Neurocirugía Neurocirugía
Neurocirugia. 1993;04:95-100. - Vol. 04 Núm.02 DOI: 10.1016/S1130-1473(93)70857-X

Lesiones expansivas del lóbulo temporal asociadas a epilepsia en el niño, tratamiento quirúrgico

J.M. Costaa, E. Claramunta, J. Lafuentea

a Servicio de Neurocirugía. Hospital San loan de Deu. Barcelona

Palabras clave

Tumor cerebral. Epilepsia. Lobectomía temporal. Esclerosis mesial temporal.

Resumen

Revisamos 7 niños intervenidos quirúrgicamente, afectos de epilepsia temporal, en los que se identificaron lesiones expansivas del lóbulo temporal. Tres de las lesiones fueron extracerebrales: dos tumores y un quiste aracnoideo. En cuatro pacientes se encontraron lesiones intracerebrales, correspondiendo a tres tumores gliales y a un cavernoma.

Todos los casos fueron investigados mediante TAC y RMN. Las lesiones extracerebrales fueron extirpadas totalmente y el quiste aracnoideo fenestrado. En las intracerebrales se practicó extirpación de la masa y 10bectomía incluyendo el complejo amigdalohipocámpico. En tres de los cuatro pacientes el examen anatomopatológico demostró la existencia de esclerosis mesial concomitante. El seguimiento postoperatorio medio es de más de dos años. Seis se hallan libres de crisis, cuatro de los cuales toman medicación anticomicial. En un paciente las crisis se han reducido en más del 50%.

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