Temporal Lobe Epilepsy Caused by Dermoid Cyst
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概要
- 論文の詳細を見る
A 15-year-old boy presented with a dermoid cyst in the left temporal lobe manifesting as complex partial seizures. Magnetic resonance imaging demonstrated a tumor with mixed signal intensity in the left anterior temporal subdural area, but no evidence of rupture. Intraoperatively, the tumor was located mainly in the deep sylvian fissure, adjacent to the amygdala, and had compressed the hippocampus. Intraoperative electrocorticography (ECoG) showed sporadic interictal spikes in both the adjacent areas of the tumor and over the anterior segment of the hippocampus. Total removal of the tumor and gliotic area of the surrounding tissue including the amygdala was performed. The hippocampal epileptic region was treated by transection of the pyramidal layer to preserve verbal memory function. Histological examination showed the dermoid tumor was closely attached to the brain parenchyma. The complex partial seizures ceased completely after surgery. Intraoperative recording of ECoG from the hippocampus and other limbic structures was very important to determine the epileptogenic area even if the tumor did not directly invade the hippocampus.
- 日本脳神経外科学会の論文
- 2006-04-15
著者
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Arai Nobutaka
Department For Neuroscience Tokyo Metropolitan Institute Of Neuroscience
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Sunaga Shigeki
Department Of Neurosurgery Tokyo Metropolitan Neurological Hospital
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Tamagawa Kimiko
Department Of Neuropediatrics Tokyo Metropolitan Neurological Hospital
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Shimizu Hiroyuki
Department Of Neurosurgery Faculty Of Medicine University Of Tokyo
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SUGANO Hidenori
Department of Neurosurgery Tokyo Metropolitan Neurological Hospital
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Shimizu Hiroyuki
Department Of Epidemiology And Preventive Medicine Gifu University School Of Medicine
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Shimizu Hiroyuki
Department Of Biochemistry And Molecular Biology Center For Advanced Medical Technology Nippon Medic
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