title: Sutton's law in epilepsy: because that is where the lesion is.
abstract: Successful epilepsy surgery requires unambiguous identification of the epileptogenic zone. This determination may be a challenge when the pre-surgical evaluation yields conflicting data. We evaluated an adult patient with a right insular mass, but a seizure semiology, interictal EEG, and ictal EEG, suggesting left temporal lobe epilepsy. Resection of the mass, a ganglioglioma, resulted in seizure freedom and disappearance of interictal left temporal lobe epileptiform discharges. This case illustrates the principle that in localization-related epilepsy, the money is usually in the mass.
authors.affiliation: Department of Neurology, SUNY Downstate Medical Center, Brooklyn, NY 11203, USA.
authors.forename: Katherine A
authors.initials: KA
authors.lastname: Mortati
authors.forename: Vanessa
authors.initials: V
authors.lastname: Arnedo
authors.forename: Nicholas
authors.initials: N
authors.lastname: Post
authors.forename: Elpidio
authors.initials: E
authors.lastname: Jimenez
authors.forename: Arthur C
authors.initials: AC
authors.lastname: Grant
mesh_terms: D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use; D001921:Brain / Q000473:pathology; D001932:Brain Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery; D002540:Cerebral Cortex / Q000473:pathology; D004569:Electroencephalography; D004827:Epilepsy / Q000209:etiology / Q000601:surgery*; D004833:Epilepsy, Temporal Lobe / Q000209:etiology / Q000473:pathology; D018303:Ganglioglioma / Q000150:complications / Q000473:pathology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D019635:Neurosurgical Procedures / Q000379:methods*; D012640:Seizures / Q000209:etiology / Q000601:surgery
chemical_list: D000927:Anticonvulsants