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Surgical resection of epileptogenic cortical dysplasia in precentral gyrus.

Xue H, Cai L, Zhang X, Qiao L, Li Y - Epilepsy Behav Case Rep (2013)

Bottom Line: The lesion was resected based on the results of video-ECoG (electrocorticograph) monitoring and electrical cortical stimulation.The patient has been seizure-free for 1 year since operation, and no neurological deficits have been observed.We discuss possible mechanisms of cortical reorganization in this patient and the features of focal cortical dysplasia (FCD) IIb in eloquent cortices.

View Article: PubMed Central - PubMed

Affiliation: Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.

ABSTRACT
We present the case of a patient with epilepsy arising from cortical dysplasia in his precentral gyrus. The lesion was resected based on the results of video-ECoG (electrocorticograph) monitoring and electrical cortical stimulation. The patient has been seizure-free for 1 year since operation, and no neurological deficits have been observed. We discuss possible mechanisms of cortical reorganization in this patient and the features of focal cortical dysplasia (FCD) IIb in eloquent cortices.

No MeSH data available.


Related in: MedlinePlus

Lesion resected in the second operation. The lesion is about 3.5 cm ∗ 3.0 cm ∗ 2 cm with solid texture.
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f0030: Lesion resected in the second operation. The lesion is about 3.5 cm ∗ 3.0 cm ∗ 2 cm with solid texture.

Mentions: Based on the results above, we resected the lesion in the precentral gyrus (Fig. 6), and abnormal cortical activities disappeared on the intraoperative ECoG. After surgery, the patient exhibited temporary weakness of the right upper limb which was resolved in 7 days. Antiepileptic medication remained the same as before surgery. Pathological findings were identified as FCD IIb. The patient has been followed up for 1 year, and he has experienced no more seizures since surgery.


Surgical resection of epileptogenic cortical dysplasia in precentral gyrus.

Xue H, Cai L, Zhang X, Qiao L, Li Y - Epilepsy Behav Case Rep (2013)

Lesion resected in the second operation. The lesion is about 3.5 cm ∗ 3.0 cm ∗ 2 cm with solid texture.
© Copyright Policy - CC BY-NC-SA
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4150634&req=5

f0030: Lesion resected in the second operation. The lesion is about 3.5 cm ∗ 3.0 cm ∗ 2 cm with solid texture.
Mentions: Based on the results above, we resected the lesion in the precentral gyrus (Fig. 6), and abnormal cortical activities disappeared on the intraoperative ECoG. After surgery, the patient exhibited temporary weakness of the right upper limb which was resolved in 7 days. Antiepileptic medication remained the same as before surgery. Pathological findings were identified as FCD IIb. The patient has been followed up for 1 year, and he has experienced no more seizures since surgery.

Bottom Line: The lesion was resected based on the results of video-ECoG (electrocorticograph) monitoring and electrical cortical stimulation.The patient has been seizure-free for 1 year since operation, and no neurological deficits have been observed.We discuss possible mechanisms of cortical reorganization in this patient and the features of focal cortical dysplasia (FCD) IIb in eloquent cortices.

View Article: PubMed Central - PubMed

Affiliation: Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.

ABSTRACT
We present the case of a patient with epilepsy arising from cortical dysplasia in his precentral gyrus. The lesion was resected based on the results of video-ECoG (electrocorticograph) monitoring and electrical cortical stimulation. The patient has been seizure-free for 1 year since operation, and no neurological deficits have been observed. We discuss possible mechanisms of cortical reorganization in this patient and the features of focal cortical dysplasia (FCD) IIb in eloquent cortices.

No MeSH data available.


Related in: MedlinePlus