低级别胶质瘤继发的钩突危象:

Neila Clediane de Sousa Menezes, Marcos Vinícius de Souza Vilanova, Mário Luciano de Mélo Silva Júnior
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引用次数: 0

摘要

癫痫发作,以前被称为嗅觉先兆,是一种感觉性局灶性癫痫发作,在临床环境中并不常见,尤其是在没有继发性全身性强直-阵挛发作的情况下。本文描述了一例32岁的女性,神经系统检查正常,出现嗅觉主诉,提示钩状癫痫发作。磁共振成像显示右侧颞叶扩张性病变,立体定位活检确定为低度胶质瘤。卡马西平治疗在六个月的随访中控制了症状,没有提出手术干预。重要的是,面对阳性的阵发性嗅觉主诉,要记住癫痫的可能性,并评估中枢神经系统,以排除结构性病变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Uncinate crisis secondary to low grade glioma:
Uncinate seizures, previously known as olfactory auras, are sensory focal epileptic spells that are uncommon in clinical setting, especially when they occur without secondary generalized tonic-clonic seizures. This article describes the case of a 32-year-old woman with normal neurologic examination, who presented with olfactory complaints, suggestive of uncinate seizures. Magnetic resonance imaging revealed a right expansive temporal lesion, which stereotaxic biopsy identified a low-grade glioma. The treatment with carbamazepine controlled the spells in the six months follow-up and no surgical intervention was proposed. It is important to keep in mind the possibility of epilepsy in the face of positive paroxysmal olfactory complaints and to evaluate the central nervous system in order to exclude structural lesions.
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