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간질중첩증 후 가역적 팽대병변을 보인 환자에서 나타난 장기간의 전두엽장애

Other Titles
 Long-Term Dysfunction of Frontal Labe in a Patient with Isolated Reversible Splenial Lesion after Status Epilepticus 
Authors
 조양제  ;  박형준  ;  허경  ;  이병인  ;  이영준  ;  한상돈 
Citation
 Journal of Korean Epilepsy Society (대한간질학회지), Vol.11(1) : 54-58, 2007 
Journal Title
 Journal of Korean Epilepsy Society (대한간질학회지) 
ISSN
 2234-5531 
Issue Date
2007
Abstract
Reversible splenial edema has been often reported in epilepsy patients. Clinical presentation is reported to be silent in general. We experienced a patient with splenial lesion and cognitive dysfunction. A 21-year-old man underwent video-EEG monitoring for preoperative evaluation. He had suffered from viral encephalitis eight years ago and developed chronic drug-resistant epilepsy. After antiepileptic drugs withdrawal, he developed eight episodes of secondarily generalized tonic-clonic seizures for several hours and some seizures were repeated without recovery of consciousness. Majority of ictal EEG onset presumed to originate from the left frontal region. After seizures he had shown disorientation and irritability with gradual recovery. Brain MRI demonstrated a splenial lesion. Though splenial lesion disappeared on follow-up MRI, neuropsychological test demonstrated frontal lobe dysfunction 6 months later compared with that performed just before the video-EEG monitoring. We report a patient with isolated reversible splenial lesion associated with long term dysfunction of frontal lobe.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Byung In(이병인)
Lee, Youngjoon(이영준) ORCID logo https://orcid.org/0000-0002-9602-5186
Cho, Yang Je(조양제)
Han, Sang Don(한상돈)
Heo, Kyoung(허경)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/96389
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