Surgical resection of epileptogenic cortical dysplasia in precentral gyrus☆
نویسندگان
چکیده
We present the case of a patient with epilepsy arising from cortical dysplasia in his precentral gyrus. The lesion was resected based on the results of video-ECoG (electrocorticograph) monitoring and electrical cortical stimulation. The patient has been seizure-free for 1 year since operation, and no neurological deficits have been observed. We discuss possible mechanisms of cortical reorganization in this patient and the features of focal cortical dysplasia (FCD) IIb in eloquent cortices.
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An intraoperative multimodal neurophysiologic approach to successful resection of precentral gyrus epileptogenic lesions.
Cortical dysplasias (CDs) are highly epileptogenic lesions with a good prognosis of seizure freedom, if totally resected. However, their accurate delineation and resection can be difficult, and depend on the extent of pathology and lesion location. Intraoperative neurophysiologic assessments are valuable in these situations. We present an illustrative case of intractable epilepsy where judiciou...
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