John Libbey Eurotext

Epileptic Disorders

The Educational Journal of the

Successful surgical resection in non-lesional operculo-insular epilepsy without intracranial monitoring Volume 15, numéro 2, June 2013

Department of Neurology, Chisinau, Moldova, Department of Neurology, Lausanne, Department of Neurology, Geneva, Department of Neurosurgery, Lausanne, Department of Neuropaediatrics, Lausanne, Switzerland
  • Mots-clés : seizure, insular epilepsy, epilepsy surgery, presurgical assessment
  • DOI : 10.1684/epd.2013.0581
  • Page(s) : 148-57
  • Année de parution : 2013

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.