Epilepsy-associated open-lip schizencephaly with arachnoid cyst: a rare case report
Abstract Background Schizencephaly is a rare congenital cerebral malformation characterized by clefts in the cerebral cortex. The traction effect and splitting of leptomeninges caused by schizencephaly potentially formed an arachnoid cyst. Case presentation We present a case of an 18-year-old male w...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-02-01
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| Series: | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41983-023-00625-7 |
| _version_ | 1797865249298186240 |
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| author | Patricia Hapsari Celia Chand Nagpal Andre Ronny Robert Shen |
| author_facet | Patricia Hapsari Celia Chand Nagpal Andre Ronny Robert Shen |
| author_sort | Patricia Hapsari |
| collection | DOAJ |
| description | Abstract Background Schizencephaly is a rare congenital cerebral malformation characterized by clefts in the cerebral cortex. The traction effect and splitting of leptomeninges caused by schizencephaly potentially formed an arachnoid cyst. Case presentation We present a case of an 18-year-old male with history of several episodes of complex partial seizure over the last 2 months, with an electroencephalogram signified an epileptic form in the right temporal lobe. Brain magnetic-resonance imaging revealed an arachnoid cyst in the right temporal fossa and a grey matter-lined right temporal cleft consistent with open-lip schizencephaly. To the best of authors’ knowledge, only two previous similar cases have been reported in 1997. Our patient underwent cystoperitoneal shunt and was given double anti-epileptic agents, which successfully resolved and prevented the seizure episode during further follow-up. Conclusion New onset of seizure-associated schizencephaly in adult are very rare. In this case, space-occupying lesions effects from the enlarged arachnoid cysts caused seizure, which resolved after the cystoperitoneal shunt and double anti-epileptic agents. |
| first_indexed | 2024-04-09T23:05:09Z |
| format | Article |
| id | doaj.art-575d595f80d24e3ba7108cd18a32f821 |
| institution | Directory Open Access Journal |
| issn | 1687-8329 |
| language | English |
| last_indexed | 2024-04-09T23:05:09Z |
| publishDate | 2023-02-01 |
| publisher | SpringerOpen |
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| series | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
| spelling | doaj.art-575d595f80d24e3ba7108cd18a32f8212023-03-22T10:43:54ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292023-02-015911510.1186/s41983-023-00625-7Epilepsy-associated open-lip schizencephaly with arachnoid cyst: a rare case reportPatricia Hapsari0Celia1Chand Nagpal2Andre3Ronny4Robert Shen5Atma Jaya HospitalAtma Jaya HospitalAtma Jaya HospitalAtma Jaya HospitalAtma Jaya HospitalAtma Jaya Neuroscience Research (ANR), Master Study Program in Biomedical Sciences, School of Medicine and Health Sciences, Atma Jaya Catholic University of IndonesiaAbstract Background Schizencephaly is a rare congenital cerebral malformation characterized by clefts in the cerebral cortex. The traction effect and splitting of leptomeninges caused by schizencephaly potentially formed an arachnoid cyst. Case presentation We present a case of an 18-year-old male with history of several episodes of complex partial seizure over the last 2 months, with an electroencephalogram signified an epileptic form in the right temporal lobe. Brain magnetic-resonance imaging revealed an arachnoid cyst in the right temporal fossa and a grey matter-lined right temporal cleft consistent with open-lip schizencephaly. To the best of authors’ knowledge, only two previous similar cases have been reported in 1997. Our patient underwent cystoperitoneal shunt and was given double anti-epileptic agents, which successfully resolved and prevented the seizure episode during further follow-up. Conclusion New onset of seizure-associated schizencephaly in adult are very rare. In this case, space-occupying lesions effects from the enlarged arachnoid cysts caused seizure, which resolved after the cystoperitoneal shunt and double anti-epileptic agents.https://doi.org/10.1186/s41983-023-00625-7Open-lip schizencephalyArachnoid cystCystoperitoneal shuntCase report |
| spellingShingle | Patricia Hapsari Celia Chand Nagpal Andre Ronny Robert Shen Epilepsy-associated open-lip schizencephaly with arachnoid cyst: a rare case report The Egyptian Journal of Neurology, Psychiatry and Neurosurgery Open-lip schizencephaly Arachnoid cyst Cystoperitoneal shunt Case report |
| title | Epilepsy-associated open-lip schizencephaly with arachnoid cyst: a rare case report |
| title_full | Epilepsy-associated open-lip schizencephaly with arachnoid cyst: a rare case report |
| title_fullStr | Epilepsy-associated open-lip schizencephaly with arachnoid cyst: a rare case report |
| title_full_unstemmed | Epilepsy-associated open-lip schizencephaly with arachnoid cyst: a rare case report |
| title_short | Epilepsy-associated open-lip schizencephaly with arachnoid cyst: a rare case report |
| title_sort | epilepsy associated open lip schizencephaly with arachnoid cyst a rare case report |
| topic | Open-lip schizencephaly Arachnoid cyst Cystoperitoneal shunt Case report |
| url | https://doi.org/10.1186/s41983-023-00625-7 |
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