Clinical presentations of Ross syndrome have changed in their lateralities following the anteriotemporal lobectomy for refractory focal epilepsy
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- Henmi Namiko
- Department of Neurology, Kyoto University Graduate School of Medicine
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- Neshige Shuichiro
- Department of Neurology, Kyoto University Graduate School of Medicine Department of Clinical Neuroscience and Therapeutics, Hiroshima University Graduate School of Biomedical and Health Sciences
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- Shimotake Akihiro
- Department of Epilepsy, Movement Disorders and Physiology, Kyoto University Graduate School of Medicine
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- Oishi Akio
- Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine
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- Taki Waro
- Department of Neurosurgery, Koseikai Takeda Hospital
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- Ikeda Akio
- Department of Epilepsy, Movement Disorders and Physiology, Kyoto University Graduate School of Medicine
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- Takahashi Ryosuke
- Department of Neurology, Kyoto University Graduate School of Medicine
Bibliographic Information
- Other Title
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- 難治左内側側頭葉てんかんに対する左側頭葉切除術後に瞳孔異常と発汗障害の側方性が逆転したRoss症候群の1例：脳内ネットワークを介した影響
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Abstract
<p>We describe a 60-year-old woman with medically refractory left mesial temporal lobe epilepsy accompanied by Ross syndrome. The patient had a partial triad of Ross syndrome with hypohydrosis only on her right side (contralateral to the epileptic seizure focus), Adie’s tonic pupil on the right, and areflexia while her seizures used to be medically refractory. However, her hypohidrosis and Adie’s tonic pupil have completely changed in terms of laterality following nearly complete seizure freedom resutling from left temporal lobectomy. This unique change in laterality in Ross syndrome is most likely caused by remote effects of the near-absent epileptic acitivity, and it also may contribute to understanding the pathophysiological mechanism of Ross syndrome.</p>
Journal
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- Rinsho Shinkeigaku
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Rinsho Shinkeigaku 59 (10), 646-651, 2019
Societas Neurologica Japonica