John Libbey Eurotext

Low-grade tumour over the left temporal neocortex and ictal asystole: network and surgical implications Volume 23, numéro 5, October 2021

Vidéos

  • Low-grade tumour over the left temporal neocortex and ictal asystole: network and surgical implications
  • Low-grade tumour over the left temporal neocortex and ictal asystole: network and surgical implications

Illustrations

  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4
  • Figure 5
Auteurs
1 IRCCS, Istituto delle Scienze Neurologiche di Bologna, UOC Neuropsichiatria dell’età pediatrica, Bologna, Italy
2 “Claudio Munari” Epilepsy Surgery Center, Niguarda Hospital, Milano, Italy
3 IRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Neurochirurgia, Bologna, Italy
4 IRCCS Istituto delle Scienze Neurologiche di Bologna, U.A. Laboratori di Neurofisiopatologia O.B., Bologna, Italy
5 Department of Translational Medical Sciences, Section of Pediatrics, Child Neurology Unit, University of Naples Federico II, Naples, Italy
6 IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy
* Correspondence: Angelo Russo Department of Paediatric Neurology, IRCCS – Institute of Neurological Sciences of Bologna, via Altura 3, Bologna, Italy

We describe a patient with focal epilepsy characterized by ictal asystole episodes and low-grade tumour over the left temporal neocortex. Non-invasive pre-surgical evaluation showed an epileptogenic zone extended beyond the low-grade tumour. This extension was confirmed by intraoperative electrocorticography. One-stage surgery with anterior temporal lobe resection was performed. The patient was seizure-free after one year of follow-up. Detailed electroclinical and therapeutic reasoning with hypotheses defining epileptogenic and symptomatogenic networks are discussed.