Epilepsy surgery without lipoma removal for temporal lobe epilepsy associated with lipoma in the Sylvian fissure

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 Sy...

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Autores principales: Nomura, Kazuki, Suzuki, Hiroharu, Iimura, Yasushi, Mitsuhashi, Takumi, Tamrakar, Samantha, Ueda, Tetsuya, Nishioka, Kazuki, Fusegi, Keiko, Tada, Mari, Nakajima, Madoka, Kakita, Akiyoshi, Sugano, Hidenori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Vienna 2022
Materias:
Case Report - Functional Neurosurgery - Epilepsy
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9840568/
https://www.ncbi.nlm.nih.gov/pubmed/35934751
http://dx.doi.org/10.1007/s00701-022-05330-7
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author Nomura, Kazuki
Suzuki, Hiroharu
Iimura, Yasushi
Mitsuhashi, Takumi
Tamrakar, Samantha
Ueda, Tetsuya
Nishioka, Kazuki
Fusegi, Keiko
Tada, Mari
Nakajima, Madoka
Kakita, Akiyoshi
Sugano, Hidenori
author_facet Nomura, Kazuki
Suzuki, Hiroharu
Iimura, Yasushi
Mitsuhashi, Takumi
Tamrakar, Samantha
Ueda, Tetsuya
Nishioka, Kazuki
Fusegi, Keiko
Tada, Mari
Nakajima, Madoka
Kakita, Akiyoshi
Sugano, Hidenori
author_sort Nomura, Kazuki
collection PubMed
description 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.
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spelling pubmed-98405682023-01-16 Epilepsy surgery without lipoma removal for temporal lobe epilepsy associated with lipoma in the Sylvian fissure Nomura, Kazuki Suzuki, Hiroharu Iimura, Yasushi Mitsuhashi, Takumi Tamrakar, Samantha Ueda, Tetsuya Nishioka, Kazuki Fusegi, Keiko Tada, Mari Nakajima, Madoka Kakita, Akiyoshi Sugano, Hidenori Acta Neurochir (Wien) Case Report - Functional Neurosurgery - Epilepsy 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. Springer Vienna 2022-08-08 2023 /pmc/articles/PMC9840568/ /pubmed/35934751 http://dx.doi.org/10.1007/s00701-022-05330-7 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report - Functional Neurosurgery - Epilepsy
Nomura, Kazuki
Suzuki, Hiroharu
Iimura, Yasushi
Mitsuhashi, Takumi
Tamrakar, Samantha
Ueda, Tetsuya
Nishioka, Kazuki
Fusegi, Keiko
Tada, Mari
Nakajima, Madoka
Kakita, Akiyoshi
Sugano, Hidenori
Epilepsy surgery without lipoma removal for temporal lobe epilepsy associated with lipoma in the Sylvian fissure
title Epilepsy surgery without lipoma removal for temporal lobe epilepsy associated with lipoma in the Sylvian fissure
title_full Epilepsy surgery without lipoma removal for temporal lobe epilepsy associated with lipoma in the Sylvian fissure
title_fullStr Epilepsy surgery without lipoma removal for temporal lobe epilepsy associated with lipoma in the Sylvian fissure
title_full_unstemmed Epilepsy surgery without lipoma removal for temporal lobe epilepsy associated with lipoma in the Sylvian fissure
title_short Epilepsy surgery without lipoma removal for temporal lobe epilepsy associated with lipoma in the Sylvian fissure
title_sort epilepsy surgery without lipoma removal for temporal lobe epilepsy associated with lipoma in the sylvian fissure
topic Case Report - Functional Neurosurgery - Epilepsy
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9840568/
https://www.ncbi.nlm.nih.gov/pubmed/35934751
http://dx.doi.org/10.1007/s00701-022-05330-7
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