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Stereotactic radiotherapy instead of conventional epilepsy surgery

A case report

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Summary

A case report is made on a 29 year old male suffering from drug resistant epilepsy with a left temporal focus and normal neuroradiological findings. Instead of the conventional partial temporal resection, the focus was stereotactically irradiated in five fractions using a standard linear accelerator (6 MeV), to a total dose equivalent of 10 Gy in a single shot. Two months after the treatment the frequency of seizures decreased and the patient has been free of attacks since the seventh postirradiation month, up to 27 months by now, and in excellent condition. Noninvasive Stereotactic radiotherapy may turn out to be a rational way to eliminate an epileptic focus.

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References

  1. Barcia-Salorio JL, Roldan P, Hernandez G, Lopez-Gomez L (1985) Radiosurgical treatment of epilepsy. Appl Neurophysiol 48: 400–403

    Google Scholar 

  2. Barcia-Salorio JL, Vanaclocha V, Gerda M, Giudad J, Lopez-Gomez L (1987) Reponse of experimental epileptic focus to focal ionizing radiation. Appl Neurophysiol 50: 359–364

    Google Scholar 

  3. Elomaa E (1980) Focal irradiation of the brain: an alternative to temporal lobe resection in intractable focal epilepsy. Med Hypotheses 6: 501–503

    Google Scholar 

  4. Heikkinen ER, Heikkinen MI (1987) New diagnostic and therapeutic tools in stereotaxy. Appl Neurophysiol 50: 136–142

    Google Scholar 

  5. Heikkinen ER, Konnov B, Melnikov L, Yalynych N, Zubkov YN, Garmashov YA, Pak VA (1989) Relief of epilepsy by radiosurgery of cerebral arteriovenous malformations. Stereotact Funct Neurosurg 53: 157–166

    Google Scholar 

  6. Laitinen LV, Liliequist B, Fagerlund M, Eriksson AT (1985) An adapter for computed tomography-guided stereotaxis. Surg Neurol 29: 559–566

    Google Scholar 

  7. Penfield W, Gage L (1933) Cerebral localization of epileptic manifestations. Arch Neurol Psychiatr 30: 1–19

    Google Scholar 

  8. Rossi GF (1985) Epileptogenic cerebral low-grade tumours: effect of interstitial stereotactic irradiation on seizures. Appl Neurophysiol 48: 127–132

    Google Scholar 

  9. Rossi GF (1980) Why, when, and how surgery of epilepsy. Acta Neurochir (Wien) [Suppl] 30: 7–11

    Google Scholar 

  10. Yaşargil MG, Teddy PJ, Roth P (1985) Selective amygdalohippocampectomy. Operative anatomy and surgical technique. In: Symon Let al (eds) Advances and technical standards in neurosurgery, Vol 12. Springer, Wien New York, pp 93–123

    Google Scholar 

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Heikkinen, E.R., Heikkinen, M.I. & Sotaniemi, K. Stereotactic radiotherapy instead of conventional epilepsy surgery. Acta neurochir 119, 159–160 (1992). https://doi.org/10.1007/BF01541801

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  • DOI: https://doi.org/10.1007/BF01541801

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