Roopesh, Venkatesan Sanjeevi*, Malcom, Aditya, Balaji

Department of Neurosurgery, Meenakshi Mission Hospital, Madurai, India

*Corresponding Author: Venkatesan Sanjeevi, Department of Neurosurgery, Meenakshi Mission Hospital, Madurai, India.

Received: October 06, 2023; Published: December 04, 2023

Abstract

Focal cortical dysplasia (FCD) is a congenital abnormality of brain development where the neurons in an area of the brain failed to migrate in the proper formation in utero and is one of the important cause of intractable epilepsy in children and in adults. We are presenting a 11 years old female patient with intractable seizures since the age of 1 ½ years, Extra temporal complex partial in nature, on evaluation MRI brain showed Type IIb Focal Cortical Dysplasia (FCD), PET CT showed marked hypo metabolism in Right insular cortex and video EEG showed few epileptiform activity during wakefulness over Right fronto temporo parietal regions. Epilepsy committee meeting concluded to proceed with resection of Right frontal opercular FCD under EcoG monitoring with neuro navigation, IONM & image guidance. Patient underwent Right Pterional craniotomy and Micro surgical resection of the Right frontal opercular FCD under Monitoring. HPE suggested as Focal Cortical Dysplasia ILAE/PALMINI type IIB. Post operatively, on three months followup patient was seizure free.

Keywords: Focal Cortical Dysplasia (FCD), Intractable seizures, Microsurgical Lesionectomy

References

1. Barkovich AJ., et al. “A classification scheme for malformations of cortical development”. Neuropediatrics 27 (1996): 59-63.
2. Pirozzi F., et al. “Profiling PI3K-AKT-MTOR variants in focal brain malformations reveals new insights for diagnostic care”. Brain 3 (2022):925-938.

Citation

Citation: Venkatesan Sanjeevi.,et al. “Focal Cortical Dysplasia-A Case Report". Acta Scientific Neurology 7.1 (2024): 09-11.

Copyright

Copyright: © 2024 Venkatesan Sanjeevi.,et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.