title: Epilepsy surgery for refractory epilepsy due to encephalocele: a case report and review of the literature.
abstract: 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.
authors.affiliation: Department of Neurology, Frenchay Hospital, North Bristol NHS Trust, Bristol, United Kingdom.
authors.forename: Howard J
authors.initials: HJ
authors.lastname: Faulkner
authors.forename: David R
authors.initials: DR
authors.lastname: Sandeman
authors.forename: Seth
authors.initials: S
authors.lastname: Love
authors.forename: Marcus J
authors.initials: MJ
authors.lastname: Likeman
authors.forename: Desnomd A
authors.initials: DA
authors.lastname: Nunez
authors.forename: Samden D
authors.initials: SD
authors.lastname: Lhatoo
mesh_terms: 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*