論文

国際誌
2023年1月9日

Frontal Encephalocele Plus Epilepsy: A Case Report and Review of the Literature.

Brain sciences
  • Ken Yamazaki
  • Kohei Kanaya
  • Takehiro Uda
  • Tetsuhiro Fukuyama
  • Makoto Nishioka
  • Yumi Hoshino
  • Tomoki Kaneko
  • Ridzky Firmansyah Hardian
  • Daisuke Yamazaki
  • Haruki Kuwabara
  • Kohei Funato
  • Tetsuyoshi Horiuchi
  • 全て表示

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1
記述言語
英語
掲載種別
DOI
10.3390/brainsci13010115

An encephalocele is a pathological brain herniation caused by osseous dural defects. Encephaloceles are known to be regions of epileptogenic foci. We describe the case of a 44-year-old woman with refractory epilepsy associated with a frontal skull base encephalocele. Epilepsy surgery for encephalocele resection was performed; however, the epilepsy was refractory. A second epilepsy surgery for frontal lobectomy using intraoperative electroencephalography was required to achieve adequate seizure control. Previous reports have shown that only encephalocele resection can result in good seizure control, and refractory epilepsy due to frontal lobe encephalocele has rarely been reported. To the best of our knowledge, this is the first report of frontal encephalocele plus epilepsy in which good seizure control using only encephalocele resection was difficult to achieve. Herein, we describe the possible mechanisms of encephalocele plus epilepsy and the surgical strategy for refractory epilepsy with encephalocele, including a literature review.

リンク情報
DOI
https://doi.org/10.3390/brainsci13010115
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/36672096
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9857174
ID情報
  • DOI : 10.3390/brainsci13010115
  • PubMed ID : 36672096
  • PubMed Central 記事ID : PMC9857174

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