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Epilepsy surgery without lipoma removal for temporal lobe epilepsy associated with lipoma in the Sylvian fissure

by Suzuki, Hiroharu , Fusegi, Keiko , Kakita, Akiyoshi , Sugano, Hidenori , Tamrakar, Samantha , Mitsuhashi, Takumi , Nishioka, Kazuki , Nakajima, Madoka , Ueda, Tetsuya , Iimura, Yasushi , Tada, Mari , Nomura, Kazuki

in Brain cancer / Brain injury / Brain Neoplasms - complications / Brain Neoplasms - diagnostic imaging / Brain Neoplasms - surgery / Case Report - Functional Neurosurgery - Epilepsy / Convulsions & seizures / Dysplasia / Electrodes / Electroencephalography / Epilepsy / Epilepsy, Temporal Lobe - diagnostic imaging / Epilepsy, Temporal Lobe - etiology / Epilepsy, Temporal Lobe - surgery / Functional Neurosurgery – Epilepsy / Hemorrhage / Humans / Interventional Radiology / Lipoma / Lipoma - complications / Lipoma - diagnostic imaging / Lipoma - surgery / Magnetic resonance imaging / Magnetic Resonance Imaging - adverse effects / Medicine / Medicine & Public Health / Minimally Invasive Surgery / Neocortex / Neurology / Neuroradiology / Neurosurgery / Seizures / Surgical Orthopedics / Surgical outcomes / Temporal lobe / Thoracic surgery / Tomography / Tumors

2023

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Epilepsy surgery without lipoma removal for temporal lobe epilepsy associated with lipoma in the Sylvian fissure

2023

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Epilepsy surgery without lipoma removal for temporal lobe epilepsy associated with lipoma in the Sylvian fissure

2023

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Journal Article

Epilepsy surgery without lipoma removal for temporal lobe epilepsy associated with lipoma in the Sylvian fissure

Suzuki, Hiroharu,

Fusegi, Keiko,

Kakita, Akiyoshi,

Sugano, Hidenori,

Tamrakar, Samantha,

Mitsuhashi, Takumi,

Nishioka, Kazuki,

Nakajima, Madoka,

Ueda, Tetsuya,

Iimura, Yasushi,

Tada, Mari,

Nomura, Kazuki

2023

Overview

Epileptic seizure is the common symptom associated with lipomas in the Sylvian fissure (Sylvian lipomas). Removal of these lipomas carries risks of hemorrhage and brain damage. We report a surgical strategy of not removing the lipoma in a case of intractable temporal lobe epilepsy associated with Sylvian lipoma. We performed anterior temporal lobectomy with preservation of the pia mater of the Sylvian fissure and achieved seizure freedom. Focal cortical dysplasia type 1 of the epileptic neocortex adjacent to the Sylvian lipoma was pathologically diagnosed. We recommend our surgical procedure in similar cases to avoid complications and achieve adequate seizure control.

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Publisher

Springer Vienna,Springer Nature B.V

Subject

Brain cancer

/ Brain injury

/ Brain Neoplasms - complications

/ Brain Neoplasms - diagnostic imaging

/ Brain Neoplasms - surgery

/ Case Report - Functional Neurosurgery - Epilepsy

/ Convulsions & seizures