title: [Surgical treatment of resistant epilepsy, caused by hemispherical dysgenesis--case report].
abstract: A part of patients with the therapy resistant epilepsy can be cured by surgical interventions. The more concordant the presurgical evaluation data, the better prognosis the patient has postoperatively. In case of discordant examination data, multimodal evaluation or case-specific decision might be successful. We report on a five-year-old boy with bilateral (left-dominated) cortical dysplasia and therapy resistant epilepsy. The ictal EEG did not help to localize the seizure onset zone, semiology had little lateralization value; however, FDG-PET showed left hemispheric hypermetabolism. The child became almost seizure-free and showed improved development after left-sided hemispherotomy.
authors: Magyar Református Egyház Bethesda Gyermekkórháza, Neurológiai Osztály, Budapest. hegmar@bethesda.hu
authors: Márta
authors: M
authors: Hegyi
authors: Zsuzsa
authors: Z
authors: Siegler
authors: Péter
authors: P
authors: Barsi
authors: Gábor
authors: G
authors: Rudas
authors: Zsolt
authors: Z
authors: Lengyel
authors: Szabolcs
authors: S
authors: Szakáll
authors: László
authors: L
authors: Bognar
authors: Lajos Rudolf
authors: LR
authors: Kozak
authors: Magdolna
authors: M
authors: Neuwirth
authors: András
authors: A
authors: Fogarasi
mesh_terms: D054022:Cerebrum / Q000378:metabolism / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery*; D002675:Child, Preschool; D003287:Contrast Media; D004569:Electroencephalography; D004827:Epilepsy / Q000209:etiology* / Q000378:metabolism / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D019788:Fluorodeoxyglucose F18; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D054220:Malformations of Cortical Development / Q000150:complications* / Q000378:metabolism / Q000503:physiopathology / Q000601:surgery*; D049268:Positron-Emission Tomography / Q000379:methods; D019275:Radiopharmaceuticals; D016896:Treatment Outcome
chemical_list: D003287:Contrast Media; D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18