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Functional recovery following resection of an epileptogenic focus in the motor hand area.

Publication ,  Journal Article
Chamoun, RB; Mikati, MA; Comair, YG
Published in: Epilepsy Behav
November 2007

Despite recent technical advances, the surgical management of epileptic foci in the primary motor area, especially the motor hand area, continues to represent a significant challenge because of the risk of permanent neurological deficit. We describe the case of a 19-year-old woman with intractable epilepsy secondary to cortical dysplasia of the motor hand area who was treated with surgical resection. The patient showed immediate complete motor deficit, started improving at around 1 month of follow-up, and had a substantial recovery at 6 months, with only mild limitations of fine hand movements. At the latest follow-up (3 years), she remained seizure-free. This case demonstrates that, in selected cases, resections in the primary motor cortex can be performed and that the immediately observed motor deficit is transient. We discuss the proposed mechanisms for recovery based on available data from experimental animal and clinical human studies.

Duke Scholars

Published In

Epilepsy Behav

DOI

ISSN

1525-5050

Publication Date

November 2007

Volume

11

Issue

3

Start / End Page

384 / 388

Location

United States

Related Subject Headings

  • Recovery of Function
  • Neurosurgery
  • Neurology & Neurosurgery
  • Motor Cortex
  • Magnetic Resonance Imaging
  • Humans
  • Hand
  • Female
  • Epilepsy
  • Brain Mapping
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Chamoun, R. B., Mikati, M. A., & Comair, Y. G. (2007). Functional recovery following resection of an epileptogenic focus in the motor hand area. Epilepsy Behav, 11(3), 384–388. https://doi.org/10.1016/j.yebeh.2007.05.015
Chamoun, Roukoz B., Mohamad A. Mikati, and Youssef G. Comair. “Functional recovery following resection of an epileptogenic focus in the motor hand area.Epilepsy Behav 11, no. 3 (November 2007): 384–88. https://doi.org/10.1016/j.yebeh.2007.05.015.
Chamoun RB, Mikati MA, Comair YG. Functional recovery following resection of an epileptogenic focus in the motor hand area. Epilepsy Behav. 2007 Nov;11(3):384–8.
Chamoun, Roukoz B., et al. “Functional recovery following resection of an epileptogenic focus in the motor hand area.Epilepsy Behav, vol. 11, no. 3, Nov. 2007, pp. 384–88. Pubmed, doi:10.1016/j.yebeh.2007.05.015.
Chamoun RB, Mikati MA, Comair YG. Functional recovery following resection of an epileptogenic focus in the motor hand area. Epilepsy Behav. 2007 Nov;11(3):384–388.
Journal cover image

Published In

Epilepsy Behav

DOI

ISSN

1525-5050

Publication Date

November 2007

Volume

11

Issue

3

Start / End Page

384 / 388

Location

United States

Related Subject Headings

  • Recovery of Function
  • Neurosurgery
  • Neurology & Neurosurgery
  • Motor Cortex
  • Magnetic Resonance Imaging
  • Humans
  • Hand
  • Female
  • Epilepsy
  • Brain Mapping