title: Surgical treatment in startle epilepsy.
abstract: This report presents a patient with medically intractable startle epilepsy who was treated with surgery. The ictal onset zone was further localized to a part of the premotor cortex on the basis of intracranial electroencephalography recording and surgical resection of the epileptogenic zone was done. The motor area close to the epileptogenic focus was localized using electrical cortical stimulation and thus preserved. Patient has been seizure-free postoperatively (Engel Class I) during the 18-month follow-up. The patient illustrates that surgery can be an option in patients with medically intractable startle epilepsy with well-defined unilateral epileptogenic zone.
authors: Department of Neurosurgery, Capital Medical University, Beijing, China.
authors: Hong
authors: H
authors: Tian
authors: Xiangen
authors: X
authors: Shi
authors: Huancong
authors: H
authors: Zuo
authors: Wenjing
authors: W
authors: Zhou
mesh_terms: D002648:Child; D004558:Electric Stimulation / Q000009:adverse effects; D004569:Electroencephalography; D004827:Epilepsy / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013216:Reflex, Startle; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome