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Remote epileptogenic focus detected by electrocorticogram in a case of cavernous angioma

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Summary

In a case of cavernous angioma, a remote gyrus, which was found to contain an epileptogenic focus by intraoperative electrocorticography (ECoG), was resected simultaneously with lesionectomy.

The patient was a 27-year-old male who was referred to our hospital because of frequent systemic tonic-clonic convulsions. ECoG revealed an epileptogenic focus not only in the cortex around the angioma-affected tissue of the left frontal lobe but also in an in addition to lesionectomy. The postoperative course was uneventful. Now (two years after surgery), the patient is seizure-free

In the surgical treatment of convulsions-accompanied by cavernous angioma, it is essential not only to detect epileptogenic foci by intraoperative ECoG but also to remove these foci together with the angioma.

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Authors and Affiliations

  1. Department of Neurosurgery, Kushiro Rousai Hospital, Japan

    K. Kamada M.D. & T. Isu

  2. Department of Pathology, Kushiro Rousai Hospital, Japan

    T. Takahashi

  3. Department of Neurosurgery, Asahikawa Medical College, Sapporo, Japan

    T. Tanaka

Authors
  1. K. Kamada M.D.
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  2. T. Isu
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  3. T. Takahashi
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  4. T. Tanaka
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Kamada, K., Isu, T., Takahashi, T. et al. Remote epileptogenic focus detected by electrocorticogram in a case of cavernous angioma. Acta neurochir 127, 236–239 (1994). https://doi.org/10.1007/BF01808773

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