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Surgical Treatment of Epilepsy with Chronic Cerebral Granuloma Caused by Schistosoma japonicum
Author(s) -
Lei Ting,
Shu Kai,
Chen Xu,
Li Ling
Publication year - 2008
Publication title -
epilepsia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.687
H-Index - 191
eISSN - 1528-1167
pISSN - 0013-9580
DOI - 10.1111/j.1528-1167.2007.01219.x
Subject(s) - schistosoma japonicum , epilepsy , medicine , lesion , electrocorticography , granuloma , schistosomiasis , surgical resection , surgery , resection , pathology , psychiatry , helminths , immunology
SummaryPurpose: To study the surgical treatment of epilepsy with cerebral granuloma caused by Schistosoma japonicum .Methods: Two hundred fifty cases of epilepsy caused by cerebral schistosomiasis from 1955 to 2004 were analyzed retrospectively.Results: There were no deaths. Follow‐up of 196 cases for 4–5 years after operation demonstrated that 180 cases (92%) were seizure‐free or well‐controlled.Conclusions: Surgical treatment should be considered when drug therapy fails to control epilepsy or the lesion shows mass effect. Intraoperative electrocorticography monitoring is helpful to define the extent of the resection of the lesion.