Surgical treatment of epilepsy with chronic cerebral granuloma caused by Schistosoma japonicum.
OBJECTIVE
To study the surgical treatment of epilepsy with cerebral granuloma caused by Schistosoma japonicum.


METHODS
Two hundred fifty cases of epilepsy caused by cerebral schistosomiasis from 1955 to 2004 were analyzed retrospectively.


RESULTS
There were no deaths. Follow-up of 196 cases for 4-5 years after operation demonstrated that 180 cases (92%) were seizure-free or well-controlled.


CONCLUSIONS
Surgical treatment should be considered when drug therapy fails to control epilepsy or the lesion shows mass effect. Intraoperative electrocorticography monitoring is helpful to define the extent of the resection of the lesion.
Lei
Ting
T
Department of Neurosurgery, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, People's Republic of China.
Shu
Kai
K
Chen
Xu
X
Li
Ling
L
D000293:Adolescent; D000328:Adult; D000368:Aged; D000818:Animals; D001927:Brain Diseases / Q000175:diagnosis / Q000469:parasitology / Q000601:surgery*; D001931:Brain Mapping; D020809:Central Nervous System Helminthiasis / Q000469:parasitology / Q000473:pathology / Q000601:surgery*; D002681:China / Q000453:epidemiology; D002908:Chronic Disease; D004569:Electroencephalography / Q000706:statistics & numerical data; D004827:Epilepsy / Q000175:diagnosis / Q000469:parasitology* / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006099:Granuloma / Q000469:parasitology / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D010296:Parietal Lobe / Q000473:pathology; D011300:Preoperative Care; D012189:Retrospective Studies; D012549:Schistosoma japonicum / Q000302:isolation & purification; D012554:Schistosomiasis japonica / Q000453:epidemiology / Q000473:pathology / Q000601:surgery*; D016019:Survival Analysis