1043-3155 Pediatr Neurol Briefs pedneurbriefs Pediatr Neurol Briefs Pediatric Neurology Briefs Pediatr Neurol Briefs 2166-6482 1043-3155 2166-3155 Pediatric Neurology Briefs Publishers Chicago, IL, USA PNB-8-59-a 10.15844/pedneurbriefs-8-8-4 Vascular Disorders Neurology Pediatrics Nervous System Diseases Child Development Brain Diseases Neurosurgery Child Infant Vascular Malformations and Intractable Epilepsy http://orcid.org/0000-0002-0173-7931 Millichap J. Gordon MD 1 2 * Division of Neurology, Children's Memorial Hospital, Chicago, IL Departments of Pediatrics and Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL Correspondence: Dr. J. Gordon Millichap, E-mail: jgmillichap@northwestern.edu 08 1994 01 06 2016 8 8 59 59 Copyright: © 1994 The Author(s) 1994 This work is licensed under the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Vascular malformations and intractable epilepsy: Outcome after surgical treatment

A retrospective study of 20 consecutive patients with cerebral vascular malformations who were treated surgically for medically refractory partial epilepsy is reported from the Departments of Neurology and Neurologic Surgery, Mayo Clinic, Rochester, MN.

 Vascular Malformations Lesionectomy Corticectomy

A retrospective study of 20 consecutive patients with cerebral vascular malformations who were treated surgically for medically refractory partial epilepsy is reported from the Departments of Neurology and Neurologic Surgery, Mayo Clinic, Rochester, MN. MRI was more sensitive than CT and showed 36 vascular malformations (32 cavernous and 4 A-V malformations). Previous hemorrhage was verified in 18 patients. After complete resection of the lesion, 15 patients were free of seizures and 3 had a 90% control. Age of onset and duration of seizures did not affect outcome. A focal corticectomy in addition to lesionectomy was necessary in 11 patients with MRI-disclosed ipsilateral medial temporal lobe atrophy. [1]

COMMENT. The authors advocate early surgical intervention and excision of the lesion in patients with refractory partial seizures associated with vascular malformations. Corticectomy may be necessary in patients with dual temporal lobe pathologies.

 Dodick DW Cascino GD Meyer FB Vascular malformations and intractable epilepsy: Outcome after surgical treatment Mayo Clin Proc 1994 Aug 69 8 741 745 10.1016/S0025-6196(12)61091-X 8035628