Frontiers in Neurology (Mar 2024)

RELN gene-related drug-resistant epilepsy with periventricular nodular heterotopia treated with radiofrequency thermocoagulation: a case report

  • Zijian Li,
  • Fuli Wang,
  • Zhidong He,
  • Qi Guo,
  • Jinnan Zhang,
  • Songyan Liu

DOI
https://doi.org/10.3389/fneur.2024.1366776
Journal volume & issue
Vol. 15

Abstract

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An increasing number of gene mutations associated with epilepsy have been identified, some linked to gray matter heterotopia—a common cause of drug-resistant epilepsy. Current research suggests that gene mutation-associated epilepsy should not be considered a contraindication for surgery in epilepsy patients. At present, stereoelectroencephalography-guided radiofrequency thermocoagulation is an important method to treat periventricular nodular heterotopia-associated drug-resistant epilepsy. We present a case of drug-resistant epilepsy, accompanied by periventricular nodular heterotopia and a heterozygous mutation of the RELN gene, successfully treated with radiofrequency thermocoagulation, resulting in a favorable outcome.

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