We describe a patient with focal epilepsy characterized by ictal asystole episodes and low-grade tumour over the left temporal neocortex. Non-invasive pre-surgical evaluation showed an epileptogenic zone extended beyond the low-grade tumour. This extension was confirmed by intraoperative electrocorticography. One-stage surgery with anterior temporal lobe resection was performed. The patient was seizure-free after one year of follow-up. Detailed electroclinical and therapeutic reasoning with hypotheses defining epileptogenic and symptomatogenic networks are discussed.
Low-grade tumour over the left temporal neocortex and ictal asystole: network and surgical implications / Russo, A., Francione, S., Martinoni, M., Zucchelli, M., Guerra, A., Terrone, G., Del Giudice, E., Gobbi, G.. - In: EPILEPTIC DISORDERS. - ISSN 1294-9361. - (2021). [10.1684/epd.2021.1318]
Low-grade tumour over the left temporal neocortex and ictal asystole: network and surgical implications
Terrone, Gaetano;Del Giudice, Ennio;
2021
Abstract
We describe a patient with focal epilepsy characterized by ictal asystole episodes and low-grade tumour over the left temporal neocortex. Non-invasive pre-surgical evaluation showed an epileptogenic zone extended beyond the low-grade tumour. This extension was confirmed by intraoperative electrocorticography. One-stage surgery with anterior temporal lobe resection was performed. The patient was seizure-free after one year of follow-up. Detailed electroclinical and therapeutic reasoning with hypotheses defining epileptogenic and symptomatogenic networks are discussed.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
