| Limited resection of focal cortical dysplasia and associated epileptogenic cortex may lead to positive surgical outcome. | |
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MedLine Citation:
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PMID: 22258048 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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A drug-resistant epilepsy patient with premotor type IIb focal cortical dysplasia is described with a positive postoperative outcome following partial resection of the lesion and epileptogenic zone. Presurgical fMRI of the sensorimotor areas showed haemodynamic responses over the posterior border of the lesion and ictal EEG-fMRI revealed activation of both the primary sensorimotor strip and premotor lesion area. Almost continuous 1-2 Hz interictal spiking was recorded during a chronic ECoG study over the primary sensorimotor cortex. Following partial resection of the lesion, an acute ECoG revealed marked reduction of epileptic activity over the sensorimotor area. Post-operatively, seizure control was significantly improved (class IV ILAE outcome). Although partial FCD resections predict a worse postoperative outcome, individual patients may still respond favourably. The type of lesion, resected portion, and histopathology may be included among factors related to successful outcome. |
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Authors:
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Kyriakos Garganis; Vasileios Kokkinos; Basilios Zountsas |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Epileptic disorders : international epilepsy journal with videotape Volume: 13 ISSN: 1294-9361 ISO Abbreviation: Epileptic Disord Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2012-01-19 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100891853 Medline TA: Epileptic Disord Country: France |
Other Details:
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Languages: eng Pagination: 422-9 Citation Subset: IM |
Affiliation:
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Epilepsy Monitoring Unit. |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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