Peer-reviewed veterinary case report
Abolition of seizures following Forel-H-tomy for drug-resistant epilepsy: A case report.
- Year:
- 2023
- Authors:
- Horisawa S et al.
- Affiliation:
- Department of Neurosurgery · Japan
Plain-English summary
A 62-year-old woman had a serious brain injury when she was 44, which later led to her developing seizures. Despite trying four different medications, she continued to have seizures, including some that were more severe. After further testing showed the problem was in the left side of her brain, she had a surgical procedure called Forel-H-tomy to help control her epilepsy. After the surgery, she did not have any seizures for a whole year, showing that this surgery can be an effective option for people whose epilepsy doesn't respond to medication.
Abstract
A 62-year-old female experienced an extensive cerebral contusion in the left frontotemporal lobe due to an acute subdural hematoma at the age of 44 years. Six months after the injury, the patient developed epileptic seizures. The seizures were generalized with right cervical rotation and fencing posture. Despite prescriptions for four antiepileptic drugs, partial seizures occurred several times a month and focal to bilateral tonic-clonic seizures once every 2 months. Video-electroencephalography showed epileptic discharges in the left frontal lobe. The patient was subsequently referred to our department for palliative surgery. The patient underwent a left Forel-H-tomy. The prescription of antiepileptic drugs was not changed, and the patient was seizure free for 1 year. Forel-H-tomy, a surgical procedure for intractable epilepsy, was pioneered by Dennosuke Jinnai. Despite its previously reported remarkable efficacy, Forel-H-tomy has not been performed for several decades. Nevertheless, it remains a potential alternative treatment option for drug-resistant epilepsy.
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Search related cases →Original publication: https://europepmc.org/article/MED/37702102