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AI InsightFinally, staged resection may be performed as a surgical treatment in some cases.
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Özet
We present a case of invasive monitoring of a patient while he was being surgically treated in the status state. Our patientwas a 27-year-old male who was hospitalized for frequent seizures, which began after a head trauma at the age of 3 years.Video electroencephalography was performed, and 25 clinical seizures were observed in 24 hours. Cranial magnetic resonanceimaging (MRI) revealed a right frontal lesion which was hyperintense in T2-weighted and hypointense in T1-weighted images,and a subependymal nodule. For invasive monitoring, subdural electrodes were placed on the cortex surface via a right frontalcraniotomy. The patient was re-operated, and the epileptic zone resection was performed. There was no sign of neurological deficit.Histopathological examination revealed cortical tuber, and the patient was scanned for tuberous sclerosis. There was no sign oftuberous sclerosis in other organs. The diagnosis of our patient was tuberous sclerosis, cortical tuber, subependymal nodule,epilepsy, and intermediate mental retardation. Radiological diagnosis should also be considered. Cortical tuber can be confusedwith focal cortical dysplasia. Finally, staged resection may be performed as a surgical treatment in some cases.