An Epileptic Surgery done in a Case of the Refractory Epilepsy caused by a Frontal Meningioangiomatosis

We report a rare case of meningioangiomatosis in a 22 year-old man who has refractory partial seizures. Seven of 11 seizures had ictal onset zone at the perilesional medial and orbitofrontal areas of frontal lobe and 4 seizures arose from the mesial temporal area. After having lesion resection and an anterior temporal lobectomy with amygdalohippocam-pectomy, the patient no longer suffered from seizures. The epileptogenic foci were found not only in the intra-/peri-lesional area but also in remote area.

A Case of Frontal Lobe Epilepsy with Pilomotor Seizure

Pilomotor seizures have been reported frequently with temporal lesions or sometimes with ictal discharges from temporal area. The stimulation on cingulate gyrus also induced the piloerection in animals. We present a 27-year-old man with pilomotor seizures originating from the right frontal lobe. The subtracted ictal 99mTc-ECD SPECT of the patient showed hyperperfusion mainly on the right cingulate gyrus. Electrocorticography demonstrated the epileptogenic focus in the anterior part of the right cingulate gyrus. After resection of the focus, the patient has been free from seizures.