Case Detail

History: A 16 years old girl presented with complex partial seizures since 4 years ago, progressively become resistant to medications. On imaging there is a lesion in inferior surface of the left temporal lobe. She underwent surgical resection. Imaging and pathology report are provided here and surgical approach is presented in videos' section of the website: "http://neurosurgical-oncology.com/video%20detail.aspx?file=15" .please leave your comment according to the following questions.

Question: Do you agree with treatment and approach? Do you recommend any adjuvant treatment according to the histopathological diagnosis?

submit opinion

Name	Date	Opinion	Result
Keyvan Tayebi Meybodi	7/1/2021	The patient needs intracranial monitoring before surgery. As the diverse list of pathologies were listed in the case description, we cannot decide which one is the culprit for intractable seizures. Hippocampectomy without definite lesion localization would be a matter of debate.	Surgery
Dr Gomar	7/2/2021	If the entire lesion is completely removed by surgery, she doen't need any adjuvant therapy and followup every 3-6 months with brainMRI is enough.	Follow-up
Masoumeh Najafi	7/2/2021	considering glioneural tumor as the pathological diagnosis and its low rate of proliferation, I recommend follow-up for this patient.in case of recurrence surgery or radiation would be a good choice.	Follow-up
	7/2/2021		Follow-up
Sara Soltanzadeh	7/2/2021	As these tumors are usually low grade and of non-aggressive behaviour, they may not need any adjuvant therapy	Surgery
Sarvazad Sotoudeh	7/2/2021	After complete removal by surgery, close follow up is recommended.	Follow-up