Postoperative seizure outcome after corpus callosotomy in reflex epilepsy

Shang Yeong Kwan, Tai-Tong Wong, Kai Ping Chang, Tsui Fen Yang, Ying Chiao Lee, Wan Yuo Guo, Ming Shung Su

研究成果: 雜誌貢獻文章

3 引文 (Scopus)

摘要

Flickering light and color patterns, reading, language, movement, decision making, eating, tapping and touching, hot water immersion and auditory stimulation can induce seizures in some epileptic patients. These are known as the 'reflex epilepsies'. The mechanism of reflex epilepsy is not clear. Recently, we performed anterior two-thirds corpus callosotomies in two reflex epilepsy patients (ages 12 and 14 years), with follow-up for more than three years. Patient 1 had Lennox-Gastaut syndrome with auditory-induced generalized atonic or tonic seizures (startle epilepsy), which decreased by 60% after callosotomy. Patient 2 had Lennox-Gastaut syndrome with somatosensory-induced generalized tonic seizures (tap epilepsy). He was seizure-free for one year immediately after callosotomy, but his seizures recurred with the same degree and frequency as before surgery. The nonsignificant postoperative seizure outcome suggests that the corpus callosum only plays a partial role in seizure generation. Our report also discusses the possible mechanisms of generation of reflex seizures.

原文英語
頁(從 - 到)240-246
頁數7
期刊Chinese Medical Journal (Taipei)
63
發行號3
出版狀態已發佈 - 三月 1 2000
對外發佈Yes

指紋

Reflex Epilepsy
Seizures
Epilepsy
Acoustic Stimulation
Corpus Callosum
Immersion
Reflex
Reading
Decision Making
Language
Color
Eating

ASJC Scopus subject areas

  • Medicine(all)

引用此文

Kwan, S. Y., Wong, T-T., Chang, K. P., Yang, T. F., Lee, Y. C., Guo, W. Y., & Su, M. S. (2000). Postoperative seizure outcome after corpus callosotomy in reflex epilepsy. Chinese Medical Journal (Taipei), 63(3), 240-246.

Postoperative seizure outcome after corpus callosotomy in reflex epilepsy. / Kwan, Shang Yeong; Wong, Tai-Tong; Chang, Kai Ping; Yang, Tsui Fen; Lee, Ying Chiao; Guo, Wan Yuo; Su, Ming Shung.

於: Chinese Medical Journal (Taipei), 卷 63, 編號 3, 01.03.2000, p. 240-246.

研究成果: 雜誌貢獻文章

Kwan, SY, Wong, T-T, Chang, KP, Yang, TF, Lee, YC, Guo, WY & Su, MS 2000, 'Postoperative seizure outcome after corpus callosotomy in reflex epilepsy', Chinese Medical Journal (Taipei), 卷 63, 編號 3, 頁 240-246.
Kwan SY, Wong T-T, Chang KP, Yang TF, Lee YC, Guo WY 等. Postoperative seizure outcome after corpus callosotomy in reflex epilepsy. Chinese Medical Journal (Taipei). 2000 3月 1;63(3):240-246.
Kwan, Shang Yeong ; Wong, Tai-Tong ; Chang, Kai Ping ; Yang, Tsui Fen ; Lee, Ying Chiao ; Guo, Wan Yuo ; Su, Ming Shung. / Postoperative seizure outcome after corpus callosotomy in reflex epilepsy. 於: Chinese Medical Journal (Taipei). 2000 ; 卷 63, 編號 3. 頁 240-246.
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N2 - Flickering light and color patterns, reading, language, movement, decision making, eating, tapping and touching, hot water immersion and auditory stimulation can induce seizures in some epileptic patients. These are known as the 'reflex epilepsies'. The mechanism of reflex epilepsy is not clear. Recently, we performed anterior two-thirds corpus callosotomies in two reflex epilepsy patients (ages 12 and 14 years), with follow-up for more than three years. Patient 1 had Lennox-Gastaut syndrome with auditory-induced generalized atonic or tonic seizures (startle epilepsy), which decreased by 60% after callosotomy. Patient 2 had Lennox-Gastaut syndrome with somatosensory-induced generalized tonic seizures (tap epilepsy). He was seizure-free for one year immediately after callosotomy, but his seizures recurred with the same degree and frequency as before surgery. The nonsignificant postoperative seizure outcome suggests that the corpus callosum only plays a partial role in seizure generation. Our report also discusses the possible mechanisms of generation of reflex seizures.

AB - Flickering light and color patterns, reading, language, movement, decision making, eating, tapping and touching, hot water immersion and auditory stimulation can induce seizures in some epileptic patients. These are known as the 'reflex epilepsies'. The mechanism of reflex epilepsy is not clear. Recently, we performed anterior two-thirds corpus callosotomies in two reflex epilepsy patients (ages 12 and 14 years), with follow-up for more than three years. Patient 1 had Lennox-Gastaut syndrome with auditory-induced generalized atonic or tonic seizures (startle epilepsy), which decreased by 60% after callosotomy. Patient 2 had Lennox-Gastaut syndrome with somatosensory-induced generalized tonic seizures (tap epilepsy). He was seizure-free for one year immediately after callosotomy, but his seizures recurred with the same degree and frequency as before surgery. The nonsignificant postoperative seizure outcome suggests that the corpus callosum only plays a partial role in seizure generation. Our report also discusses the possible mechanisms of generation of reflex seizures.

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