[Multiple supratentorial cavernomas and epilepsy surgery: case report].
BACKGROUND
Epilepsy associated with multiple lesions requires a detailed preoperative evaluation. We report on a patient with 9 cavernous malformations associated with medically intractable seizures who became seizure free after a selective resection of two adjacent cavernous resection. The importance of a detailed neuroradiological and electroencephalographic analysis is stressed.


METHODS
The patient was a right-handed 56-year-old woman with a 26-year history of complex partial and secondarily generalized seizures. A non-invasive video EEG monitoring revealed the epileptogenic zone was temporal anterior on the left. A detailed MRI-analysis showed an intact hippocampal formation. An extended lesionectomy of 2 adjacent cavernomas was done. The patient has been free of seizures for 24 months after surgery.


CONCLUSIONS
Medically intractable seizures associated with multiple cavernous malformations can be diagnosed by non-invasive preoperative monitoring and controlled by single resective procedures.
Rocamora
R
R
Centro de Epilepsia, Universidad de Freiburg, Alemania.
Mendivil
P
P
Schulze-Bonhage
A
A
D003937:Diagnosis, Differential; D004569:Electroencephalography; D004827:Epilepsy / Q000209:etiology* / Q000473:pathology* / Q000601:surgery; D005260:Female; D006392:Hemangioma, Cavernous / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D012640:Seizures / Q000209:etiology* / Q000473:pathology* / Q000601:surgery