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Epilepsia refractaria del lobulo temporal secundaria a patología dual: Nuestra experiencia acerca de 32 casos / Refractory temporal lobe epilepsy secondary to dual pathology: Review of 32 cases
Pomata, Hugo; Bartuluchi, Marcelo; Cuello, Mariano; Vázquez, Claudio; Petre, César; Lubienieki, Fabiana.
  • Pomata, Hugo; Hospital de Pediatría Garraha.
  • Bartuluchi, Marcelo; Hospital de Pediatría Garraha.
  • Cuello, Mariano; Hospital Rossi. La Plata. AR
  • Vázquez, Claudio; s.af
  • Petre, César; FLENI.
  • Lubienieki, Fabiana; Hospital de Pediatría Garraha.
Rev. argent. neurocir ; 22(3): 128-130, jul.-sept. 2008. ilus
Artigo em Espanhol | LILACS | ID: lil-515635
ABSTRACT
Classical dual pathology is the coexistence of temporal mesial sclerosis (TMS) and an ipsilateral extra-hippocampal lesion. The aim of this presentation is to increase the awareness of the existence of this pathology as well as variants as a cause of refractory temporal lobe epilepsy and its difficult pre-op diagnosis. Of the 32 cases here presented, 19 were adults and 13 children. Adults 17 had TMS + cortical dysplasia (CD) and of the remaining patients, 1 had TMS + oligodendroglioma and 1 TMS+ ganglioglioma. Children pathology findings were A) TMS + malformation of cortical development 6; B) TMS + CD + ganglioglioma 2; TMS + ganglioglioma + post-infectious sequelae 1 (“triple pathology”) and C) CD associated with low-grade glioma 1 and with MAV 1.Surgical techniques LATS and the Spencer variant were the most commonly used techniques.

Results:

Patients in both groups are in Engel Class I and II.

Conclusion:

The good results in this series can be attributed to the complete resection of these entities.
Assuntos
Texto completo: DisponíveL Índice: LILACS (Américas) Assunto principal: Oligodendroglioma / Esclerose / Ganglioglioma / Epilepsia do Lobo Temporal Idioma: Espanhol Revista: Rev. argent. neurocir Assunto da revista: Neurocirurgia Ano de publicação: 2008 Tipo de documento: Artigo País de afiliação: Argentina Instituição/País de afiliação: Hospital Rossi/AR

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Texto completo: DisponíveL Índice: LILACS (Américas) Assunto principal: Oligodendroglioma / Esclerose / Ganglioglioma / Epilepsia do Lobo Temporal Idioma: Espanhol Revista: Rev. argent. neurocir Assunto da revista: Neurocirurgia Ano de publicação: 2008 Tipo de documento: Artigo País de afiliação: Argentina Instituição/País de afiliação: Hospital Rossi/AR