Neurosurgical treatment of nonconvulsive status epilepticus due to focal cortical dysplasia

Emin Timer; Saeid Charsouei; Nerses Bebek; Betül Baykan; Bilge Bilgiç; Pulat Akın Sabancı; Yavuz Aras; Nail İzgi; Candan Gürses

Epilepsy and Behavior Case Reports (Jan 2018)

Neurosurgical treatment of nonconvulsive status epilepticus due to focal cortical dysplasia

Emin Timer,
Saeid Charsouei,
Nerses Bebek,
Betül Baykan,
Bilge Bilgiç,
Pulat Akın Sabancı,
Yavuz Aras,
Nail İzgi,
Candan Gürses

Affiliations

Emin Timer: Istanbul Faculty of Medicine, Department of Clinical Neurophysiology, Istanbul University, Istanbul, Turkey; Corresponding author at: Istanbul Faculty of Medicine, Departments of Neurology and Clinical Neurophysiology, Istanbul Istanbul University, Fatih/Istanbul 34093, Turkey.
Saeid Charsouei: Tabriz University of Medical Sciences Faculty of Medicine, Department of Neurology, Tabriz University, Tabriz, Iran
Nerses Bebek: Istanbul Faculty of Medicine, Department of Clinical Neurophysiology, Istanbul University, Istanbul, Turkey
Betül Baykan: Istanbul Faculty of Medicine, Department of Clinical Neurophysiology, Istanbul University, Istanbul, Turkey
Bilge Bilgiç: Istanbul Faculty of Medicine, Department of Pathology, Istanbul University, Istanbul, Turkey
Pulat Akın Sabancı: Istanbul Istanbul Faculty of Medicine, Department of Neurosurgery, Istanbul Istanbul University, Istanbul, Turkey
Yavuz Aras: Istanbul Istanbul Faculty of Medicine, Department of Neurosurgery, Istanbul Istanbul University, Istanbul, Turkey
Nail İzgi: Istanbul Istanbul Faculty of Medicine, Department of Neurosurgery, Istanbul Istanbul University, Istanbul, Turkey
Candan Gürses: Istanbul Faculty of Medicine, Department of Clinical Neurophysiology, Istanbul University, Istanbul, Turkey

Journal volume & issue: Vol. 10
pp. 4 – 7

Abstract

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We present a rare case of focal cortical dysplasia (FCD) and nonconvulsive status epilepticus (NCSE) treated successfully with early surgical intervention. Our case is a 9-year-old boy whose seizures, characterized by short episodes of loss of consciousness, appeared at the age of 7, and he showed progressive cognitive decline in the following years. NCSE was diagnosed, and his MRI revealed FCD in the left frontal region which was the same side as his EEG abnormality. Following lesionectomy, his NCSE disappeared and cognitive functions improved. Histopathologic analysis of the resected tissue revealed type-IIB FCD. This case illustrates the importance of early surgery to help restore cognitive functions by eliminating the clinical and electrophysiological features of NCSE.

Published in Epilepsy and Behavior Case Reports

ISSN: 2213-3232 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Internal medicine: Neurosciences. Biological psychiatry. Neuropsychiatry
Website: http://www.journals.elsevier.com/epilepsy-and-behavior-case-reports/

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