CASE REPORT article
Front. Surg.
Sec. Neurosurgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1614564
This article is part of the Research TopicDoing More with Less: Neurosurgery Strategies and Tricks of the Trade in the Technological EraView all articles
Surgical Cure of Intractable Epilepsy Caused by Retained Intracranial Foreign Body Under Cortical Electroencephalography Monitoring：case report and literature review
Provisionally accepted
- Second Xiangya Hospital, Central South University, Changsha, China
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Post-Traumatic Epilepsy is a common and severe complication following brain trauma.However, there are few reports on intractable epilepsy caused by retained foreign bodies. This article reports a case of a patient with a metal foreign body retained in the cranium for 20 years due to trauma, resulting in drugresistant epilepsy which type is focal to bilateral tonic-clonic seizure. Through preoperative imaging and neurophysiological techniques, the foreign body and epileptogenic zone were precisely located.Intraoperative cortical electroencephalography monitoring was used to accurately remove the foreign body and resect the epileptogenic focus,which pathological result indicates gliosis and calcification.The intractable epilepsy was effectively controlled, and the patient experienced no seizures postoperatively.
Keywords: Epilepsy, Retained Intracranial Foreign Body, EEG, Neurosurgery, Post traumatic epilepsy
Received: 19 Apr 2025; Accepted: 26 May 2025.
Copyright: © 2025 zhigang, Ming, Jingwei, Xinxin and Yan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Cui Yan, Second Xiangya Hospital, Central South University, Changsha, China
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