The cessation of continuous spike wave in slow-wave sleep following a temporal lobectomy

Brian D. Moseley, Radhika Dhamija, Elaine C. Wirrell

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

The role of surgery in continuous spike wave in slow-wave sleep has not been robustly explored. The authors present a case of an 11-year-old boy with refractory partial seizures and continuous spike wave in slow-wave sleep who was treated with an anterior temporal lobectomy. His presurgical brain magnetic resonance imaging revealed right basal ganglia and thalamic infarcts and right mesial temporal sclerosis. Following surgery, he achieved seizure freedom, cessation of continuous spike wave in slow-wave sleep, and improved cognition. This case provides further evidence that epilepsy syndromes with generalized electrographic discharges can be secondary to focal pathology and potentially cured with resective surgery. The normalization of his sleep electroencephalogram following the anterior temporal lobectomy suggests that temporal lobe structures may be involved in the seizure network needed to generate continuous spike wave in slow-wave sleep.

Original languageEnglish (US)
Pages (from-to)113-116
Number of pages4
JournalJournal of child neurology
Volume27
Issue number1
DOIs
StatePublished - Jan 1 2012

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Keywords

  • Continuous spike wave in slow-wave sleep
  • Generalized seizures
  • Mesial temporal sclerosis
  • Resective surgery
  • Seizure networks

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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