Abstract:A patient with tuberous sclerosis complex (TSC) and a left temporal cavernous angioma (CA) presented with treatment-resistant epilepsy. We evaluated the patient to determine the best treatment option. Patient and methods: A 7-year-old boy with TSC exhibited weekly impaired awareness seizures and was diagnosed with TSC based on the modified Gomez's criteria. The presence of cortical tubers had been noted by his physicians. However, left temporal CA had not been diagnosed. He was referred to our facility for fur… Show more
“…Sakakura et al. 10 reported a 33 years old man diagnosed with TSC since he exhibited weekly impaired awareness seizures when he was 7 years old. He reached seizure‐free for 10 years after the removal of the cavernous angioma.…”
Section: Introductionmentioning
confidence: 99%
“…9 However, there are few reports that patients are free from TSC-related intractable epilepsy when TSC and other brain lesions are concomitant. Sakakura et al 10 reported a 33 years old man diagnosed with TSC since he exhibited weekly impaired awareness seizures when he was 7 years old. He reached seizure-free for 10 years after the removal of the cavernous angioma.…”
Tuberous sclerosis complex (TSC) is a rare disease that involves multiple organs, including the brain; approximately 80%–90% of TSC patients exhibit TSC‐associated epilepsy. Independent temporal lobe epilepsy (TLE), TSC‐unrelated epilepsy, is particularly rare in patients with TSC. Here, we describe three patients with TSC with independent TLEs that were confirmed by stereo‐electroencephalography (EEG), postoperative pathological findings, and seizure outcome at follow‐up. The patients were retrospectively enrolled at two centers; their ictal epileptiform discharge onsets were determined using electrode contacts in the hippocampus during stereo‐EEG. The three patients underwent anterior temporal lobectomies and remained seizure‐free at 1–5 years after surgery. Postoperative pathological examinations confirmed hippocampal sclerosis in all three patients. Furthermore, postoperative intelligence quotient improvement was evident in one patient, while the quality of life was improved in two patients at 12 months after surgery.
“…Sakakura et al. 10 reported a 33 years old man diagnosed with TSC since he exhibited weekly impaired awareness seizures when he was 7 years old. He reached seizure‐free for 10 years after the removal of the cavernous angioma.…”
Section: Introductionmentioning
confidence: 99%
“…9 However, there are few reports that patients are free from TSC-related intractable epilepsy when TSC and other brain lesions are concomitant. Sakakura et al 10 reported a 33 years old man diagnosed with TSC since he exhibited weekly impaired awareness seizures when he was 7 years old. He reached seizure-free for 10 years after the removal of the cavernous angioma.…”
Tuberous sclerosis complex (TSC) is a rare disease that involves multiple organs, including the brain; approximately 80%–90% of TSC patients exhibit TSC‐associated epilepsy. Independent temporal lobe epilepsy (TLE), TSC‐unrelated epilepsy, is particularly rare in patients with TSC. Here, we describe three patients with TSC with independent TLEs that were confirmed by stereo‐electroencephalography (EEG), postoperative pathological findings, and seizure outcome at follow‐up. The patients were retrospectively enrolled at two centers; their ictal epileptiform discharge onsets were determined using electrode contacts in the hippocampus during stereo‐EEG. The three patients underwent anterior temporal lobectomies and remained seizure‐free at 1–5 years after surgery. Postoperative pathological examinations confirmed hippocampal sclerosis in all three patients. Furthermore, postoperative intelligence quotient improvement was evident in one patient, while the quality of life was improved in two patients at 12 months after surgery.
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