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  1. 広島大学の刊行物
  2. Hiroshima Journal of Medical Sciences
  3. 60巻2号

Late Recurrence of Intractable Epilepsy Associated with MRI-occult Pilocytic Astrocytoma in the Temporal Lobe Nine Years after Initial Removal : A case report with surgical and late-seizure recurrence observations

https://hiroshima.repo.nii.ac.jp/records/2013645
https://hiroshima.repo.nii.ac.jp/records/2013645
0df3b2da-f6c3-4d99-94bf-597db5e5577a
名前 / ファイル ライセンス アクション
HiroshimaJMedSci_60_45.pdf HiroshimaJMedSci_60_45.pdf (610.3 KB)
Item type デフォルトアイテムタイプ_(フル)(1)
公開日 2023-03-18
タイトル
タイトル Late Recurrence of Intractable Epilepsy Associated with MRI-occult Pilocytic Astrocytoma in the Temporal Lobe Nine Years after Initial Removal : A case report with surgical and late-seizure recurrence observations
言語 en
作成者 Nishimoto, Takeshi

× Nishimoto, Takeshi

en Nishimoto, Takeshi

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Iida, Koji

× Iida, Koji

en Iida, Koji

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Kagawa, Kota

× Kagawa, Kota

en Kagawa, Kota

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Watanabe, Yosuke

× Watanabe, Yosuke

en Watanabe, Yosuke

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Kiura, Yoshihiro

× Kiura, Yoshihiro

en Kiura, Yoshihiro

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Hashizume, Akira

× Hashizume, Akira

en Hashizume, Akira

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Sugiyama, Kazuhiko

× Sugiyama, Kazuhiko

en Sugiyama, Kazuhiko

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Kurisu, Kaoru

× Kurisu, Kaoru

en Kurisu, Kaoru

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
権利情報 (c) Hiroshima University Medical Press.
主題
主題Scheme Other
主題 Temporal lobe tumoral epilepsy
主題
主題Scheme Other
主題 Late recurrence
主題
主題Scheme Other
主題 Pilocytic astrocytoma
主題
主題Scheme NDC
主題 490
内容記述
内容記述 A 28-year-old male who presented a relapse of intractable epilepsy consisting of complex partial seizures with occasional secondary generalizations at the age of 26, had undergone removal of a left mesial temporal lobe tumor at another hospital at 18 years old. Pathological examination at that time revealed a low-grade astrocytoma, and the tumor was further treated by complementary adjuvant irradiation therapy. Magnetic resonance imaging (MRI) findings on admission portrayed a post-operative cavity anterior to the atrophied hippocampus on the left side with hyperintense in fluid-attenuated inversion recovery (FLAIR) images. There were no enhanced lesions in T1-weighted gadolinium images. As it was diagnosed as left mesial temporal lobe epilepsy with preoperative evaluations, the patient underwent left anterior temporal lobe resection (TLR). Intraoperative findings revealed that a small lump of grey tissue was attached to the anteromesial side of the sclerotic hippocampus. We surgically removed this and the tissue was a pilocytic astrocytoma. The patient has since remained seizure-free for 2.5 years. Seizure outcomes at postoperative 1-2 years are highly predictive of long-term outcomes after TLR for temporal lobe epilepsy (TLE). Late-seizure recurrence (> postoperative 2 years) with an initially successful outcome rarely occurs in TLR patients. This case report suggests that recurrence of even benign pilocytic astrocytomas may occur when seizure recurs in long-term follow-up.
言語 en
出版者
出版者 Hiroshima University Medical Press
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 0018-2052
収録物識別子
収録物識別子タイプ NCID
収録物識別子 AA00664312
開始ページ
開始ページ 45
書誌情報 Hiroshima Journal of Medical Sciences
Hiroshima Journal of Medical Sciences

巻 60, 号 2, p. 45-49, 発行日 2011-06
旧ID 34994
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