Various findings in surgically treated epilepsy patients with dysembryoplastic neuroepithelial tumors in comparison with those of patients with other low-grade brain tumors and other neuronal migration disorders

被引:21
作者
Degen, R [1 ]
Ebner, A [1 ]
Lahl, R [1 ]
Leonhardt, S [1 ]
Pannek, HW [1 ]
Tuxhorn, I [1 ]
机构
[1] Epilepsy Ctr Bethel, D-33617 Bielefeld, Germany
关键词
partial epilepsies; therapy resistance; surgery; dysembryoplastic neuroepithelial tumors (DNTs); low-grade brain tumors (without DNTs);
D O I
10.1046/j.1528-1157.2002.15201.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose: To determine whether dysembryoplastic neuroepithelial tumors (DNTs) that belong to the neuronal migration disorders (NMDs) are to be classified with them or with "other low-grade brain tumors" regarding several etiologic, clinical, magnetic resonance imaging (MRI), and EEG findings. Methods: These findings of 21 DNT patients were compared with those of 13 consecutive patients with other low-grade brain tumors and 41 NMD patients. Results: The result is absolutely clear: nearly all findings in DNT patients (complications during pregnancy, birth, the newborn period and the postnatal period, age at first seizure, epileptic syndrome, seizure type, febrile seizures, retarded milestones, intellectual and neurologic deficits, MRI, interictal and ictal EEG findings) being similar or in agreement with those of other low-grade brain tumors, not with those of other NMDs. Conclusions: Regarding various clinical features including surgery outcome, MRI, and EEG findings, DNTs should be classified with the other low-grade brain tumors, rather than with NMDs.
引用
收藏
页码:1379 / 1384
页数:6
相关论文
共 44 条
[1]  
BARKOVICH AJ, 1992, AM J NEURORADIOL, V13, P95
[2]   GRAY-MATTER HETEROTOPIAS - MR CHARACTERISTICS AND CORRELATION WITH DEVELOPMENTAL AND NEUROLOGIC MANIFESTATIONS [J].
BARKOVICH, AJ ;
KJOS, BO .
RADIOLOGY, 1992, 182 (02) :493-499
[3]   A classification scheme for malformations of cortical development [J].
Barkovich, AJ ;
Kuzniecky, RI ;
Dobyns, WB ;
Jackson, GD ;
Becker, LE ;
Evrard, P .
NEUROPEDIATRICS, 1996, 27 (02) :59-63
[4]   Sublobar dysplasia - A new malformation of cortical development [J].
Barkovich, AJ ;
Peacock, W .
NEUROLOGY, 1998, 50 (05) :1383-1387
[5]   LOW-GRADE GLIOMAS ASSOCIATED WITH INTRACTABLE EPILEPSY - SEIZURE OUTCOME UTILIZING ELECTROCORTICOGRAPHY DURING TUMOR RESECTION [J].
BERGER, MS ;
GHATAN, S ;
HAGLUND, MM ;
DOBBINS, J ;
OJEMANN, GA .
JOURNAL OF NEUROSURGERY, 1993, 79 (01) :62-69
[6]   CHILDHOOD BRAIN-TUMORS PRESENTING AS CHRONIC UNCONTROLLED FOCAL SEIZURE DISORDERS [J].
BLUME, WT ;
GIRVIN, JP ;
KAUFMANN, JCE .
ANNALS OF NEUROLOGY, 1982, 12 (06) :538-541
[7]   INTRACRANIAL, INTRAAXIAL, SPACE-OCCUPYING LESIONS IN PATIENTS WITH INTRACTABLE PARTIAL SEIZURES - AN ANATOMOCLINICAL, NEUROPSYCHOLOGICAL, AND SURGICAL CORRELATION [J].
BOON, PA ;
WILLIAMSON, PD ;
FRIED, I ;
SPENCER, DD ;
NOVELLY, RA ;
SPENCER, SS ;
MATTSON, RH .
EPILEPSIA, 1991, 32 (04) :467-476
[8]   EPILEPSY AND ANOMALIES OF NEURONAL MIGRATION - MRI AND CLINICAL ASPECTS [J].
BRODTKORB, E ;
NILSEN, G ;
SMEVIK, O ;
RINCK, PA .
ACTA NEUROLOGICA SCANDINAVICA, 1992, 86 (01) :24-32
[9]   Dysembryoplastic neuroepithelial tumors: nonspecific histological forms - A study of 40 cases [J].
Daumas-Duport, C ;
Varlet, P ;
Bacha, S ;
Beuvon, F ;
Cervera-Pierot, P ;
Chodkiewicz, JP .
JOURNAL OF NEURO-ONCOLOGY, 1999, 41 (03) :267-280
[10]   DYSEMBRYOPLASTIC NEUROEPITHELIAL TUMORS [J].
DAUMASDUPORT, C .
BRAIN PATHOLOGY, 1993, 3 (03) :283-295