Abstract:
Objective To explore the diagnosis and treatment strategy of multidisciplinary team (MDT) for refractory focal epilepsy.
Methods The patient was diagnosed with intractable temporal lobe epilepsy. The interictal scalp electroencephalogram showed unsynchronized epileptiform discharges on bilateral temporal lobes. The conventional magnetic resonance imaging was normal with no obvious lesions. Then the epileptogenic focus and treatment method were comfirmed by MDT diagnosis and presurgical evaluation.
Results The patient was diagnosed with right medial temporal lobe epilepsy after detailed preoperative assessment, and was further operated on the anterior right temporal lobe, hippocampus, and amygdaloid nucleus. The postoperative pathology revealed the ganglioglioma with the focal cortical dysplasia in surrounding tissues. There was no seizure more than one year after operation.
Conclusions The MDT system could help to precisely localize the epileptogenic focus and provide a foundation for the surgical resection range. The MDT diagnosis and treatment could help the patient to reach postoperatively seizure-free.
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