Abolition of seizures following Forel‐H‐tomy for drug‐resistant epilepsy: A case report
Abstract A 62‐year‐old female experienced an extensive cerebral contusion in the left frontotemporal lobe due to an acute subdural hematoma at the age of 44 years. Six months after the injury, the patient developed epileptic seizures. The seizures were generalized with right cervical rotation and fe...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-12-01
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| Series: | Epilepsia Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/epi4.12826 |
| _version_ | 1797435291420590080 |
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| author | Shiro Horisawa Satoru Miyao Tomokatsu Hori Kilsoo Kim Takakazu Kawamata Takaomi Taira |
| author_facet | Shiro Horisawa Satoru Miyao Tomokatsu Hori Kilsoo Kim Takakazu Kawamata Takaomi Taira |
| author_sort | Shiro Horisawa |
| collection | DOAJ |
| description | Abstract A 62‐year‐old female experienced an extensive cerebral contusion in the left frontotemporal lobe due to an acute subdural hematoma at the age of 44 years. Six months after the injury, the patient developed epileptic seizures. The seizures were generalized with right cervical rotation and fencing posture. Despite prescriptions for four antiepileptic drugs, partial seizures occurred several times a month and focal to bilateral tonic‐clonic seizures once every 2 months. Video‐electroencephalography showed epileptic discharges in the left frontal lobe. The patient was subsequently referred to our department for palliative surgery. The patient underwent a left Forel‐H‐tomy. The prescription of antiepileptic drugs was not changed, and the patient was seizure free for 1 year. Forel‐H‐tomy, a surgical procedure for intractable epilepsy, was pioneered by Dennosuke Jinnai. Despite its previously reported remarkable efficacy, Forel‐H‐tomy has not been performed for several decades. Nevertheless, it remains a potential alternative treatment option for drug‐resistant epilepsy. |
| first_indexed | 2024-03-09T10:45:05Z |
| format | Article |
| id | doaj.art-03ea533e5d494fbda585c150cd53cf80 |
| institution | Directory Open Access Journal |
| issn | 2470-9239 |
| language | English |
| last_indexed | 2024-03-09T10:45:05Z |
| publishDate | 2023-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Epilepsia Open |
| spelling | doaj.art-03ea533e5d494fbda585c150cd53cf802023-12-01T10:14:23ZengWileyEpilepsia Open2470-92392023-12-01841602160710.1002/epi4.12826Abolition of seizures following Forel‐H‐tomy for drug‐resistant epilepsy: A case reportShiro Horisawa0Satoru Miyao1Tomokatsu Hori2Kilsoo Kim3Takakazu Kawamata4Takaomi Taira5Department of Neurosurgery Tokyo Women's Medical University Shinjyuku JapanDepartment of Neurosurgery TMG Asaka Medical Center Asaka JapanDepartment of Neurosurgery Moriyama Memorial Hospital Edogawa City JapanDepartment of Neurosurgery Tokyo Women's Medical University Shinjyuku JapanDepartment of Neurosurgery Tokyo Women's Medical University Shinjyuku JapanDepartment of Neurosurgery Tokyo Women's Medical University Shinjyuku JapanAbstract A 62‐year‐old female experienced an extensive cerebral contusion in the left frontotemporal lobe due to an acute subdural hematoma at the age of 44 years. Six months after the injury, the patient developed epileptic seizures. The seizures were generalized with right cervical rotation and fencing posture. Despite prescriptions for four antiepileptic drugs, partial seizures occurred several times a month and focal to bilateral tonic‐clonic seizures once every 2 months. Video‐electroencephalography showed epileptic discharges in the left frontal lobe. The patient was subsequently referred to our department for palliative surgery. The patient underwent a left Forel‐H‐tomy. The prescription of antiepileptic drugs was not changed, and the patient was seizure free for 1 year. Forel‐H‐tomy, a surgical procedure for intractable epilepsy, was pioneered by Dennosuke Jinnai. Despite its previously reported remarkable efficacy, Forel‐H‐tomy has not been performed for several decades. Nevertheless, it remains a potential alternative treatment option for drug‐resistant epilepsy.https://doi.org/10.1002/epi4.12826fields of Forelpallidothalamic tractradiofrequency ablation |
| spellingShingle | Shiro Horisawa Satoru Miyao Tomokatsu Hori Kilsoo Kim Takakazu Kawamata Takaomi Taira Abolition of seizures following Forel‐H‐tomy for drug‐resistant epilepsy: A case report Epilepsia Open fields of Forel pallidothalamic tract radiofrequency ablation |
| title | Abolition of seizures following Forel‐H‐tomy for drug‐resistant epilepsy: A case report |
| title_full | Abolition of seizures following Forel‐H‐tomy for drug‐resistant epilepsy: A case report |
| title_fullStr | Abolition of seizures following Forel‐H‐tomy for drug‐resistant epilepsy: A case report |
| title_full_unstemmed | Abolition of seizures following Forel‐H‐tomy for drug‐resistant epilepsy: A case report |
| title_short | Abolition of seizures following Forel‐H‐tomy for drug‐resistant epilepsy: A case report |
| title_sort | abolition of seizures following forel h tomy for drug resistant epilepsy a case report |
| topic | fields of Forel pallidothalamic tract radiofrequency ablation |
| url | https://doi.org/10.1002/epi4.12826 |
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