手术治疗耐药左颞叶癫痫伴颅内幕上钙化性神经轴假性肿瘤1例报告及文献复习

Yuta Tanoue, Takehiro Uda, Kosuke Nakajo, Shugo Nishijima, Tsuyoshi Sasaki, Kenji Ohata
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引用次数: 10

摘要

神经轴钙化假性肿瘤(CAPNON)是一种罕见的病理病变,可以出现在中枢神经系统的任何地方。症状因部位不同而不同,但通常包括癫痫发作,尤其是颅内和幕上病变。报告1例颅内幕上CAPNON表现为耐药左颞叶癫痫。患者有超过36 年的耐药局灶性癫痫发作史。病变位于左侧颞叶内侧,但海马硬化和海马浸润不明显。病变未切除海马,患者已一年无癫痫发作。
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Surgically treated intracranial supratentorial calcifying pseudoneoplasms of the neuraxis (CAPNON) with drug-resistant left temporal lobe epilepsy: A case report and review of the literature

Calcifying pseudoneoplasms of the neuraxis (CAPNON) are rare pathological lesions that can present anywhere in the central nervous system. Symptoms vary depending on the location, though they often include seizures, especially in intracranial and supratentorial lesions. A case of intracranial supratentorial CAPNON presenting with drug-resistant left temporal lobe epilepsy is reported. The patient had a history of drug-resistant focal seizures for over 36 years. The lesion was located in the left mesial temporal lobe, but hippocampal sclerosis and hippocampal invasion were not apparent. The lesion was removed without hippocampectomy, and the patient has been seizure-free for one year.

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