| 000 | 02337cam a2200265 4500500 | ||
|---|---|---|---|
| 005 | 20250112070537.0 | ||
| 041 | _afre | ||
| 042 | _adc | ||
| 100 | 1 | 0 |
_aRanjan, Manish _eauthor |
| 700 | 1 | 0 |
_a Wilfong, Angus A. _eauthor |
| 700 | 1 | 0 |
_a Boerwinkle, Varina _eauthor |
| 700 | 1 | 0 |
_a Jarrar, Randa _eauthor |
| 700 | 1 | 0 |
_a Adelson, P. David _eauthor |
| 245 | 0 | 0 | _aTemporal encephalocele: a novel indication for magnetic resonance-guided laser interstitial thermal therapy for medically intractable epilepsy |
| 260 | _c2019. | ||
| 500 | _a31 | ||
| 520 | _aTemporal encephalocele (TE) is a rare but surgically treatable/curable cause of temporal lobe epilepsy (TLE). The surgical intervention varies from local disconnection to extensive anterior temporal lobectomy and amygdalohippocampectomy (ATL/AH). Magnetic resonance-guided laser interstitial thermal therapy (MRgLITT) has evolved as a minimally invasive alternative for intractable epilepsy with good results, however, application of MRgLITT for intractable pediatric epilepsy secondary to TE has not been reported. We present a detailed technical report and clinical experience of MRgLITT in two adolescent children with medically intractable TLE secondary to TE. Pre-surgical evaluation revealed anterior inferior TE with concordant clinico-electrophysiological data. Both the patients underwent MRgLITT after review with the institutional multidisciplinary epilepsy team and discussion with the patient and the family. Both the patients were discharged on post-operative day one and have been seizure-free since the procedure at the last follow-up visit at 18 months and 6 months, respectively. The present series demonstrates first-ever clinical and technical experience of MRgLITT for TE with intractable pediatric epilepsy. The excellent post-operative seizure outcome and favorable postoperative course support MRgLITT as the first line of surgical intervention for TE with intractable TLE and broadens the application of MRgLITT. | ||
| 690 | _atemporal lobe epilepsy | ||
| 690 | _alaser ablation | ||
| 690 | _atemporal encephalocele | ||
| 690 | _aMRgLITT | ||
| 690 | _aepilepsy surgery | ||
| 786 | 0 | _nEpileptic Disorders | Vol 21 | 3 | 2019-03-01 | p. 265-270 | 1294-9361 | |
| 856 | 4 | 1 | _uhttps://shs.cairn.info/revue-epileptic-disorders-2019-3-page-265?lang=en |
| 999 |
_c246315 _d246315 |
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