Idiopathic chronic temporal lobe herniation with associated epilepsy

We describe a patient with a long history of seizures and a remote status epilepticus event. On magnetic resonance imaging, a presumed left temporal lobe tumor was observed. On neurosurgical consultation, the lesion was identified as a chronic mesial temporal lobe herniation. The patient lacked history that would suggest risk of cerebral herniation. Accurately identifying the patient ’s chronic temporal lobe herniation radiographically likely saved this patient from unnecessary surgery or biopsy and allowed the patient to receive appropriate conservative care.
Source: Acta Neurochirurgica - Category: Neurosurgery Source Type: research

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ConclusionNo clinical or radiographic complications are seen when performing MRI scans at 1.5 or 3 T on patients with implanted intracranial EEG electrodes while avoiding high specific energy absorption rate sequences.
Source: Neuroradiology - Category: Radiology Source Type: research
ConclusionNo clinical or radiographic complications are seen when performing MRI scans at 1.5 or 3 T on patients with implanted intracranial EEG electrodes while avoiding high specific energy absorption rate sequences.
Source: Neuroradiology - Category: Radiology Source Type: research
CONCLUSION: MWA may be associated with reversible lesions of the corpus callosum. PMID: 32048282 [PubMed - as supplied by publisher]
Source: Headache - Category: Neurology Authors: Tags: Headache Source Type: research
Authors: King-Stephens D Abstract Effects of Surgical Targeting in Laser Interstitial Thermal Therapy for Mesial Temporal Lobe Epilepsy: A Multicenter Study of 234 Patients Wu C, Jermakowicz WJ, Chakravorti S, Cajigas I, Sharan AD, Jagid JR, Matias CM, Sperling MR, Buckley R, Ko A, Ojemann JG, Miller JW, Youngerman B, Sheth SA, McKhann GM, Laxton AW, Couture DE, Popli GS, Smith A, Mehta AD, Ho AL, Halpern CH, Englot DJ, Neimat JS, Konrad PE, Neal E, Vale FL, Holloway KL, Air EL, Schwalb J, Dawant BM, D'Haese PF. Epilepsia. 2019;60(6):1171-1183. doi:10.1111/epi.15565. OBJECTIVE: Laser interstitial thermal therap...
Source: Epilepsy Currents - Category: Neurology Tags: Epilepsy Curr Source Type: research
Joong-Goo Kim1,2, Han-Bin Lee2 and Sang-Beom Jeon2* 1Department of Neurology, Jeju National University Hospital, Jeju, South Korea 2Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea Objectives: The use of dexmedetomidine and ketamine (DEX–KET) combination for magnetic resonance imaging (MRI) sedation has not been evaluated. We investigated the efficacy and safety of DEX–KET for sedation of patients undergoing MRI of the brain. Methods: This quasi-experimental study was conducted to compare the DEX–KET combination and midazolam for MRI sed...
Source: Frontiers in Neurology - Category: Neurology Source Type: research
Epilepsy surgery is a well-known method of treatment for patients with medically refractory epilepsy with a clearly defined focal onset. If a focal, radiographically identifiable lesion can be found, usually on MRI (magnetic resonance imaging), the prognosis for resection of the epileptic focus is significantly better, 60 –90% free from disabling seizures, versus 20–65% if no lesion is found [1].
Source: Seizure: European Journal of Epilepsy - Category: Neurology Authors: Source Type: research
Conclusions:Better recognition and management of different presentations of various paraneoplastic syndromes represent new challenges in the management of patients with malignancies. Further studies in paraneoplastic syndromes are needed.Disclosure: Dr. G. Prieto has nothing to disclose. Dr. Giglio has nothing to disclose. Dr. Puduvalli has received personal compensation for activities with Novartis and Genentech as a scientific advisory board member. Dr. Pudavalli has received research support from Genentech and Merck.
Source: Neurology - Category: Neurology Authors: Tags: Neurologic Complications of Cancer Source Type: research
Focal cortical dysplasia is commonly recognized in pediatric epilepsy surgery. Despite characteristic radiographic features, focal cortical dysplasia can be subtle on magnetic resonance imaging. Double inversion recovery acquisition suppresses the white matter signal, which may enhance visualization of abnormal features at the gray–white matter interface. We assessed the ability of double inversion recovery to distinguish focal cortical dysplasia from periventricular nodular heterotopia and normal brain.
Source: Pediatric Neurology - Category: Neurology Authors: Tags: Original Article Source Type: research
Focal cortical dysplasia is commonly recognized in pediatric epilepsy surgery. Despite characteristic radiographic features, focal cortical dysplasia can be subtle on magnetic resonance imaging. Double inversion recovery acquisition suppresses the white matter signal, which may enhance visualization of abnormal features at the gray –white matter interface. We assessed the ability of double inversion recovery to distinguish focal cortical dysplasia from periventricular nodular heterotopia and normal brain.
Source: Pediatric Neurology - Category: Neurology Authors: Tags: Original Article Source Type: research
Focal cortical dysplasia (FCD) is seen commonly in pediatric epilepsy surgery. Despite characteristic radiographic features, FCD can be subtle on magnetic resonance imaging (MRI). Double inversion recovery (DIR) acquisition suppresses white matter signal, which may enhance visualization of abnormal features at the gray-white matter interface. We assessed the ability of DIR to distinguish FCD from periventricular nodular heterotopia (PVH) and normal brain.
Source: Pediatric Neurology - Category: Neurology Authors: Tags: Original Articles Source Type: research
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