A case of posterior quadrant disconnection for post-subdural empyema epilepsy -focal cortical dysplasia might be the underlying cause of refractory epilepsy-
Introduction: Intracranial subdural empyema (ISDE) can cause drug-resistant epilepsy. We attempted to cure post-ISDE refractory epilepsy by operative surgery and assessed the neuropathological findings. Patient and method: A 23-year-old right-handed man with refractory epilepsy had ISDE on the right...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2018-12-01
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| Series: | Interdisciplinary Neurosurgery |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751917302669 |
| _version_ | 1819170717012328448 |
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| author | Yuya Sakakura Ayataka Fujimoto Tohru Okanishi Yosuke Masuda Mitsuyo Nishimura Hideo Enoki |
| author_facet | Yuya Sakakura Ayataka Fujimoto Tohru Okanishi Yosuke Masuda Mitsuyo Nishimura Hideo Enoki |
| author_sort | Yuya Sakakura |
| collection | DOAJ |
| description | Introduction: Intracranial subdural empyema (ISDE) can cause drug-resistant epilepsy. We attempted to cure post-ISDE refractory epilepsy by operative surgery and assessed the neuropathological findings. Patient and method: A 23-year-old right-handed man with refractory epilepsy had ISDE on the right temporal and occipital areas at 14 years old. He underwent ISDE drainage operation at the time. A week after the infection, he developed epileptic seizure, which consisted of epigastric sensation, followed by loss of awareness with gelastic seizure. This type of seizure occurred around five times a day. He underwent right posterior disconnection and the temporal lobe was submitted to histopathological examination. Result: The patient has remained seizure-free for more than 3 months. Histopathological diagnosis showed focal cortical dysplasia (FCD) type IB. Conclusion: We cured post-ISDE refractory epilepsy by posterior quadrant disconnection. Epileptogenicity of FCD might be triggered by ISDE. Keywords: Subdural empyema, Focal cortical dysplasia, Posterior quadrant disconnection, Refractory epilepsy |
| first_indexed | 2024-12-22T19:39:49Z |
| format | Article |
| id | doaj.art-42be3280aa6c4fb1baa109ccf9dd55f3 |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-12-22T19:39:49Z |
| publishDate | 2018-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-42be3280aa6c4fb1baa109ccf9dd55f32022-12-21T18:14:52ZengElsevierInterdisciplinary Neurosurgery2214-75192018-12-01145052A case of posterior quadrant disconnection for post-subdural empyema epilepsy -focal cortical dysplasia might be the underlying cause of refractory epilepsy-Yuya Sakakura0Ayataka Fujimoto1Tohru Okanishi2Yosuke Masuda3Mitsuyo Nishimura4Hideo Enoki5Comprehensive Epilepsy Center, Seirei Hamamatsu General HospitalCorresponding author at: Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Nakaku, Hamamatsu, Shizuoka 430-8558, Japan.; Comprehensive Epilepsy Center, Seirei Hamamatsu General HospitalComprehensive Epilepsy Center, Seirei Hamamatsu General HospitalComprehensive Epilepsy Center, Seirei Hamamatsu General HospitalComprehensive Epilepsy Center, Seirei Hamamatsu General HospitalComprehensive Epilepsy Center, Seirei Hamamatsu General HospitalIntroduction: Intracranial subdural empyema (ISDE) can cause drug-resistant epilepsy. We attempted to cure post-ISDE refractory epilepsy by operative surgery and assessed the neuropathological findings. Patient and method: A 23-year-old right-handed man with refractory epilepsy had ISDE on the right temporal and occipital areas at 14 years old. He underwent ISDE drainage operation at the time. A week after the infection, he developed epileptic seizure, which consisted of epigastric sensation, followed by loss of awareness with gelastic seizure. This type of seizure occurred around five times a day. He underwent right posterior disconnection and the temporal lobe was submitted to histopathological examination. Result: The patient has remained seizure-free for more than 3 months. Histopathological diagnosis showed focal cortical dysplasia (FCD) type IB. Conclusion: We cured post-ISDE refractory epilepsy by posterior quadrant disconnection. Epileptogenicity of FCD might be triggered by ISDE. Keywords: Subdural empyema, Focal cortical dysplasia, Posterior quadrant disconnection, Refractory epilepsyhttp://www.sciencedirect.com/science/article/pii/S2214751917302669 |
| spellingShingle | Yuya Sakakura Ayataka Fujimoto Tohru Okanishi Yosuke Masuda Mitsuyo Nishimura Hideo Enoki A case of posterior quadrant disconnection for post-subdural empyema epilepsy -focal cortical dysplasia might be the underlying cause of refractory epilepsy- Interdisciplinary Neurosurgery |
| title | A case of posterior quadrant disconnection for post-subdural empyema epilepsy -focal cortical dysplasia might be the underlying cause of refractory epilepsy- |
| title_full | A case of posterior quadrant disconnection for post-subdural empyema epilepsy -focal cortical dysplasia might be the underlying cause of refractory epilepsy- |
| title_fullStr | A case of posterior quadrant disconnection for post-subdural empyema epilepsy -focal cortical dysplasia might be the underlying cause of refractory epilepsy- |
| title_full_unstemmed | A case of posterior quadrant disconnection for post-subdural empyema epilepsy -focal cortical dysplasia might be the underlying cause of refractory epilepsy- |
| title_short | A case of posterior quadrant disconnection for post-subdural empyema epilepsy -focal cortical dysplasia might be the underlying cause of refractory epilepsy- |
| title_sort | case of posterior quadrant disconnection for post subdural empyema epilepsy focal cortical dysplasia might be the underlying cause of refractory epilepsy |
| url | http://www.sciencedirect.com/science/article/pii/S2214751917302669 |
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