Flynn Jeannie, Gunawan Prastiya Indra, Noviandi Riza, Samosir Sunny Mariana
Department of Child Health, Dr Soetomo General Academic Hospital, Surabaya, Indonesia.
Department of Child Health, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Radiol Case Rep. 2024 Oct 15;20(1):124-128. doi: 10.1016/j.radcr.2024.09.131. eCollection 2025 Jan.
Epilepsy is a prevalent neurological disorder in children, with 30-35% of cases developing into intractable epilepsy despite appropriate anti-seizure medications (ASMs). Advanced imaging is crucial for early diagnosis, especially in detecting structural causes like gangliogliomas, which are associated with drug-resistant focal epilepsy. We report a 5-year-old boy with recurrent seizures, initially undetected by EEG. Persistent seizures led to the identification of an occipital lobe ganglioglioma through MRI. The tumor was successfully resected, significantly improving the patient's condition. This case emphasizes the limitations of relying solely on EEG for epilepsy diagnosis and highlights the necessity of integrating advanced imaging techniques. The successful outcome underscores the importance of a multidisciplinary approach, involving pediatric neurologists, radiologists, and neurosurgeons, in managing complex pediatric epilepsy cases.
癫痫是儿童中一种常见的神经系统疾病，尽管使用了适当的抗癫痫药物（ASMs），仍有30%至35%的病例发展为难治性癫痫。先进的影像学检查对于早期诊断至关重要，特别是在检测如神经节胶质瘤等结构性病因方面，这些病因与耐药性局灶性癫痫有关。我们报告了一名5岁男孩，反复癫痫发作，最初脑电图未检测到异常。持续性癫痫发作通过磁共振成像（MRI）发现了枕叶神经节胶质瘤。肿瘤成功切除，患者病情显著改善。该病例强调了仅依靠脑电图进行癫痫诊断的局限性，并突出了整合先进影像学技术的必要性。成功的结果强调了多学科方法的重要性，包括儿科神经科医生、放射科医生和神经外科医生，以管理复杂的儿科癫痫病例。
