Intractable complex partial seizures associated with occult temporal lobe encephalocele and meningoangiomatosis: A case report

Whiting, Donald; Awad, Issam A.; Miles, Janet M.; Chou, Samuel S.; Lüders, Hans

doi:10.1016/0090-3019(90)90007-c

Cited by 54 publications

(37 citation statements)

References 7 publications

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“…Takeshima et al demonstrated that only 25 % of MA cases were associated with NF2, while in the remaining 75 %, it occurred sporadically [72]. Occasionally, MA has been reported to coexist with meningiomas [11,39,54,82], arteriovenous malformations [23], encephaloceles [75], oligodendrogliomas [50], meningeal hemangiopericytomas [39] and focal cortical dysplasia [65]. Among these, MA with meningioma is the most frequent combination.…”

Section: Discussionmentioning

confidence: 99%

Sporadic meningioangiomatosis with and without meningioma: analysis of clinical differences and risk factors for poor seizure outcomes

Zhang

Wang²,

Wang

et al. 2015

Acta Neurochir

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Clinical differences may be caused by the different biological natures. MA-M seems to be a neoplastic lesion, while pure MA seems to be a non-neoplastic lesion. Long-term follow-up is required for MA-M. Because the coexistence of hippocampal sclerosis may explain the poor seizure outcomes of MA located in the temporal lobe, it is important to identify underlying hippocampal sclerosis and to perform complete resection.

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Section: Discussionmentioning

confidence: 99%

Sporadic meningioangiomatosis with and without meningioma: analysis of clinical differences and risk factors for poor seizure outcomes

Zhang

Wang²,

Wang

et al. 2015

Acta Neurochir

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“…2,16 The pathognomonic finding of this tumor is its invasive nature, characterized pathologically by invasive meningiovascular proliferation, perivascular cuffs of spindle cell proliferation, perivascular connective tissue proliferation, and neurofibrillary tangles, often interspersed with more discrete meningiomas (3,4,9,10,12,16–21,24,26). …”

Section: Discussionmentioning

confidence: 99%

Multifocal meningioangiomatosis in a 3-year-old patient

Jamil¹,

Ramkissoon

Folkerth

et al. 2012

PED

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Meningioangiomatosis consists of benign hamartomatous lesions of the brain and the leptomeninges, which typically present with seizure. Management is predicated on resection and control of seizures with medication. Lesions are typically solitary. Multifocal meningioangiomatosis is extremely rare, with only 2 cases reported in adults and none in children. The authors report the first case, to their knowledge, of multifocal meningioangiomatosis in a child. This unique case highlights therapeutic challenges associated with these lesions and demonstrates that multifocality is possible in the pediatric population. This finding has implications for diagnosis and follow-up for children afflicted with these tumors.

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“…60 Encephaloceles protruding into the infratemporal fossa or pterygopalatine fossa, or toward the lateral wall of the nasopharynx (anteroinferior or transalar encephaloceles) are commonly associated with deficits involving the horizontal portion of the greater sphenoidal wing, laterally to the cranial base foramina of the sphenoidal bone (foramen ovale and rotundum). 11,15,21,28,36,47,49,50,55 Such en-cephaloceles may either remain clinically occult until adulthood, and then present with nonspecific symptoms, 47 or constitute the pathological substrate of a cohort of patients without mesial sclerosis who suffer from medically refractory temporal lobe epilepsy. 11,15,28,42,44 Osseous defects located in the anteromedial portion of the middle cranial fossa, or more medially in the region of the sphenoidal wing foramina, could lead to the genesis of encephaloceles protruding into the sphenoid sinus or its lateral recess (anteromedial or lateral sphenoidal encephaloceles).…”

Section: Classificationmentioning

confidence: 99%

Spontaneous encephaloceles of the temporal lobe

Wind

Caputy²,

Roberti³

2008

FOC

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Encephaloceles are pathological herniations of brain parenchyma through congenital or acquired osseus-dural defects of the skull base or cranial vault. Although encephaloceles are known as rare conditions, several surgical reports and clinical series focusing on spontaneous encephaloceles of the temporal lobe may be found in the otological, maxillofacial, radiological, and neurosurgical literature. A variety of symptoms such as occult or symptomatic CSF fistulas, recurrent meningitis, middle ear effusions or infections, conductive hearing loss, and medically intractable epilepsy have been described in patients harboring spontaneous encephaloceles of middle cranial fossa origin. Both open procedures and endoscopic techniques have been advocated for the treatment of such conditions. The authors discuss the pathogenesis, diagnostic assessment, and therapeutic management of spontaneous temporal lobe encephaloceles. Although diagnosis and treatment may differ on a case-by-case basis, review of the available literature suggests that spontaneous encephaloceles of middle cranial fossa origin are a more common pathology than previously believed. In particular, spontaneous cases of posteroinferior encephaloceles involving the tegmen tympani and the middle ear have been very well described in the medical literature.

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Intractable complex partial seizures associated with occult temporal lobe encephalocele and meningoangiomatosis: A case report

Cited by 54 publications

References 7 publications

Sporadic meningioangiomatosis with and without meningioma: analysis of clinical differences and risk factors for poor seizure outcomes

Sporadic meningioangiomatosis with and without meningioma: analysis of clinical differences and risk factors for poor seizure outcomes

Multifocal meningioangiomatosis in a 3-year-old patient

Spontaneous encephaloceles of the temporal lobe

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