Refractory temporal lobe epilepsy caused by angiocentric glioma complicated with focal cortical dysplasia: a surgical case series

J Neurooncol. 2012 Dec;110(3):375-80. doi: 10.1007/s11060-012-0975-4. Epub 2012 Oct 12.

Abstract

Angiocentric glioma (AG) is a rare, epilepsy-associated, low-grade neoplasm with a characteristic perivascular growth pattern. Here, we review the histological types, surgical interventions, and postoperative seizure in our three cases of AG with drug-resistant epilepsy. Some patients with AG present focal cortical dysplasia. For these patients, extended lesionectomy including the adjacent cortical dysplasia is necessary to achieve a seizure-free outcome. Surgical planning based on comprehensive evaluation of epilepsy and cortical dysplasia is therefore an important step for all patients.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Brain Neoplasms / complications*
  • Brain Neoplasms / pathology
  • Brain Neoplasms / surgery
  • Combined Modality Therapy
  • Drug Resistance*
  • Electroencephalography
  • Epilepsy, Temporal Lobe / drug therapy
  • Epilepsy, Temporal Lobe / etiology*
  • Epilepsy, Temporal Lobe / surgery
  • Female
  • Glioma / complications*
  • Glioma / pathology
  • Glioma / surgery
  • Humans
  • Male
  • Malformations of Cortical Development / complications*
  • Malformations of Cortical Development / pathology
  • Malformations of Cortical Development / surgery
  • Seizures / etiology*
  • Seizures / pathology
  • Seizures / surgery
  • Treatment Outcome
  • Young Adult