Spontaneous Temporal Pole Encephalocele Presenting with Epilepsy: Report of Two Cases
Spontaneous Temporal Pole Encephalocele Presenting with Epilepsy: Report of Two Cases
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DOI：
10.1016/j.wneu.2015.04.028
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发表时间：
2015-09-01
影响因子：
2
通讯作者：
Saito, Nobuhito
中科院分区：
文献类型：
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作者：
Shimada, Seijiro;Kunii, Naoto;Saito, Nobuhito
背景：由自发性颞极脑膨出引起的难治性颞叶癫痫是一种罕见但越来越被认识的疾病。最佳的手术管理是复杂的知识缺乏有关的癫痫区域的程度和需要修复的脑膨出。病例描述：我们报告两个案件，增加了重要的信息，这些问题。例1有5年难治性癫痫发作史，将诊断性硬膜下电极植入前颞叶基底部后，癫痫发作完全消失。术后磁共振成像没有明显的结构变化。在案例2中，一个大的脑膨出和5年的历史，难治性癫痫发作，颞极的手术断开成功地取消了癫痫发作，而无需任何需要脑膨出repairs.CONCLUSIONS：这两种情况下支持的观点，即癫痫区域局限于颞极内自发性颞极脑膨出。颞极断离术是一种手术选择，可在不需要额外修复手术的情况下实现癫痫发作停止。
BACKGROUND: Refractory temporal lobe epilepsy due to spontaneous temporal pole encephalocele is a rare but increasingly recognized condition. Optimal surgical management is complicated by the lack of knowledge regarding both the extent of the epileptogenic area and the need for repair of the encephalocele.CASE DESCRIPTION: We report two cases that add significant information to these issues. In Case 1, with a 5-year history of refractory seizures, implantation of diagnostic subdural electrodes into the anterior temporal base happened to abolish the seizures completely. No structural changes were evident on postoperative magnetic resonance imaging. In Case 2, with a large encephalocele and a 5-year history of refractory seizures, surgical disconnection of the temporal pole successfully abolished seizures without any need for encephalocele repair.CONCLUSIONS: These two cases support the view that the epileptogenic area is confined to within the temporal pole for spontaneous temporal pole encephalocele. Temporopolar disconnection represents one surgical option for this entity that achieves seizure cessation without requiring extra repair procedures.