Anterior corpus callosotomy combined with anterior temporal resection with amygdalohippocampectomy: Outcome in a patient with congenital bilateral perisylvian syndrome

Zhu Junming, Zhao Yuanyuan, Feng Fang, Fu Weiming, Hays Ryan, Zhang Jianmin, Feng Li, Jin Xiao, Chen Shuda

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)70-74
Number of pages5
JournalTurkish Neurosurgery
Volume24
Issue number1
DOIs
StatePublished - 2014

Keywords

  • Amygdalohippocampectomy
  • Anterior corpus callosotomy
  • Anterior temporal resection
  • Congenital bilateral perisylvian syndrome (CBPS)
  • Epilepsy

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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