Successful epilepsy surgery in a patient with neurosarcoidosis
Summary This case concerns a patient with generalized neurosarcoidosis and pharmacoresistant focal epilepsy. Although immunosuppressive therapy resulted in remission of the neurosarcoidosis, seizures continued and were shown to originate from the right temporal lobe (TL). The patient underwent a rig...
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| Published in | Epilepsia (Copenhagen) Vol. 51; no. 6; pp. 1101 - 1103 |
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| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Oxford, UK
Blackwell Publishing Ltd
01.06.2010
Wiley-Blackwell |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0013-9580 1528-1167 1528-1167 |
| DOI | 10.1111/j.1528-1167.2010.02580.x |
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| Abstract | Summary
This case concerns a patient with generalized neurosarcoidosis and pharmacoresistant focal epilepsy. Although immunosuppressive therapy resulted in remission of the neurosarcoidosis, seizures continued and were shown to originate from the right temporal lobe (TL). The patient underwent a right anterior temporal lobe resection (TLR) and obtained >90% reduction of seizure frequency. |
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| AbstractList | This case concerns a patient with generalized neurosarcoidosis and pharmacoresistant focal epilepsy. Although immunosuppressive therapy resulted in remission of the neurosarcoidosis, seizures continued and were shown to originate from the right temporal lobe (TL). The patient underwent a right anterior temporal lobe resection (TLR) and obtained >90% reduction of seizure frequency. Summary This case concerns a patient with generalized neurosarcoidosis and pharmacoresistant focal epilepsy. Although immunosuppressive therapy resulted in remission of the neurosarcoidosis, seizures continued and were shown to originate from the right temporal lobe (TL). The patient underwent a right anterior temporal lobe resection (TLR) and obtained >90% reduction of seizure frequency. SummaryThis case concerns a patient with generalized neurosarcoidosis and pharmacoresistant focal epilepsy. Although immunosuppressive therapy resulted in remission of the neurosarcoidosis, seizures continued and were shown to originate from the right temporal lobe (TL). The patient underwent a right anterior temporal lobe resection (TLR) and obtained >90% reduction of seizure frequency. This case concerns a patient with generalized neurosarcoidosis and pharmacoresistant focal epilepsy. Although immunosuppressive therapy resulted in remission of the neurosarcoidosis, seizures continued and were shown to originate from the right temporal lobe (TL). The patient underwent a right anterior temporal lobe resection (TLR) and obtained >90% reduction of seizure frequency.This case concerns a patient with generalized neurosarcoidosis and pharmacoresistant focal epilepsy. Although immunosuppressive therapy resulted in remission of the neurosarcoidosis, seizures continued and were shown to originate from the right temporal lobe (TL). The patient underwent a right anterior temporal lobe resection (TLR) and obtained >90% reduction of seizure frequency. |
| Author | Malmgren, Kristina Hedström, Anders Engman, Elisabeth Nordborg, Claes Rydenhag, Bertil Lycke, Jan Jönsson, Lars |
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| Keywords | Human Nervous system diseases Seizure outcome Prognosis Sarcoidosis Complex partial epilepsy Epilepsy surgery Neurosarcoidosis Cerebral disorder Convulsion Surgery Systemic disease Central nervous system disease Temporal lobe epilepsy Neurological disorder |
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| References_xml | – volume: 87 start-page: 336 year: 1977 end-page: 345 article-title: Neurologic manifestations in sarcoidosis: review of the literature, with a report of 23 cases publication-title: Ann Intern Med – volume: 20 start-page: 59 year: 2002 end-page: 83 article-title: Neurologic manifestations of sarcoidosis publication-title: Neurol Clin – volume: 24 start-page: 1437 year: 2008 end-page: 1445 article-title: Epilepsy surgery in tuberous sclerosis complex: early predictive elements and outcome publication-title: Childs Nerv Syst – volume: 80 start-page: 297 year: 2009 end-page: 304 article-title: Neurosarcoidosis: a study of 30 new cases publication-title: J Neurol Neurosurg Psychiatry – volume: 7 start-page: 494 year: 1980 article-title: Seizures in sarcoidosis: a poor prognosis publication-title: Ann Neurol – volume: 17 start-page: 311 year: 2004 end-page: 316 article-title: Neurological complications of sarcoidosis publication-title: Curr Opin Neurol – volume: 92 start-page: 103 year: 1999 end-page: 117 article-title: Central nervous system sarcoidosis – diagnosis and management publication-title: QJM – volume: 48 start-page: 1625 year: 2007 end-page: 1628 article-title: Surgical outcome in tuberous sclerosis complex: a multicenter survey publication-title: Epilepsia – volume: 52 start-page: 2168 year: 2005 end-page: 2178 article-title: Damage caused by Wegener’s granulomatosis and its treatment: prospective data from the Wegener’s Granulomatosis Etanercept Trial (WGET) publication-title: Arthritis Rheum – volume: 6 start-page: 623 year: 2005 end-page: 630 article-title: Neurosarcoidosis presenting with simple partial seizures and solitary enhancing mass: case reports and review of the literature publication-title: Epilepsy Behav – volume: 114 start-page: 1960 year: 2004 end-page: 1963 article-title: Sinonasal sarcoidosis: review and report of fifteen cases publication-title: Laryngoscope – ident: e_1_2_6_6_1 doi: 10.1136/jnnp.2008.151977 – ident: e_1_2_6_10_1 doi: 10.1097/00019052-200406000-00013 – ident: e_1_2_6_7_1 doi: 10.1111/j.1528-1167.2007.01112.x – ident: e_1_2_6_9_1 doi: 10.1016/j.yebeh.2005.02.016 – ident: e_1_2_6_2_1 doi: 10.1097/01.mlg.0000147928.06390.db – ident: e_1_2_6_8_1 doi: 10.1002/art.21117 – ident: e_1_2_6_11_1 doi: 10.1007/s00381-008-0679-4 – ident: e_1_2_6_3_1 doi: 10.7326/0003-4819-87-3-336 – ident: e_1_2_6_5_1 doi: 10.1016/S0733-8619(03)00054-9 – ident: e_1_2_6_4_1 doi: 10.1002/ana.410070523 – ident: e_1_2_6_12_1 doi: 10.1093/qjmed/92.2.103 |
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This case concerns a patient with generalized neurosarcoidosis and pharmacoresistant focal epilepsy. Although immunosuppressive therapy resulted in... This case concerns a patient with generalized neurosarcoidosis and pharmacoresistant focal epilepsy. Although immunosuppressive therapy resulted in remission... SummaryThis case concerns a patient with generalized neurosarcoidosis and pharmacoresistant focal epilepsy. Although immunosuppressive therapy resulted in... |
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| SubjectTerms | Adult Anticonvulsants. Antiepileptics. Antiparkinson agents Biological and medical sciences Epilepsy - complications Epilepsy - diagnosis Epilepsy - surgery Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans Male Medical sciences Nervous system (semeiology, syndromes) Neurologi Neurology Neuropharmacology Neurosarcoidosis Pharmacology. Drug treatments Sarcoidosis Sarcoidosis - complications Sarcoidosis - diagnosis Sarcoidosis - surgery Seizure outcome Temporal Lobe - pathology Temporal Lobe - surgery Temporal lobe epilepsy Treatment Outcome |
| Title | Successful epilepsy surgery in a patient with neurosarcoidosis |
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