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Scientific article
English

Successful surgical resection in non-lesional operculo-insular epilepsy without intracranial monitoring

Contributors

Chiosa, Vitalie; Granziera, Cristina; Spinelli, Laurent Jean-François; Pollo, Claudio; Roulet-Perez, Eliane; Groppa, Stanislav; Seeck, Margitta

Published in

Epileptic disorders, vol. 15, no. 2, p. 148-157

Publication date

2013

Abstract

Pre-operative assessment and surgical management of patients with non-lesional extratemporal epilepsy remain challenging due to a lack of precise localisation of the epileptic zone. In most cases, invasive recording with depth or subdural electrodes is required. Here, we describe the case of 6.5-year-old girl who underwent comprehensive non-invasive phase I video-EEG investigation for drug-resistant epilepsy, including electric source and nuclear imaging. Left operculo-insular epilepsy was diagnosed. Post-operatively, she developed aphasia which resolved within one year, corroborating the notion of enhanced language plasticity in children. The patient remained seizure-free for more than three years.

Keywords

  • Aphasia, Broca/etiology
  • Child
  • Electroencephalography
  • Epilepsy, Frontal Lobe/diagnosis/surgery
  • Female
  • Humans
  • Neurosurgical Procedures/adverse effects/methods

UNIGE affiliation entities

UNIGE research groups

Citation (ISO format)

CHIOSA, Vitalie et al. Successful surgical resection in non-lesional operculo-insular epilepsy without intracranial monitoring. In: Epileptic disorders, 2013, vol. 15, n° 2, p. 148–157. doi: 10.1684/epd.2013.0581

Main files (1)

Article (Published version)

Identifiers

Journal ISSN

1294-9361
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Technical informations

Creation

03/12/2015 09:24:00

First validation

03/12/2015 09:24:00

Update

14/03/2023 23:55:57

Status update

14/03/2023 23:55:56

Last indexation

31/10/2024 02:11:17
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