Seizure freedom from recurrent insular low-grade glioma following laser interstitial thermal therapy

Tp Easwaran, A. Lion, Ao Vortmeyer, K. Kingery, McDonald D. Bc, Js Raskin

Research output: Contribution to journalArticlepeer-review

Abstract

Pediatric low-grade gliomas (LGGs) are found in approximately 1–3% of patients with childhood epilepsy that is often medically refractory. Magnetic resonance guided laser interstitial thermal therapy (MRgLITT) is a minimal access technique FDA-approved since 2007 to ablate soft tissue lesions including brain tumors and seizure foci in children. The authors describe the case of an 11-year-old boy who presented with focal right-sided seizures and was found to have a growing left insular mass determined to be a WHO grade II diffuse astrocytoma. After the initial open resection using frontotemporal craniotomy with transsylvian approach, gross total resection was achieved; however, the tumor recurred, as did the seizures. Six months postoperatively, the patient underwent laser ablation with MRgLITT for the recurrent tumor with complete removal. At both 1- and 6-months post re-operation, he has remained seizure free. MRgLITT management of LGG allows for both successfully reducing tumor burden and the amelioration of secondary seizures.

Original languageEnglish (US)
Pages (from-to)1055-1059
Number of pages5
JournalChild's Nervous System
Volume36
Issue number5
DOIs
StatePublished - May 1 2020

Keywords

  • Low-grade glioma
  • MRGLITT
  • Pediatric
  • Seizures

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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