TY - JOUR
T1 - Anterior corpus callosotomy combined with anterior temporal resection with amygdalohippocampectomy
T2 - Outcome in a patient with congenital bilateral perisylvian syndrome
AU - Junming, Zhu
AU - Yuanyuan, Zhao
AU - Fang, Feng
AU - Weiming, Fu
AU - Ryan, Hays
AU - Jianmin, Zhang
AU - Li, Feng
AU - Xiao, Jin
AU - Shuda, Chen
PY - 2014
Y1 - 2014
N2 - Congenital bilateral perisylvian syndrome (CBPS) is characterized by epilepsy, cognitive deficits, pseudobulbar palsy and diplegia of the facial, pharyngeal and masticatory muscles. Epilepsy has been described in nearly 90% of affected patients. The epilepsy is usually severe and pharmacoresistant in about 55 percent of CBPS patients. Until now, only 12 cases of surgical treatment on CBPS have been reported; the surgical treatment is usually corpus callosotomy. In this paper, we describe a previously unreported combination of anterior corpus callosotomy plus anterior temporal lobectomy with amygdalohippocampectomy for a patient with CBPS, resulting in a satisfactory clinical outcome. Based on this case, we suggest that palliative focal resective surgery combined with anterior corpus callosotomy should be considered when a predominance of the epileptiform discharges suggests focal onset in patients with CBPS. Meanwhile, the clinical decision to adopt this combination surgery must be based on a thorough pre-surgical evaluation, and should take into account the clinical, radiological, and EEG features.
AB - Congenital bilateral perisylvian syndrome (CBPS) is characterized by epilepsy, cognitive deficits, pseudobulbar palsy and diplegia of the facial, pharyngeal and masticatory muscles. Epilepsy has been described in nearly 90% of affected patients. The epilepsy is usually severe and pharmacoresistant in about 55 percent of CBPS patients. Until now, only 12 cases of surgical treatment on CBPS have been reported; the surgical treatment is usually corpus callosotomy. In this paper, we describe a previously unreported combination of anterior corpus callosotomy plus anterior temporal lobectomy with amygdalohippocampectomy for a patient with CBPS, resulting in a satisfactory clinical outcome. Based on this case, we suggest that palliative focal resective surgery combined with anterior corpus callosotomy should be considered when a predominance of the epileptiform discharges suggests focal onset in patients with CBPS. Meanwhile, the clinical decision to adopt this combination surgery must be based on a thorough pre-surgical evaluation, and should take into account the clinical, radiological, and EEG features.
KW - Amygdalohippocampectomy
KW - Anterior corpus callosotomy
KW - Anterior temporal resection
KW - Congenital bilateral perisylvian syndrome (CBPS)
KW - Epilepsy
UR - http://www.scopus.com/inward/record.url?scp=84894041975&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84894041975&partnerID=8YFLogxK
U2 - 10.5137/1019-5149.JTN.6362-12.1
DO - 10.5137/1019-5149.JTN.6362-12.1
M3 - Article
C2 - 24535795
AN - SCOPUS:84894041975
SN - 1019-5149
VL - 24
SP - 70
EP - 74
JO - Turkish Neurosurgery
JF - Turkish Neurosurgery
IS - 1
ER -