Korean J Pediatr.
2010 Jan;53(1):106-110. 10.3345/kjp.2010.53.1.106.
A case of hippocampal sclerosis diagnosed as cortical dysplasia due to preoperative brain MRI finding
- Affiliations
-
- 1Department of Pediatrics, Severance Children's Hospital Yonsei University College of Medicine, Seoul, Korea. joonsl96@yuhs.ac
- 2Department of Neurosurgery, Severance Children's Hospital Yonsei University College of Medicine, Seoul, Korea.
- 3Department of Pathology, Severance Children's Hospital Yonsei University College of Medicine, Seoul, Korea.
- KMID: 1837791
- DOI: http://doi.org/10.3345/kjp.2010.53.1.106
Abstract
- Hippocampal sclerosis (HS) is one of the most common features of intractable temporal lobe epilepsy. Generally it can be identified through brain magnetic resonance imaging (MRI) with high degree of sensitivity and specificity. Typical brain MRI findings of HS are hippocampal atrophy with hyperintense signal confined to the lesion. On the other hand cortical dysplasia exhibits blurring of the gray-white matter junction and abnormal white matter signal intensity. We present a case where preoperative brain MRI strongly suggested the presence of diffuse cortical dysplasia in the left temporal lobe but postoperative pathology revealed the temporal lesion to be unremarkable except for hippocampal sclerosis.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Comparison of Pathologic Findings of Cortical Lobectomy for Intractable Seizures between Children and Adults: An Analysis of 164 Cases
- Different Outcomes of Intractable Temporal Lobe Epilepsy with Regard to the Timing of Surgical Intervention
- Surgery in Patients with Previous Resection of the Epileptogenic Zone Due to Intractable Epilepsy
- Epilepsy Surgery in Children with Intractable Partial Epilepsies
- Bilateral Cerebellar Cortical Dysplasia without Other Malformations: A Case Report
