Journal of Korean Neurosurgical Society

  • 제39권2호
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  • Pages.114-119
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  • 2006
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지

Epilepsy Surgery of the Cerebral Paragonimiasis

  • Lee, Woo-Jong (Department of Neurosurgery, Research Institute for Clinical Medicine, Chonbuk National University Medical School/Hospital) ;
  • Koh, Eun-Jeong (Department of Neurosurgery, Research Institute for Clinical Medicine, Chonbuk National University Medical School/Hospital) ;
  • Choi, Ha-Young (Department of Neurosurgery, Research Institute for Clinical Medicine, Chonbuk National University Medical School/Hospital)
  • 발행 : 2006.02.28
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초록

Objective : The authors investigate appropriate evaluation and surgical methods in treatment of the cerebral paragonimiasis accompanying epilepsy. Methods : Thirteen patients with the cerebral paragonimiasis accompanying epilepsy were included for this study. Preoperative evaluation methods included history taking, skin and serologic tests for Paragonimus westermani, neurologic examinations, computerized tomography, magnetic resonance imaging, amytal test, PET or SPECT, and video-EEG monitoring with depth and subdural grid electrodes. Seizure outcome was evaluated according to Engel's classification. Results : Surgical methods were temporal lobectomy including lesions in six, lesionectomy in five, and temporal lobectomy plus lesionectomy in two. Postoperative neurological complications were not noticed, and seizure outcomes were class I in 12 patients [92%], class II in one [8%]. Conclusion : In patients with a cerebral paragonimiasis accompanying epilepsy, further evaluation methods must be done to define the epileptogenic zone, and complete resection of the epileptogenic zone with different surgical methods should be performed for seizure control.

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참고문헌

  1. Cha SH, Chang KH, Cho SY, Han MH, Kong Y, Suh DC, et al : Cerebral paragonimiasis in early active stage : CT and MR features. Am J Radiol 162 : 141-145, 1994
  2. Choo JD, Suh BS, Lee HS, Lee JS, Song CJ, Shin DW, et al : Chronic cerebral paragonimiasis combined with aneurysmal subarachnoid hemorrhage. Am J Trop Med Hyg 69 : 466-469, 2003
  3. Higashi K, Aoki H, Tatebayashi K, Morioka H, Sakata Y : Cerebral paragonimiasis. J Neurosurg 34 : 515-527, 1971 https://doi.org/10.3171/jns.1971.34.4.0515
  4. Hughes AJ, Biggs BA : Parasitic worms of the central nervous system : an Australian prospective. Intern Med J 32 : 541-553, 2002 https://doi.org/10.1046/j.1445-5994.2002.00265.x
  5. Kang SY, Kim TK, Kim TY, Ha YI, Choi SW, Hong SJ : A case of chronic cerebral paragonimiasis westermani. Korean J Parasitol 38 : 167- 171, 2000 https://doi.org/10.3347/kjp.2000.38.3.167
  6. Katoda T, Ishikura R, Tabuchi Y, Nakao N, Fujikawa H, Kaba K, et al : MR imaging of chronic cerebral paragonimiasis. Am J Neuroradiol 10 : 21-22, 1989
  7. Kim CH, Chung CK, Lee SK, Lee YK, Chi JG : Parietal lobe epilepsy : surgical treatment and outcome. J Korean Neurosurg Soc 36 : 93-101, 2004
  8. Kim SK : Neurosurgical aspects of paragonimiasis in korea. Yonsei Med J 3 : 102-109, 1962 https://doi.org/10.3349/ymj.1962.3.1.102
  9. Landsborough D : A case of cerebral paragonimiasis. J Neurol Neurosurg Psychiatry 29 : 259-261, 1966 https://doi.org/10.1136/jnnp.29.3.259
  10. Le'vesque MF, Nakasato N, Vinters HV, Babb TL : Surgical treatment of limbic epilepsy associated with extrahippocampal lesions : the problem of dual pathology. J Neurosurg 75 : 364-370, 1991 https://doi.org/10.3171/jns.1991.75.3.0364
  11. Nomura M, Nitta H, Nakada M, Yamashima T, Yamashita J : MRI findings of cerebral paragonimiasis in chronic stage. Clin Radiol 54 : 622- 624, 1999 https://doi.org/10.1016/S0009-9260(99)90026-0
  12. Wyler AR, Hermann BP, Richey ET : Results of reoperation for failed epilepsy surgery. J Neurosurg 71 : 815-819, 1989 https://doi.org/10.3171/jns.1989.71.6.0815
  13. Nash TE, Del Brutto OH, Butman JA, Corona T, Delgado-Escueta A, Duron RM, et al : Calcific neurocysticercosis and epileptogenesis. Neurology 62 : 1934-1938, 2004 https://doi.org/10.1212/01.WNL.0000129481.12067.06