Hemiconvulsion-hemiplegia-epilepsy syndrome
Another case for epilepsy surgery
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Hemiconvulsion-hemiplegia-epilepsy syndrome (HHE) was first described by Gastaut and colleagues almost 50 years ago.1 It is defined by a prolonged unilateral febrile seizure or seizures followed by the development of a transient or permanent hemiparesis ipsilateral to the side of the convulsion occurring in a young child (<4 years of age). The imaging and pathologic features of HHE include acute edema of the affected hemisphere, often followed by the development of volume loss in that hemisphere.2,3 Following initial presentation, children may then develop partial epilepsy at a time remote from the initial presentation.
In this issue of Neurology®, Kim and colleagues4 describe the outcome of epilepsy surgery in 26 people with HHE and delayed onset intractable epilepsy. They demonstrated that limited surgical resection …
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