Surgery for temporal lobe epilepsy after cerebral malaria

Summary The most common indication for epilepsy surgery is temporal lobe epilepsy (TLE) which usually is divided into two categories, mesial and lateral TLE. The commonest pathology underlying mesial temporal lobe epilepsy (MTLE) is mesial temporal sclerosis (MTS); we report on a 50-year-old male pa...

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Bibliographic Details
Published in:Seizure (London, England) England), 2008-12, Vol.17 (8), p.731-734
Main Authors: Schijns, O.E.M.G, Visser-Vandewalle, V, Lemmens, E.M.P, Janssen, A, Hoogland, G
Format: Article
Language:English
Subjects:
Cerebral malaria
Epilepsy surgery
Epilepsy, Temporal Lobe - etiology
Epilepsy, Temporal Lobe - microbiology
Epilepsy, Temporal Lobe - surgery
Humans
Magnetic Resonance Imaging - methods
Malaria, Cerebral - complications
Male
Mesial temporal sclerosis
Middle Aged
Neurology
Temporal Lobe - pathology
Temporal Lobe - surgery
Temporal lobe epilepsy
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Summary:Summary The most common indication for epilepsy surgery is temporal lobe epilepsy (TLE) which usually is divided into two categories, mesial and lateral TLE. The commonest pathology underlying mesial temporal lobe epilepsy (MTLE) is mesial temporal sclerosis (MTS); we report on a 50-year-old male patient, who contracted cerebral malaria and developed MTLE shortly thereafter. Magnetic resonance imaging (MRI) showed MTS. Surgical treatment was an anteromedial temporal lobe resection with amygdalohippocampectomy. The patient is seizure free, 36 months after surgical treatment. This is the first report describing MTLE-onset subsequent to cerebral malaria and discussing the potential pathophysiological relationship between cerebral malaria and MTS.
ISSN:1059-1311
1532-2688
DOI:10.1016/j.seizure.2008.04.006