Title: Case of focal cortical dysplasia in a tertiary rural hospital
Authors: Dr Hasnayan Sabir, Dr Maria Tomy Prothasis, Dr Aishwarya Ghule, Dr Sanyukta Hepat, Dr Vidyashree Hulkoti
DOI: https://dx.doi.org/10.18535/jmscr/v7i6.86
Abstract
Focal cortical dysplasia (FCDs) which was considered to be a rare cause now it’s being diagnosed easily due to better imaging facilities. It usually presents as focal seizures specially in pediatric population. In our case, 19-year-old girl presented with focal seizures since the age of five years. Electroencephalography (EEG) showed no significant abnormality. Magnetic resonance imaging (MRI) of Brain done revealed thickened cortex in right posterior parietal lobe, possibly focal cortical dysplasia with post ictal edema. Patient was then started on sodium valproate 500mg BD and dosage of carbamazepine was increased to 200mg BD after which her seizures were controlled after 2 days. In this case seizure was controlled by two anticonvulsants.
Keywords: Seizure, Focal cortical dysplasia, MRI, Anti convulsant.
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