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
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.
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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