Rehavioral improvement following focal resection in a child with frontal lobe epilepsy: A case report

Tojo Nakayama, Taisuke Otsuki, Hideyuki Nakama, Takanobu Kaido, Yuu Kaneko, Eiji Nakagawa, Kenji Sugai, Makiko Kaga, Yuuki Inoue, Masayuki Sasaki

    Research output: Contribution to journalArticle

    Abstract

    Epilepsy in childhood sometimes involves behavioral problems, which are refractory to medical treatment. We describe a 7-year-old boy with frontal lobe epilepsy and severe behavioral problem, which dramatically improved following epilepsy surgeries. He had a severe attention deficit described as "acting vigorously as if driven by a motor", as well as severe mental retardation since 3 years old. He underwent anterior 2/3 callosotomy followed by two-time resections of left frontal lobe, and achieved not only complete seizure freedom but dramatic behavioral improvement. SNAP (Swanson, Norlan and Pelham) rating scale adjusting for him showed marked improvement in the component of his hyperactivity and impulsiveness. This case highlighted strong relation between frontal lobe epilepsy and behavioral impairment in childhood from the surgical perspective. The improvement of the behavior as well as epileptic seizures following the left frontal lobe resection in the present patient indicated that epileptic focus in the left frontal lobe was also responsible for the behavioral disorder.

    Original languageEnglish
    Pages (from-to)446-452
    Number of pages7
    JournalJournal of the Japan Epilepsy Society
    Volume26
    Issue number3
    DOIs
    Publication statusPublished - 2009 Apr 1

    Keywords

    • Behavior
    • Children
    • Epilepsy surgery
    • Frontal lobe epilepsy
    • Recurrent seizure

    ASJC Scopus subject areas

    • Neurology
    • Clinical Neurology

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  • Cite this

    Nakayama, T., Otsuki, T., Nakama, H., Kaido, T., Kaneko, Y., Nakagawa, E., Sugai, K., Kaga, M., Inoue, Y., & Sasaki, M. (2009). Rehavioral improvement following focal resection in a child with frontal lobe epilepsy: A case report. Journal of the Japan Epilepsy Society, 26(3), 446-452. https://doi.org/10.3805/jjes.26.446