Triple pathology in patients with temporal lobe epilepsy: A case report and review of the literature

  • Authors:
    • Kang Yang
    • Jing Su
    • Zengchun Hu
    • Rui Lang
    • Xu Sun
    • Xinyu Li
    • Dong Wang
    • Minghai Wei
    • Jian Yin
  • View Affiliations

  • Published online on: July 19, 2013     https://doi.org/10.3892/etm.2013.1228
  • Pages: 925-928
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Abstract

The coexistence of three intracranial lesions related to epileptic pathogenesis is known as ‘triple pathology’ and has rarely been reported. In this study we report a case of temporal lobe epilepsy (TLE) with the coexistence of hippocampal sclerosis (HS), focal cortical dysplasia (FCD) and ganglioglioma in the temporal lobe. A 29-year-old male who had experienced recurrent seizures for four years was admitted to hospital. Cerebral magnetic resonance imaging (MRI) was conducted and T2-weighted and fluid-attenuated inversion recovery sequence (FLAIR) images revealed a reduced hippocampal volume with an increased FLAIR signal on the right side and a slightly enlarged temporal horn, which are typical imaging findings for HS and FCD. The patient underwent resectioning of the right anterior temporal lobe, hippocampus and amygdala, in addition to the lesion located in the medial temporal lobe. Immunohistochemical analysis of the medial temporal lobe lesion confirmed a ganglioglioma (WHO grade I) in the medial temporal lobe. During the first eight months following surgery, the patient's seizures were controlled with zonisamide and phenytoin. Electroencephalogram (EEG) assessment post-surgery confirmed the absence of epileptic discharges. Based on a literature review and a detailed review of this case, we postulate two possible explanations for the pathogenesis of ‘triple pathology’: i) ‘triple pathology’ is a combination of pathological progression and occasionality; and ii) ‘triple pathology’ lesions have similar pathological origins.
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October 2013
Volume 6 Issue 4

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Yang K, Su J, Hu Z, Lang R, Sun X, Li X, Wang D, Wei M and Yin J: Triple pathology in patients with temporal lobe epilepsy: A case report and review of the literature. Exp Ther Med 6: 925-928, 2013
APA
Yang, K., Su, J., Hu, Z., Lang, R., Sun, X., Li, X. ... Yin, J. (2013). Triple pathology in patients with temporal lobe epilepsy: A case report and review of the literature. Experimental and Therapeutic Medicine, 6, 925-928. https://doi.org/10.3892/etm.2013.1228
MLA
Yang, K., Su, J., Hu, Z., Lang, R., Sun, X., Li, X., Wang, D., Wei, M., Yin, J."Triple pathology in patients with temporal lobe epilepsy: A case report and review of the literature". Experimental and Therapeutic Medicine 6.4 (2013): 925-928.
Chicago
Yang, K., Su, J., Hu, Z., Lang, R., Sun, X., Li, X., Wang, D., Wei, M., Yin, J."Triple pathology in patients with temporal lobe epilepsy: A case report and review of the literature". Experimental and Therapeutic Medicine 6, no. 4 (2013): 925-928. https://doi.org/10.3892/etm.2013.1228