Esclerosis temporomesial en adultos: revisión del síndrome y evalución de resultados / Mesial temporal sclerosis in adults: Revision of the syndrome and assessment of results
Rev. argent. neurocir
;
21(3): 127-129, jul.-sept. 2007. ilus, tab
Artigo
em Espanhol
| LILACS
| ID: lil-511274
ABSTRACT
Objective:
To describe the presentation and the management of the Mesial Temporal Sclerosis (ETM) in adult patients and to evaluate the results of the presented series. Description the authors selectioned 3 cases among 53 adults who underwent surgical treatment with ETM diagnosis. Case 1 female patient, 32 years old. Antecedents of complex partial crisis since 6 years old, some of the crisis related to febrile episodes. Aura related like unpleasent gastroesophageal sensation, break of contact, right hand dystonia, cephalic turn to right and oroalimentary and manual automatism. RMI and EEG-video injury compatible with left ETM. Case 2 male patient, 24 years old. Antecedents of complex partial crisis since 13 years old. Breack of contact, verbal automatisms (repeats unintelligible sounds) and sensation of postictal sikness. RMI increase of signal (FLAIR) in both hippocampus, impressing right atrophy. EEG-video with profund electrodes implanted start of the crisis on a right mesial temporal level. Case 3 female patient, 21 years old. Antecedents of complex partial crisis since 12 years old. Complex partial crisis with bimanual and oroalimentary automatisms with an episode of generalization. RMI and EEG-video injury compatible with right ETM. Intervention case 1 and 2 were resolved by the realization of an anteromesial resection of Spencer. In case 3 a selective amygdalo hippocampectomy was practiced.Conclusion:
ETM is the paradigm of the refractory epilepsy in an adult population. Precocious diagnosys and treatment allow to obtain a high index of cure with small amount of significant sequels.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Esclerose
/
Imageamento por Ressonância Magnética
/
Epilepsia
Tipo de estudo:
Guia de Prática Clínica
Limite:
Adulto
Idioma:
Espanhol
Revista:
Rev. argent. neurocir
Assunto da revista:
Neurocirurgia
Ano de publicação:
2007
Tipo de documento:
Artigo
País de afiliação:
Argentina
Instituição/País de afiliação:
Hospital Cosme Argerich/AR
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