Acta clinica Croatica, Vol. 50 No. 4, 2011.
Other
Complete Resolution of Medically Refractory Temporal Lobe Epilepsy after Arachnoid Cyst Fenestration
Tomislav Sajko
Hrvoje Hećimović
Marta Borić
Nikolina Sesar
Krešimir Rotim
Abstract
Intracranial arachnoid cysts are congenital lesions that are frequently detected incidentally. About 30% of patients have a symptomatic epileptic seizure as the presenting symptom, occasionally with other focal neurologic signs. A case is presented of a young male patient with medically refractory temporal lobe epilepsy. Following his neurological examination, epileptic zone was defined in the right temporal lobe that correlated with the MRI-detected sylvian arachnoid cyst. Microneurosurgical cyst fenestration with volume reduction was performed, which resulted in a decremental but eventually complete seizure freedom. In conclusion, the arachnoid microsurgical cyst reduction is a safe procedure and may result in complete remission of symptomatic epileptic seizures and favorable outcomes, as reported in other studies.
Keywords
Epilepsy, temporal lobe; Arachnoid cysts – surgery
Hrčak ID:
84571
URI
Publication date:
14.12.2011.
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