Epilepsy & Seizure
Online ISSN : 1882-5567
ISSN-L : 1882-5567
Brief Communication
Dysembryoplastic Neuroepithelial Tumor with Extension to the Basal Cistern: A Case Report
Keisuke OhnakaKazuhide ShimizuDaisuke KobayashiMotoki InajiTaketoshi Maehara
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2018 Volume 10 Issue 1 Pages 87-94

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Abstract

Dysembryoplastic neuroepithelial tumor (DNET) is a benign tumor that causes intractable epilepsy at young ages. In this report, we present a rare case of a 28-year-old female with a DNET in the temporal lobe showing extracortical extension to the basal cistern. Enlarging contrast enhancement on MRI, a trait unusual for a benign tumor, suggested the possibility of a malignant glioma. An intraoperative rapid pathological diagnosis of a low-grade glioma in conjunction with electrocorticographic findings supported a surgical strategy of tumor resection alone with preservation of the hippocampus. For this type of DNET with uncommon extension and MRI features, a combination of electro-physiological and morphological analyses based on preoperative studies for epileptogenic focus detection is key to achieving good seizure control and tumor removal with preservation of the patient's memory function.

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© 2018 The Japan Epilepsy Society
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