Epilepsy Surgery Outcome of Traumatic Intradiploic Meningoencephalocele: A Case Report and Literature Review.

IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Clinical EEG and Neuroscience Pub Date : 2024-03-01 Epub Date: 2022-12-15 DOI:10.1177/15500594221144420
Faisal Alsallom, Majed Alzahrany, Jorge Gonzalez-Martinez, Lara Jehi
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Abstract

We highlight an under-recognized epileptic pathology in a 56-year-old left-handed female with progressive right facial numbness and weekly focal seizures characterized by episodic aphasia. She was found to have a left frontoparietal intradiploic meningoencephalocele (IDME). Her only epilepsy risk factor was minor head trauma 10 years prior to presentation. She underwent craniotomy for encephalocele resection and mesh cranioplasty without residual neurological deficits and excellent seizure outcome: at 3-year follow-up, she was still seizure-free since surgery, except for an isolated breakthrough seizure at 7 postoperative months when she discontinued her preoperative regimen of Lacosamide monotherapy. Traumatic IDME is a rare condition and rarely presents with seizures. Symptoms may arise up to decades following minor head trauma and are progressive in nature. The likely definitive treatment is cranioplasty and dural repair with or without resecting the protruding parenchyma.

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外伤性腹腔内脑膜脑疝的癫痫手术效果:病例报告和文献综述。
我们重点介绍了一名 56 岁左撇子女性的癫痫病理,她患有进行性右面部麻木,每周都有局灶性癫痫发作,并伴有发作性失语。她被发现患有左侧额顶蝶鞍内脑膜脑积水(IDME)。她唯一的癫痫风险因素是发病前10年的轻微头部外伤。她接受了开颅颅脑疝切除术和网状颅骨成形术,术后未遗留神经功能缺损,癫痫发作疗效极佳:术后3年随访时,除了在术后7个月停止术前拉科酰胺单药治疗时出现过一次孤立的突破性癫痫发作外,她自术后至今仍无癫痫发作。外伤性内分泌失调是一种罕见的疾病,很少出现癫痫发作。轻微头部外伤后数十年内都可能出现症状,且呈进行性发展。可能的最终治疗方法是进行颅骨成形术和硬脑膜修补术,同时切除或不切除突出的实质组织。
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来源期刊
Clinical EEG and Neuroscience
Clinical EEG and Neuroscience 医学-临床神经学
CiteScore
5.20
自引率
5.00%
发文量
66
审稿时长
>12 weeks
期刊介绍: Clinical EEG and Neuroscience conveys clinically relevant research and development in electroencephalography and neuroscience. Original articles on any aspect of clinical neurophysiology or related work in allied fields are invited for publication.
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