Abstract
We report the case of a 35-year-old woman who developed right medial temporal lobe epilepsy associated with misplacement of a ventricular shunting catheter in the apex of the right temporal lobe. At 8 years of age, the patient had undergone total removal of a cerebellar astrocytoma and placement of a Torkildsen's ventriculo-cisternal shunt for obstructive hydrocephalus. Although the postoperative course was uneventful, she developed medically intractable psychomotor seizures with secondary generalization at 24 years of age. CT revealed that the tip of the shunting catheter was misplaced in the apex of the right temporal lobe, through the posterior and inferior horn of the right lateral ventricle. Intraoperative electrocorticography revealed frequent paroxysmal activity in the hippocampus, so hippocampectomy as well as removal of the shunting catheter was performed. Postoperatively, the patient became seizure-free, and pathological examination revealed hippocampal sclerosis.
| Original language | English |
|---|---|
| Pages (from-to) | 939-942 |
| Number of pages | 4 |
| Journal | Journal of Clinical Neuroscience |
| Volume | 15 |
| Issue number | 8 |
| DOIs | |
| Publication status | Published - Aug 1 2008 |
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All Science Journal Classification (ASJC) codes
- Surgery
- Neurology
- Clinical Neurology
- Physiology (medical)
Cite this
Medial temporal lobe epilepsy associated with misplacement of a ventricular shunting catheter. / Hashiguchi, Kimiaki; Morioka, Takato; Samura, Kazuhiro; Miyagi, Yasushi; Yoshida, Fumiaki; Nagata, Shinji; Sasaki, Tomio.
In: Journal of Clinical Neuroscience, Vol. 15, No. 8, 01.08.2008, p. 939-942.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Medial temporal lobe epilepsy associated with misplacement of a ventricular shunting catheter
AU - Hashiguchi, Kimiaki
AU - Morioka, Takato
AU - Samura, Kazuhiro
AU - Miyagi, Yasushi
AU - Yoshida, Fumiaki
AU - Nagata, Shinji
AU - Sasaki, Tomio
PY - 2008/8/1
Y1 - 2008/8/1
N2 - We report the case of a 35-year-old woman who developed right medial temporal lobe epilepsy associated with misplacement of a ventricular shunting catheter in the apex of the right temporal lobe. At 8 years of age, the patient had undergone total removal of a cerebellar astrocytoma and placement of a Torkildsen's ventriculo-cisternal shunt for obstructive hydrocephalus. Although the postoperative course was uneventful, she developed medically intractable psychomotor seizures with secondary generalization at 24 years of age. CT revealed that the tip of the shunting catheter was misplaced in the apex of the right temporal lobe, through the posterior and inferior horn of the right lateral ventricle. Intraoperative electrocorticography revealed frequent paroxysmal activity in the hippocampus, so hippocampectomy as well as removal of the shunting catheter was performed. Postoperatively, the patient became seizure-free, and pathological examination revealed hippocampal sclerosis.
AB - We report the case of a 35-year-old woman who developed right medial temporal lobe epilepsy associated with misplacement of a ventricular shunting catheter in the apex of the right temporal lobe. At 8 years of age, the patient had undergone total removal of a cerebellar astrocytoma and placement of a Torkildsen's ventriculo-cisternal shunt for obstructive hydrocephalus. Although the postoperative course was uneventful, she developed medically intractable psychomotor seizures with secondary generalization at 24 years of age. CT revealed that the tip of the shunting catheter was misplaced in the apex of the right temporal lobe, through the posterior and inferior horn of the right lateral ventricle. Intraoperative electrocorticography revealed frequent paroxysmal activity in the hippocampus, so hippocampectomy as well as removal of the shunting catheter was performed. Postoperatively, the patient became seizure-free, and pathological examination revealed hippocampal sclerosis.
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UR - http://www.scopus.com/inward/citedby.url?scp=45849085385&partnerID=8YFLogxK
U2 - 10.1016/j.jocn.2007.02.094
DO - 10.1016/j.jocn.2007.02.094
M3 - Article
C2 - 18502644
AN - SCOPUS:45849085385
VL - 15
SP - 939
EP - 942
JO - Journal of Clinical Neuroscience
JF - Journal of Clinical Neuroscience
SN - 0967-5868
IS - 8
ER -