Work

Surgical cure of intractable epilepsy caused by retained intracranial foreign body under cortical electroencephalography monitoring: case report and literature review

Year: 2025

Type: article

Abstract: Post-Traumatic Epilepsy is a common and severe complication following brain trauma. However, there are few reports on intractable epilepsy caused by retained foreign bodies. This article reports a case of a patient with a metal foreign body retained in the cranium for 20 years due to trauma, resulting in drug-resistant epilepsy which type is focal to bilateral tonic-clonic seizure. Through preoperative imaging and neurophysiological techniques, the foreign body and epileptogenic zone were precisely located. Intraoperative cortical electroencephalography monitoring was used to accurately remove the foreign body and resect the epileptogenic focus, which pathological result indicates gliosis and calcification. The intractable epilepsy was effectively controlled, and the patient experienced no seizures postoperatively.

Source: Frontiers in Surgery

DOI: 10.3389/fsurg.2025.1614564

Authors: Zhigang Tan, Ming Wang, Jingwei Wan, Xinxin Li, Yan Cui

Institution: Second Xiangya Hospital of Central South University

Language: English

Topic: Epilepsy research and treatment

Subfield: Psychiatry and Mental health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,801