Low-grade tumour over the left temporal neocortex and ictal asystole: network and surgical implications
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2023
- handle: 10670/1.9mwxgj
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Diseases--Surgery Surgery, Primitive Nonolfactory cortex Homogenetic cortex Isocortex Laminated cortex NeopalliumCiter ce document
Angelo Russo et al., « Low-grade tumour over the left temporal neocortex and ictal asystole: network and surgical implications », Epileptic Disorders, ID : 10670/1.9mwxgj
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We describe a patient with focal epilepsy characterized by ictal asystole episodes and low-grade tumour over the left temporal neocortex. Non-invasive pre-surgical evaluation showed an epileptogenic zone extended beyond the low-grade tumour. This extension was confirmed by intraoperative electrocorticography. One-stage surgery with anterior temporal lobe resection was performed. The patient was seizure-free after one year of follow-up. Detailed electroclinical and therapeutic reasoning with hypotheses defining epileptogenic and symptomatogenic networks are discussed.