Neurocutaneous Melanosis Presenting as Chronic Partial Epilepsy
Journal of Clinical Neurology
;
: 134-137, 2008.
Article
in English
| WPRIM
| ID: wpr-40622
ABSTRACT
BACKGROUND:
Neurocutaneous melanosis (NCM) is a rare neurocutaneous syndrome characterized by the presence of multiple congenital melanocytic nevi (CMN) and the proliferation of melanocytes in the central nervous system, usually involving the leptomeninges. Chronic partial epilepsy as a sole manifestation is rare in NCM. CASE REPORT A 32-year-old man suffering from chronic partial epilepsy presented with multiple CMN on his trunk and scalp. Brain MRI demonstrated a focal lesion in the right amygdala that was consistent with interictal epileptiform discharges in the right temporal region on electroencephalography (EEG). An anterior temporal lobectomy was performed, and the pathology investigation revealed numerous melanophages in the amygdala. The patient was seizure-free after surgery.CONCLUSIONS:
We report a patient with NCM presenting as chronic partial epilepsy who was successfully treated by anterior temporal lobectomy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Scalp
/
Stress, Psychological
/
Brain
/
Central Nervous System
/
Epilepsies, Partial
/
Neurocutaneous Syndromes
/
Anterior Temporal Lobectomy
/
Electroencephalography
/
Amygdala
/
Melanocytes
Limits:
Adult
/
Humans
Language:
English
Journal:
Journal of Clinical Neurology
Year:
2008
Type:
Article
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