Temporal lobe epilepsy associated with hippocampal sclerosis and a contralateral middle fossa arachnoid cyst.
We report on a 13-year-old boy with temporal lobe epilepsy associated with left hippocampal sclerosis and a contralateral arachnoid cyst in the middle cranial fossa (ACMCF). Chronic intracranial recording from subdural grid electrodes showed the left medial temporal lobe to be the ictal onset zone. After left anterior temporal lobectomy with hippocampectomy, seizure control was improved. ACMCF was not considered the direct cause of epilepsy; instead the seizures were attributed to hippocampal sclerosis.
Kawamura
Tadao
T
Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Morioka
Takato
T
Nishio
Shunji
S
Fukui
Kimiko
K
Yamasaki
Ryo
R
Matsuo
Muneaki
M
D000293:Adolescent; D016080:Arachnoid Cysts / Q000175:diagnosis* / Q000503:physiopathology; D004292:Dominance, Cerebral / Q000502:physiology*; D004569:Electroencephalography; D004734:Energy Metabolism / Q000502:physiology; D004833:Epilepsy, Temporal Lobe / Q000175:diagnosis* / Q000503:physiopathology; D019788:Fluorodeoxyglucose F18; D006624:Hippocampus / Q000473:pathology* / Q000503:physiopathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D012598:Sclerosis; D014055:Tomography, Emission-Computed
D019788:Fluorodeoxyglucose F18