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Multimodal approach in the surgical treatment of refractory epilepsy associated with tuberous sclerosis complex: A series of three cases.
MedLine Citation:
PMID:  22019663     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We describe the surgical treatment of tuberous sclerosis complex (TSC)-related refractory epilepsy in three patients. All three had multiple daily seizures, and each had more than three cortical tubers. High-resolution magnetic resonance imaging, ictal and interictal scalp electroencephalogram (EEG), positron emission tomography, magnetoencephalography as well as acute and intracranial video-EEG were used to identify the epileptogenic tubers. After localization, five cortical tubers (two in the right temporal lobe in patient 1; one each in the left frontal and temporal lobes in patient 2; and one in the right frontal lobe in patient 3) were resected. At minimum follow-up of 13 months (range, 13-35 months), patient 3 had seizure remission; patient 2 had only rare seizures; while patient 1 had 60% reduction in seizure frequency. Successful epilepsy surgery is possible in patients of TSC with multiple tubers using the multimodal approach.
Authors:
Qiang Li; Chao You; Yuan Fang; Jianguo Xu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurology India     Volume:  59     ISSN:  0028-3886     ISO Abbreviation:  Neurol India     Publication Date:    2011 Sep-Oct
Date Detail:
Created Date:  2011-10-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0042005     Medline TA:  Neurol India     Country:  India    
Other Details:
Languages:  eng     Pagination:  748-52     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, West China Hospital of Sichuan University, Chengdu, China.
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