난치성 간질을 동반한 결절성 경화증의 수술적 치험 3례

The Cases of Surgical Treatment of Intractable Childhood Epilepsy with Tuberous Sclerosis

저자들은 약물치료 또는 케톤식이요법으로 조절되지 않는 난치성 간질을 가진 결절성 경화증 환아에서 간질 수술 후 발작이 없어지고 인지기능과 행동 발달을 보인 3례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Tuberous sclerosis(TS) is a disorder of aberrant neuronal differentiation and prolifera-tion manifesting as multiple central nervous system(CNS) hamartomas. Seizures in pa-tients with TS are often intractable to anticonvulsant therapy. Although TS shows vari-ous lesions including multiple tubers, many patients with well localized epileptic focus to some tubers may have a benefit from epileptic surgery. We experienced three cases who had clinical improvement after epileptic surgery in intractable epilepsy complicated by TS. We report three cases and the brief review of literatures.