Medial temporal lobe epilepsy associated with cortical dysplasia extending from the medial temporal lobe to the fornix: a case report
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- Morioka Takato
- Department of Neurosurgery, Kyushu Rosai Hospital
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- Mukae Nobutaka
- Department of Neurosurgery, Kyushu Rosai Hospital
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- Sayama Tetsuro
- Department of Neurosurgery, Kyushu Rosai Hospital
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- Hamamura Takeshi
- Department of Neurosurgery, Kyushu Rosai Hospital
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- Nomoto Asako
- Department of Radiology, Kyushu Rosai Hospital
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- Yamamoto Kuniko
- Department of Clinical Laboratory, Kyushu Rosai Hospital
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- Kido Tomomi
- Department of Clinical Laboratory, Kyushu Rosai Hospital
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- Yamaguchi Tatsumi
- Yamaguchi Neurosurgical Clinic
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- O Suzuki Satoshi
- Department of Neuropathology, Graduate School of Medical Sciences, Kyushu University
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- Sasaki Tomio
- Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
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We report a case of lesional medial temporal lobe epilepsy (TLE) associated with cortical dysplasia extending from the right medial temporal lobe to the fornix via the basal and medial aspects of the frontal lobe and septum pellucidum. A 23-year-old man had had medically intractable psychomotor seizures since 11 years of age. Interictal EEG demonstrated paroxysmal activities in the right temporal region, and functional imaging by positron emission tomography with [18F] fluorodeoxyglucose revealed a functional deficit zone in the apex and medial part of the right temporal lobe. An intraoperative electrocorticogram demonstrated frequent paroxysmal activities in the medial temporal lobe. An anterior temporal lobectomy was performed, with an additional hippocampectomy including the focus of the paroxysmal activities on the intraoperative hippocampal EEG. Postoperatively, he became seizure-free. The surgical strategies for intractable TLE with widely distributed cortical dysplasia lesion are discussed.
収録刊行物
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- Epilepsy & Seizure
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Epilepsy & Seizure 3 (1), 10-18, 2010
一般社団法人 日本てんかん学会
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詳細情報 詳細情報について
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- CRID
- 1390282680267975808
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- NII論文ID
- 130000255356
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- ISSN
- 18825567
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可