Epilepsy surgery for refractory epilepsy due to encephalocele: a case report and review of the literature.
The management of medically intractable epilepsy is frequently assisted by the identification of structural abnormalities made possible by modern imaging techniques. The association between meningoencephaloceles and epileptic seizures is well reported in the literature. We report a patient with refractory right frontal lobe epilepsy caused by a right nasal meningoencephalocele who was rendered seizure free by endoscopic nasal excision and skull base repair, obviating the need for resective epilepsy surgery. Epilepsy patterns associated with encephalocele and their management are reviewed.
Faulkner
Howard J
HJ
Department of Neurology, Frenchay Hospital, North Bristol NHS Trust, Bristol, United Kingdom.
Sandeman
David R
DR
Love
Seth
S
Likeman
Marcus J
MJ
Nunez
Desnomd A
DA
Lhatoo
Samden D
SD
D000328:Adult; D004569:Electroencephalography; D004677:Encephalocele / Q000150:complications* / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D004724:Endoscopy; D017029:Epilepsy, Complex Partial / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D005004:Ethmoid Bone / Q000473:pathology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008588:Meningocele / Q000150:complications* / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*