Epilepsy Surgery of the Cerebral Paragonimiasis.
- Author:
Woo Jong LEE
1
;
Eun Jeong KOH
;
Ha Young CHOI
Author Information
1. Department of Neurosurgery, Research Institute for Clinical Medicine, Chonbuk National University Medical School/Hospital, Jeonju, Korea. hayoungc@chonbuk.ac.kr
- Publication Type:Original Article
- Keywords:
Epilepsy;
Cerebral paragonimiasis;
Epilepsy surgery
- MeSH:
Amobarbital;
Classification;
Electrodes;
Epilepsy*;
Humans;
Magnetic Resonance Imaging;
Neurologic Examination;
Paragonimiasis*;
Paragonimus westermani;
Seizures;
Serologic Tests;
Skin;
Tomography, Emission-Computed, Single-Photon
- From:Journal of Korean Neurosurgical Society
2006;39(2):114-119
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: The authors investigate appropriate evaluation and surgical methods in treatment of the cerebral paragonimiasis accompanying epilepsy. METHODS: Thirteen patients with the cerebral paragonimiasis accompanying epilepsy were included for this study. Preoperative evaluation methods included history taking, skin and serologic tests for Paragonimus westermani, neurologic examinations, computerized tomography, magnetic resonance imaging, amytal test, PET or SPECT, and video-EEG monitoring with depth and subdural grid electrodes. Seizure outcome was evaluated according to Engel's classification. RESULTS: Surgical methods were temporal lobectomy including lesions in six, lesionectomy in five, and temporal lobectomy plus lesionectomy in two. Postoperative neurological complications were not noticed, and seizure outcomes were class I in 12 patients (92%), class II in one (8%). CONCLUSION: In patients with a cerebral paragonimiasis accompanying epilepsy, further evaluation methods must be done to define the epileptogenic zone, and complete resection of the epileptogenic zone with different surgical methods should be performed for seizure control.
