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Titolo:
Orbito-frontal epilepsy masquerading as temporal lobe epilepsy - a case report
Autore:
Shihabuddin, B; Abou-Khalil, B; Delbeke, D; Fakhoury, T;
Indirizzi:
Vanderbilt Univ, Med Ctr, Dept Neurol, Nashville, TN USA Vanderbilt Univ Nashville TN USA Med Ctr, Dept Neurol, Nashville, TN USA Vanderbilt Univ, Med Ctr, Dept Radiol, Nashville, TN 37232 USA Vanderbilt Univ Nashville TN USA 37232 pt Radiol, Nashville, TN 37232 USA
Titolo Testata:
SEIZURE-EUROPEAN JOURNAL OF EPILEPSY
fascicolo: 2, volume: 10, anno: 2001,
pagine: 134 - 138
SICI:
1059-1311(200103)10:2<134:OEMATL>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
COMPLEX PARTIAL SEIZURES; LOBECTOMY; PATTERNS; ORIGIN;
Keywords:
orbite-frontal epilepsy; temporal lobe epilepsy; clinical seizure semiology; electrographic seizure pattern; neuroimaging;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Abou-Khalil, B 2100 Pierce Ave,Rm 336, Nashville, TN 37212 USA 2100 Pierce Ave,Rm 336 Nashville TN USA 37212 TN 37212 USA
Citazione:
B. Shihabuddin et al., "Orbito-frontal epilepsy masquerading as temporal lobe epilepsy - a case report", SEIZURE-E J, 10(2), 2001, pp. 134-138

Abstract

Temporal lobectomy fails to control seizures in a considerable percentage of patients who do not have hippocampal sclerosis. One theoretical reason for failure of surgery is that some of these patients may in fact have extratemporal epilepsy. We present a 28-year-old woman with clinical and scalp electroencephalogram (EEG) evidence of right temporal lobe epilepsy (TLE) supported by functional imaging with interictal positron emission tomography (PET) and ictal single-photon emission computerized tomography (SPECT). An invasive EEG monitoring was prompted by the discovery of a small right orbito-frontal lesion on MRI. Monitoring documented seizure onset at the lesion, with rapid right temporal involvement. The patient was almost seizure-free after a lesionectomy. The index of suspicion of orbite-frontal epilepsy should be high in patients with apparent TLE when the scalp EEG and neuroimaging data are not congruent, or if temporal lobe pathology cannot be identified on structural imaging. (C) 2001 BEA Trading Ltd.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/01/20 alle ore 18:28:46