus (NCSE) treated successfully with early surgical intervention. Our case is a 9-year-old boy whose seizures, characterized by short episodes of loss of consciousness, appeared at the age of 7, and he showed p...

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Detalles Bibliográficos
Autores principales: Timer, Emin, Charsouei, Saeid, Bebek, Nerses, Baykan, Betül, Bilgiç, Bilge, Sabancı, Pulat Akın, Aras, Yavuz, İzgi, Nail, Gürses, Candan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6050350/
https://www.ncbi.nlm.nih.gov/pubmed/30023174
http://dx.doi.org/10.1016/j.ebcr.2018.03.003
Descripción
Sumario:We present a rare case of focal cortical dysplasia (FCD) and nonconvulsive status epilepticus (NCSE) treated successfully with early surgical intervention. Our case is a 9-year-old boy whose seizures, characterized by short episodes of loss of consciousness, appeared at the age of 7, and he showed progressive cognitive decline in the following years. NCSE was diagnosed, and his MRI revealed FCD in the left frontal region which was the same side as his EEG abnormality. Following lesionectomy, his NCSE disappeared and cognitive functions improved. Histopathologic analysis of the resected tissue revealed type-IIB FCD. This case illustrates the importance of early surgery to help restore cognitive functions by eliminating the clinical and electrophysiological features of NCSE.

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