Successful surgical resection in non-lesional operculo-insular epilepsy without intracranial monitoring

Chiosa, Vitalie; Granziera, Cristina; Spinelli, Laurent; Pollo, Claudio; Roulet-Perez, Eliane; Groppa, Stanislav; Seeck, Margitta (2013). Successful surgical resection in non-lesional operculo-insular epilepsy without intracranial monitoring. Epileptic Disorders, 15(2), pp. 148-157. Springer 10.1684/epd.2013.0581

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Pre-operative assessment and surgical management of patients with non-lesional extratemporal epilepsy remain challenging due to a lack of precise localisation of the epileptic zone. In most cases, invasive recording with depth or subdural electrodes is required. Here, we describe the case of 6.5-year-old girl who underwent comprehensive non-invasive phase I video-EEG investigation for drug-resistant epilepsy, including electric source and nuclear imaging. Left operculo-insular epilepsy was diagnosed. Post-operatively, she developed aphasia which resolved within one year, corroborating the notion of enhanced language plasticity in children. The patient remained seizure-free for more than three years.

Item Type:	Journal Article (Original Article)
Division/Institute:	04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurosurgery
UniBE Contributor:	Pollo, Claudio
Subjects:	600 Technology > 610 Medicine & health
ISSN:	1294-9361
Publisher:	Springer
Language:	English
Submitter:	Nicole Söll
Date Deposited:	03 Apr 2014 08:56
Last Modified:	05 Dec 2022 14:29
Publisher DOI:	10.1684/epd.2013.0581
PubMed ID:	23820892
Uncontrolled Keywords:	epilepsy, surgery, insular epilepsy, presurgical assessment, seizure
URI:	https://boris.unibe.ch/id/eprint/44512