Surgical treatment of post-traumatic partial epilepsy: case report
DOI:
https://doi.org/10.47924/neurotarget2008344Keywords:
post traumatic epilepsy, partial seizure, epilepsy surgeryAbstract
Importance: Although post traumatic epilepsy accounts for a small number of epileptic patients, it should not be underestimated since it primarily affects children and young adults and can result in psychosocial disability and death.
Clinic presentation: Woman patient of 14 years old underwent an operation with diagnostic of refractory partial epilepsy. The patient had experienced a head trauma at the age of 6 months requiring surgical treatment due to a large right fronto-temporo- parietal extradural hematoma. She was discharge on phenytoin prophylactically. At the age 4 she had her first partial seizure, characterized by left arm and leg tonic-clonic movements. Her physical examination revealed a subtle left brachio-crural hemiparesis and developmental delay. Several antiepileptic drugs were tried and seizure control was not achieved; they were occurring 8-10 times per day.
Intervention: The proposed surgical treatment was based on the consistent seizure semiology and on the affected area as identified by MRI and visible macroscopically to the neurosurgeon. At 12 years follow-up the patient is seizure free. Her motor skills are adequate for living a normal life.
Conclusion: The surgical treatment may be beneficial for selected patients when epilepsy results from a trauma.
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Copyright (c) 2008 Suárez JC, Bulacio JC, Armelini P, Sfaello Zm, Viano JC, Herrera Ej, Ballarino L, Bergallo R, Suárez Ms
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