J Korean Neurosurg Soc.  2006 Feb;39(2):114-119.

Epilepsy Surgery of the Cerebral Paragonimiasis

• Lee WJ
• Koh EJ
• Choi HY

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.

Keyword

Epilepsy; Cerebral paragonimiasis; Epilepsy surgery

MeSH Terms

Amobarbital
Classification
Electrodes
Epilepsy*
Humans
Magnetic Resonance Imaging
Neurologic Examination
Paragonimiasis*
Paragonimus westermani
Seizures
Serologic Tests
Skin
Tomography, Emission-Computed, Single-Photon
Amobarbital