Abstract |
We report on a patient with right-sided Sturge-Weber syndrome (SWS), in whom earlier functional hemispherectomy failed. Subtraction of ictal and interictal single-photon-emission-computed-tomography (SPECT) superimposed on individual MRI showed a right fronto-orbital hyperperfusion, with a left-sided EEG seizure pattern. Ictal SPECT supported our assumption that right frontal originated seizure pattern propagated to left hemisphere via the remaining right frontal bridge. Right orbito-frontal resection and disconnection from corpus callosum resulted in seizure freedom.
|
Authors | Ozgür Bilgin, Christian Vollmar, Aurelia Peraud, Christian la Fougere, Pedro Beleza, Soheyl Noachtar |
Journal | Epilepsy research
(Epilepsy Res)
Vol. 78
Issue 2-3
Pg. 240-3
(Feb 2008)
ISSN: 0920-1211 [Print] Netherlands |
PMID | 18222066
(Publication Type: Case Reports, Journal Article)
|
Chemical References |
|
Topics |
- Anticonvulsants
(therapeutic use)
- Child
- Corpus Callosum
(surgery)
- Drug Resistance
- Electroencephalography
- Frontal Lobe
(surgery)
- Humans
- Image Processing, Computer-Assisted
- Magnetic Resonance Imaging
- Male
- Neurosurgical Procedures
- Paresis
(etiology)
- Seizures
(diagnostic imaging, etiology)
- Sturge-Weber Syndrome
(complications, diagnostic imaging)
- Tomography, Emission-Computed, Single-Photon
|