Doctor insights on:
Epilepsy Surgery For Cortical Dysplasia
37 year old has scoliosis, lumbar lordosis and curved spine, and was born with hip dysplasia.Had several surgeries. Now has joint and back pain walkin?
Name of top surgeon/facility for frontal cortical dysplasia evaluation, treatment and/or surgery? Thank you e olsen healthy, otherwise normal 16 yr old female, tonic clonic, versive seizures approx 1 x month for 4 years on lamictal. A few 2 and 3 month
Some suggestions: You could start with University Hospital in Aurora, but I think more surgical epilepsy experience is present at UCLA Hospital in California, Mayo Clinic in Rochester, Mn, Cleveland Clinic in Ohio, and of course, Johns Hopkins Hospital in Baltimore. No harm in acquiring several opinions via phone calls, first. This is a highly specialized area, and would take your time to find success. ...Read moreSee 1 more doctor answer
Yes: Cortical dysplasia refers to a congenital (present at birth) abnormality in the brain’s development. As the brain naturally develops in utero, neurons migrate outward to the cerebral cortex. Should these neurons fail to spread out and position correctly, the signals will misfire – triggering a seizure. Anti-seizure meds can be used to help patients. How this affects a patient is quite variable. ...Read more
Cortical dysplasia: Cortical dysplasia refers to a malformation of brain, in which the nerve cells have not migrated to their normal location. It does not cause brain swelling unless during fetal life it is caused by infection during the time of neurons migrating to their normal location. ...Read more
Do all people with cortical dysplasia have seizures and other problems i never had seizures and vision is 20\20 condition found due to 24\7 headaches
No, not all: Not all people with cortical dysplasia have seizures. This finding is typically made when a person has seizures, it does not cause symptoms many other times. Cortical dysplasia tends not to affect vision or be related to headaches, for example. Sometimes cortical dysplasia is found on brain MRI, but it may have no clinical significance. ...Read more
Doctors thought i had a brain tumor, A.D.E.M., and now cortical dysplasia is there a chance that this could still be a brain tumor?
Hard question!: This question is beyond the scope of what we can answer in this forum. It would require a medical consultation, with detailed history, review of your medical records and your actual MRI images. Public answers on HealthTap are not intended for individual treatment, prescription or diagnosis. A personal consultation can be obtained through HealthTap Concierge with me or another Board-Certified MD ...Read more
My daughter had her first seizure. the mri showed a minor abnormality. If it is cortical dysplasia what is the likelihood of more seizures?
Hard to say: One of the problems of all the modern imaging we have available is knowing what to do with the findings. A minor anomaly may be just that. Something unrelated and of no importance.EEG findings sometimes have a better correlation with future seizure activity. This is best explained by the doc who has access to all the data. ...Read more
Doctors thought it to be a brain tumor, ADEM, and now cortical dysplasia is it still possible for the mass to be a brain tumor? thanks!
What is cortical dysplasia? i was diagnoised with it and it was origionally thought to be a brain tumor after several mri tests they said it was this
Born with it: Cortical dysplasia is when a small island of gray matter is out of place in the white matter layer of the brain, seen on MRI. It can be mistaken for a benign brain tumor. It happens during development of the brain, and usually causes no trouble. Rarely it can cause seizures, which can be treated with medicine. VERY rarely surgery is done to remove it if seizures are hard to control. ...Read more
Brain lesion. i was told it was a brain tumor, acute disseminated encephalomyelitis, and cortical dysplasia could it still be a brain tumor? thanks!
Huh?: Didn't you just answer your own question? Maybe I'm missing something but if the diagnosis actually IS ADEM (as I believe you are saying above) and if what you have is cortical dysplasia (unrelated to the ADEM) to boot then, neither of those 2 together nor separately are synonyms for brain tumor. Do you have imaging studies? That would solve the mystery? Questions? www.healthtap.com/drsaghafi ...Read more
Depends: Epilepsy surgery is an excellent option for those with uncontrolled (two different medication trials) partial epilepsy coming from a single area of the brain, when that area is not involved in important brain function. Easily controlled partial seizures or those with primary generalized epilepsy are usually treated with medication. ...Read moreSee 2 more doctor answers
Hope positive result: Fairly high percentage success rate, with at least a 60-75% decrease in seizure frequency, if you possess an appropriate focal lesion in the temporal lobe. You will need to discuss the technical aspects, and risk factors with your surgeons, and hopefully, get all your questions answered. ...Read more
Temporal lobectomy: for intractable seizures improves seizure control in 85% of patients. If resection can avoid memory, emotion & language comprehension sites identified pre-operatively & verbal memory sites identified by intra--operative electrical stimulation, risk of post-op deficits is less. See http://epilepsy.med.nyu.edu/epilepsy-surgery/surgery-treatment-options/temporal-lobe-resections#sthash.FKMzRNaK.dpbs ...Read more
Tricky question: Epilepsy surgery strives as its goal to cure epilepsy. If learning difficulties are clearly a consequence of the epilepsy or medications treating the epilepsy then, one could potentially expect improvements from surgery if the epilepsy itself could be "Cured" or at least dramatically improved. However, surgery can still be considered successful even if learning difficulties are not improved. ...Read more
No: Petit mal is a generalized epilepsy usually seen in children. It responds to Ethosuccamide or Depakote. It resolves on its own by age 14 in virtually all boys and most girls. Perhaps you are thinking of Complex Partial Epilepsy which sometimes can be treated with anterior temporal surgery (if the seizure focus is in that anterior temporal lobe) ...Read moreSee 1 more doctor answer
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