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

Chiosa, Vitalie
Roulet-Perez, Eliane
Groppa, Stanislav
Published in Epileptic disorders. 2013, vol. 15, no. 2, p. 148-157
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/etiologyChildElectroencephalographyEpilepsy, Frontal Lobe/diagnosis/surgeryFemaleHumansNeurosurgical Procedures/adverse effects/methods
PMID: 23820892
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Research group Epilepsie et Chirurgie (149)
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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 https://archive-ouverte.unige.ch/unige:78152

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Deposited on : 2015-12-03

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