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 CASE REPORT
Year : 2012  |  Volume : 60  |  Issue : 3  |  Page : 321--324

Surgical treatment in startle epilepsy


1 Department of Neurosurgery, Affiliated Fuxing Hospital, Capital Medical University; Affiliated Yuquan Hospital, School of Medicine, Tsinghua University, Beijing, China
2 Department of Neurosurgery, Affiliated Fuxing Hospital, Capital Medical University, Beijing, China
3 Department of Neurosurgery, Affiliated Yuquan Hospital, School of Medicine, Tsinghua University, Beijing, China

Correspondence Address:
Xiangen Shi
Department of Neurosurgery, Affiliated Fuxing Hospital, Capital Medical University, Beijing 100038
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.98526

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This report presents a patient with medically intractable startle epilepsy who was treated with surgery. The ictal onset zone was further localized to a part of the premotor cortex on the basis of intracranial electroencephalography recording and surgical resection of the epileptogenic zone was done. The motor area close to the epileptogenic focus was localized using electrical cortical stimulation and thus preserved. Patient has been seizure-free postoperatively (Engel Class I) during the 18-month follow-up. The patient illustrates that surgery can be an option in patients with medically intractable startle epilepsy with well-defined unilateral epileptogenic zone.






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Online since 20th March '04
Published by Wolters Kluwer - Medknow