John Libbey Eurotext

Epileptic Disorders

The Educational Journal of the International League Against Epilepsy

A 16-year-old girl with focal seizures and impaired awareness: divergent non-invasive data related to a diffuse epileptogenic network Volume 18, numéro 2, June 2016

Illustrations

  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4
Auteurs
1 IRCCS, Institute of Neurological Sciences of Bologna, Child Neurology Unit, Bologna, Italy
2 Department of Neurology and Comprehensive Epilepsy Program, Brain Institute, Nicklaus Children's Hospital, Miami, Florida
3 Departments of Neurological Surgery, Nicklaus Children's Hospital, Miami, Florida
4 Department of Neurology, University of Miami Miller School of Medicine, Miami, Florida, USA
* Correspondence: Michael Duchowny Department of Neurology and the Brain Institute, Miami Children's Hospital, 3200 SW 60th Court, Miami, Florida 33155, USA
  • Mots-clés : hippocampal sclerosis, epilepsy surgery, intractable epilepsy, occipital resection, atypical epileptogenic network
  • DOI : 10.1684/epd.2016.0820
  • Page(s) : 187-94
  • Année de parution : 2016

We describe a patient with medically refractory focal epilepsy who presented with divergent non-invasive data, with MRI revealing hippocampal sclerosis and EEG indicating involvement of the occipital lobe. A localized corticectomy over the occipital convexity was performed based on intracranial EEG recording. The patient was seizure-free after four years of follow-up. Electroclinical hypotheses and challenges of defining the epileptogenic network are discussed.