Resumo

ROCAMORA, R.; MENDIVIL, P.  e  SCHULZE-BONHAGE, A.. Multiple supratentorial cavernomas and epilepsy surgery: case report. Neurocirugía [online]. 2008, vol.19, n.3, pp.257-266. ISSN 1130-1473.

Introduccion Epilepsy associated with multiple lesions requires a detailed preoperative evaluation. We report on a patient with 9 cavernous malformations associated with medically intractable seizures who became seizure free after a selective resection of two adjacent cavernous resection. The importance of a detailed neuroradiological and electroencephalographic analysis is stressed. Case report. The patient was a right-handed 56-yearold woman with a 26-year history of complex partial and secondarily generalized seizures. A non-invasive video EEG monitoring revealed the epileptogenic zone was temporal anterior on the left. A detailed MRI-analysis showed an intact hippocampal formation. An extended lesionectomy of 2 adjacent cavernomas was done. The patient has been free of seizures for 24 months after surgery. Conclusions Medically intractable seizures associated with multiple cavernous malformations can be diagnosed by non-invasive preoperative monitoring and controlled by single resective procedures.

Palavras-chave : Cavernous hemangioma; Cavernoma; Epilepsy; Surgery.

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