Multiple Stereoelectroencephalography-Guided Radiofrequency Thermocoagulations for Polymicrogyria With Startle Seizures: A Case Report
The best results of stereoelectroencephalography (SEEG)-guided radiofrequency thermocoagulation (RF-TC) were observed in epilepsies with more limited lesions, but this procedure is rarely used in a wide range of brain malformation. We report a rare case of polymicrogyria (PMG) combined with drug-res...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2019-10-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fneur.2019.01095/full |
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| author | Yi'Ou Liu Wenjing Zhou Bo Hong Tong Zhao Chengwei Xu Jing Ruan Jianjun Bai Siyu Wang |
| author_facet | Yi'Ou Liu Wenjing Zhou Bo Hong Tong Zhao Chengwei Xu Jing Ruan Jianjun Bai Siyu Wang |
| author_sort | Yi'Ou Liu |
| collection | DOAJ |
| description | The best results of stereoelectroencephalography (SEEG)-guided radiofrequency thermocoagulation (RF-TC) were observed in epilepsies with more limited lesions, but this procedure is rarely used in a wide range of brain malformation. We report a rare case of polymicrogyria (PMG) combined with drug-resistant startle seizures. Presurgical monitoring was performed using SEEG owing to the large lesion and complexity of PMG. According to the intracranial electrode results, the seizure onset was extensive, with the onset starting earlier in the cingulate sulcus and insular pole than in other sites of the other electrodes. Multi-point and multi-step SEEG-guided RF-TC was used for diffuse lesion and functional protection. RF-TC was first applied to the cingulate sulcus and insular pole, and our patient was rendered free from startle seizures after 2 weeks. Two weeks of observation helped us to observe the efficacy of RF-TC and the changes of SEEG, so as to make the next TC scheme. The patient still had spontaneous seizures after the first treatment. RF-TC was then applied to other sites involved earlier. Finally, the patient reached Engel class IIa for a follow-up period of 1 year. There were no additional startle seizures, and important functional areas were protected. |
| first_indexed | 2024-12-19T10:17:46Z |
| format | Article |
| id | doaj.art-f971a80136714db986c064ea0b56291e |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-19T10:17:46Z |
| publishDate | 2019-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-f971a80136714db986c064ea0b56291e2022-12-21T20:26:11ZengFrontiers Media S.A.Frontiers in Neurology1664-22952019-10-011010.3389/fneur.2019.01095452109Multiple Stereoelectroencephalography-Guided Radiofrequency Thermocoagulations for Polymicrogyria With Startle Seizures: A Case ReportYi'Ou Liu0Wenjing Zhou1Bo Hong2Tong Zhao3Chengwei Xu4Jing Ruan5Jianjun Bai6Siyu Wang7Tsinghua University Yuquan Hospital, Beijing, ChinaTsinghua University Yuquan Hospital, Beijing, ChinaDepartment of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, ChinaDepartment of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, ChinaInner Mongolia People's Hospital, Inner Mongolia Autonomous Region, Hohhot, ChinaTsinghua University Yuquan Hospital, Beijing, ChinaTsinghua University Yuquan Hospital, Beijing, ChinaTsinghua University Yuquan Hospital, Beijing, ChinaThe best results of stereoelectroencephalography (SEEG)-guided radiofrequency thermocoagulation (RF-TC) were observed in epilepsies with more limited lesions, but this procedure is rarely used in a wide range of brain malformation. We report a rare case of polymicrogyria (PMG) combined with drug-resistant startle seizures. Presurgical monitoring was performed using SEEG owing to the large lesion and complexity of PMG. According to the intracranial electrode results, the seizure onset was extensive, with the onset starting earlier in the cingulate sulcus and insular pole than in other sites of the other electrodes. Multi-point and multi-step SEEG-guided RF-TC was used for diffuse lesion and functional protection. RF-TC was first applied to the cingulate sulcus and insular pole, and our patient was rendered free from startle seizures after 2 weeks. Two weeks of observation helped us to observe the efficacy of RF-TC and the changes of SEEG, so as to make the next TC scheme. The patient still had spontaneous seizures after the first treatment. RF-TC was then applied to other sites involved earlier. Finally, the patient reached Engel class IIa for a follow-up period of 1 year. There were no additional startle seizures, and important functional areas were protected.https://www.frontiersin.org/article/10.3389/fneur.2019.01095/fullmultiple SEEG-guided RF-TCspolymicrogyriastartle seizurestereoelectroencephalography (SEEG)surgical outcome |
| spellingShingle | Yi'Ou Liu Wenjing Zhou Bo Hong Tong Zhao Chengwei Xu Jing Ruan Jianjun Bai Siyu Wang Multiple Stereoelectroencephalography-Guided Radiofrequency Thermocoagulations for Polymicrogyria With Startle Seizures: A Case Report Frontiers in Neurology multiple SEEG-guided RF-TCs polymicrogyria startle seizure stereoelectroencephalography (SEEG) surgical outcome |
| title | Multiple Stereoelectroencephalography-Guided Radiofrequency Thermocoagulations for Polymicrogyria With Startle Seizures: A Case Report |
| title_full | Multiple Stereoelectroencephalography-Guided Radiofrequency Thermocoagulations for Polymicrogyria With Startle Seizures: A Case Report |
| title_fullStr | Multiple Stereoelectroencephalography-Guided Radiofrequency Thermocoagulations for Polymicrogyria With Startle Seizures: A Case Report |
| title_full_unstemmed | Multiple Stereoelectroencephalography-Guided Radiofrequency Thermocoagulations for Polymicrogyria With Startle Seizures: A Case Report |
| title_short | Multiple Stereoelectroencephalography-Guided Radiofrequency Thermocoagulations for Polymicrogyria With Startle Seizures: A Case Report |
| title_sort | multiple stereoelectroencephalography guided radiofrequency thermocoagulations for polymicrogyria with startle seizures a case report |
| topic | multiple SEEG-guided RF-TCs polymicrogyria startle seizure stereoelectroencephalography (SEEG) surgical outcome |
| url | https://www.frontiersin.org/article/10.3389/fneur.2019.01095/full |
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