Surgical treatment of drug resistant epilepsy in Sturge-Weber syndrome: review of the literature and clinical case presentation

The paper addresses the relatively rare inherited neurodermal disorder – Sturge-Weber syndrome that can manifest in epileptic seizures. We describe updated concepts, epidemiology, etiology, pathogenesis, clinical manifestations, and surgical treatment of the disease. We examined medical records of 2...

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Main Authors: G. S. Ibatova, S. K. Akshulakov, S. M. Malyshev, R. G. Khachatryan, T. M. Alekseeva, A. S. Shershever, W. A. Khachatryan
Format: Article
Language:Russian
Published: IRBIS LLC 2019-04-01
Series:Эпилепсия и пароксизмальные состояния
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Online Access:https://www.epilepsia.su/jour/article/view/457
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author G. S. Ibatova
S. K. Akshulakov
S. M. Malyshev
R. G. Khachatryan
T. M. Alekseeva
A. S. Shershever
W. A. Khachatryan
author_facet G. S. Ibatova
S. K. Akshulakov
S. M. Malyshev
R. G. Khachatryan
T. M. Alekseeva
A. S. Shershever
W. A. Khachatryan
author_sort G. S. Ibatova
collection DOAJ
description The paper addresses the relatively rare inherited neurodermal disorder – Sturge-Weber syndrome that can manifest in epileptic seizures. We describe updated concepts, epidemiology, etiology, pathogenesis, clinical manifestations, and surgical treatment of the disease. We examined medical records of 21 patients (aged from 1 to 11 years) with Sturge-Weber syndrome treated over the period of 1996-2016. After surgical treatment of 10 patients (five cases with hemispheretomy and five – with multifocal resection), positive outcomes (Engel class I, II) were found in 70% of cases, and negative (Engel class III, IV) – in 20% of cases. Оne child suddenly died during epileptic seizures. In non-operated children (age from 2 to 5 years) under our observation, an improvement was noted in six cases, no changes – in three cases, and a further progression of the disease – in three cases. In this article, we analyze two of these cases in detail.
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institution Matheson Library
issn 2077-8333
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language Russian
publishDate 2019-04-01
publisher IRBIS LLC
record_format Article
series Эпилепсия и пароксизмальные состояния
spelling doaj-art-12b3cfc0b10e4c89a00fb51e3b986a242025-08-03T19:51:21ZrusIRBIS LLCЭпилепсия и пароксизмальные состояния2077-83332311-40882019-04-01111536210.17749/2077-8333.2019.11.1.53-62433Surgical treatment of drug resistant epilepsy in Sturge-Weber syndrome: review of the literature and clinical case presentationG. S. Ibatova0S. K. Akshulakov1S. M. Malyshev2R. G. Khachatryan3T. M. Alekseeva4A. S. Shershever5W. A. Khachatryan6National Center of NeurosurgeryNational Center of NeurosurgeryAlmazov National Medical Research CenterAlmazov National Medical Research CenterAlmazov National Medical Research CenterSverdlovsk Regional Oncology CenterAlmazov National Medical Research CenterThe paper addresses the relatively rare inherited neurodermal disorder – Sturge-Weber syndrome that can manifest in epileptic seizures. We describe updated concepts, epidemiology, etiology, pathogenesis, clinical manifestations, and surgical treatment of the disease. We examined medical records of 21 patients (aged from 1 to 11 years) with Sturge-Weber syndrome treated over the period of 1996-2016. After surgical treatment of 10 patients (five cases with hemispheretomy and five – with multifocal resection), positive outcomes (Engel class I, II) were found in 70% of cases, and negative (Engel class III, IV) – in 20% of cases. Оne child suddenly died during epileptic seizures. In non-operated children (age from 2 to 5 years) under our observation, an improvement was noted in six cases, no changes – in three cases, and a further progression of the disease – in three cases. In this article, we analyze two of these cases in detail.https://www.epilepsia.su/jour/article/view/457sturge-weber syndromephakomatosisdrug-resistant epilepsyhemispherectomy
spellingShingle G. S. Ibatova
S. K. Akshulakov
S. M. Malyshev
R. G. Khachatryan
T. M. Alekseeva
A. S. Shershever
W. A. Khachatryan
Surgical treatment of drug resistant epilepsy in Sturge-Weber syndrome: review of the literature and clinical case presentation
Эпилепсия и пароксизмальные состояния
sturge-weber syndrome
phakomatosis
drug-resistant epilepsy
hemispherectomy
title Surgical treatment of drug resistant epilepsy in Sturge-Weber syndrome: review of the literature and clinical case presentation
title_full Surgical treatment of drug resistant epilepsy in Sturge-Weber syndrome: review of the literature and clinical case presentation
title_fullStr Surgical treatment of drug resistant epilepsy in Sturge-Weber syndrome: review of the literature and clinical case presentation
title_full_unstemmed Surgical treatment of drug resistant epilepsy in Sturge-Weber syndrome: review of the literature and clinical case presentation
title_short Surgical treatment of drug resistant epilepsy in Sturge-Weber syndrome: review of the literature and clinical case presentation
title_sort surgical treatment of drug resistant epilepsy in sturge weber syndrome review of the literature and clinical case presentation
topic sturge-weber syndrome
phakomatosis
drug-resistant epilepsy
hemispherectomy
url https://www.epilepsia.su/jour/article/view/457
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AT skakshulakov surgicaltreatmentofdrugresistantepilepsyinsturgewebersyndromereviewoftheliteratureandclinicalcasepresentation
AT smmalyshev surgicaltreatmentofdrugresistantepilepsyinsturgewebersyndromereviewoftheliteratureandclinicalcasepresentation
AT rgkhachatryan surgicaltreatmentofdrugresistantepilepsyinsturgewebersyndromereviewoftheliteratureandclinicalcasepresentation
AT tmalekseeva surgicaltreatmentofdrugresistantepilepsyinsturgewebersyndromereviewoftheliteratureandclinicalcasepresentation
AT asshershever surgicaltreatmentofdrugresistantepilepsyinsturgewebersyndromereviewoftheliteratureandclinicalcasepresentation
AT wakhachatryan surgicaltreatmentofdrugresistantepilepsyinsturgewebersyndromereviewoftheliteratureandclinicalcasepresentation