A case of secondary cerebral amyloidoma after gamma knife radiosurgery for medial temporal epilepsy and literature review_Journal of Epilepsy

Authors：

 HU Weibing ¹ , LI Kaihui ¹ , FEI Lingxia ¹ , HU Xiangshu ¹ , LI Danfang ¹ , LI Hainan ²

1. Epilepsy Center, Guangdong 999 Brain Hosipital, Guangzhou 510515, China;
2. Pathology apartment, Guangdong 999 Brain Hosipital, Guangzhou 510515, China;

Corresponding author：

HU Weibing, Email: 18469055@qq.com

Keywords：

Gamma knife radiosurgery; Postoperation; Amyloidoma; Medial temporal epilepsy

DOI：

10.7507/2096-0247.20200063

Video：

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Objective To clarify the characteristic of secondary cerebral amyloidoma which is relapsing in one year after seven years gamma knife radiosurgery and review relevant literature.Methods To analyze the clinical manifestation, preoperative and postoperative MRI imaging, inter-ictal and ictal electroencephalogram (EEG) and histopathological evaluation.Results The patient suffered from epilepsy (mainly autonomic seizure and global tonic-clonic seizure) at the age of 22 and took a gamma knife radiosurgery for right medial temporal epilepsy as the refractory seizures occurred at the age of 36. In her 43 and 44 years’ old, she suddenly found left hemiplegia and mental retardation, the MRI showed right frontal and parietal space-occupying lesion and relapsed after the partial excision respectively, the inter-ictal and ictal EEG displayed persistent slow wave in the right hemisphere and spike wave located in the right posterior temporal and central-parietal, after the surgery, we found amyloid in the histopathological evaluation.Conclusion One of the delayed complications of gamma knife radiosurgery is secondary cerebral amyloidoma, and partial excision may induced relapsing easily.

Citation： HU Weibing, LI Kaihui, FEI Lingxia, HU Xiangshu, LI Danfang, LI Hainan. A case of secondary cerebral amyloidoma after gamma knife radiosurgery for medial temporal epilepsy and literature review. Journal of Epilepsy, 2020, 6(5): 396-401. doi: 10.7507/2096-0247.20200063 Copy

1.	Bartolomei F, HayashiM, TamuraM. Long-term efficacy of Gamma Knife radiosurgery in mesial temporal lobe epilepsy. Neurology, 2008, 70(19): 1658-1663.
2.	Srikijvilaikul T, Najm I, Foldvary-Schaefer N. Failure of Gamma Knife radiosurgery for mesial temporal lobe epilepsy: report of five cases. Neurosurgery, 2004, 54(6): 1395-1402, discussion 1402-1404.
3.	Vojtěch Z, Vladyka V, Kalina M. The use of radiosurgery for the treat-ment of mesial temporal lobe epilepsy and long-term results. Epilepsia, 2009, 50(9): 2061-2071.
4.	Kawamura T, Onishi H, Kohda Y. Serious adverse effects of gamma knife radiosurgery for mesial temporal lobe epilepsy. Neurol Med Chir (Tokyo), 2012, 52(12): 892-898.
5.	Chen N, Du SQ, Yan N. Delayed complications after Gamma Knife surgery for intractable epilepsy. J Clin Neurosci, 2014, 21(9): 1525-1528.
6.	Foroughi M, Kemeny AA, Lehecka M. Operative intervention for delayed symptomatic radionecrotic masses developing following stereotacticradiosurgery for cerebral arteriovenous malformations-case analysis and literature review. Acta Neurochir (Wien), 2010, 152(5): 803-815.
7.	Barbaro NM, Quigg M, Broshek DK. A multicenter, prospective pilot study of Gamma Knife radiosurgery for mesial temporal lobe epilepsy: seizure response, adverse events, and verbal memory. Ann Neurol, 2009, 65(2): 167-175.
8.	Zdeněk Vojtěch, Hana Malíková, Martin Syrůček. Morphological changes after radiosurgery for mesial temporal lobe epilepsy. Acta Neurochir, 2015, 157(10): 1783-1792.
9.	McKhann G, Drachman D, Folstein M. Clinical diagnosis of alzheimer’s disease: report of the NINCDS-ADRDA work group under the auspices of department of health and human services task force on alzheimer’s disease. Neurology, 1984, 34(7): 939-944.
10.	Michelle M, Miller-Thomas, Adam L. Multimodality review of amyloid related diseases of the central nervous system. Radiographics, 2016, 36(4): 1147-1163.
11.	Wippold FJ 2nd, Cairns N, Vo K. Neuropathology for the neuroradiologist: plaques and tangles. AJNR Am J Neuroradiol, 2008, 29(1): 18-22.
12.	Thal DR, Rüb U, Orantes M. Phases of abdeposition in the human brain and its relevance for the development of AD. Neurology, 2002, 58(12): 1791-1800.
13.	McKhann GM, Knopman DS, Chertkow H. The diagnosis of dementia due to alzheimer’s disease: recommendations from the national institute on aging-alzheimer’s association workgroups on diagnostic guidelines for alzheimer’s disease. Alzheimers Dement, 2011, 7(3): 263-269.
14.	Yamada M. Cerebral amyloid angiopathy: an overview. Neuropathology, 2000, 20(1): 8-22.
15.	Charidimou A, Gang Q, Werring DJ. Sporadic cerebral amyloid angiopathy revisited: recent insights into pathophysiology and clinical spectrum. J Neurol Neurosurg Psychiatry, 2012, 83(2): 124-137.
16.	Castro Caldas A, Silva C, Albuquerque L. Cerebral amyloid angiopathy associated with inflammation: report of 3 cases and systematic review. J Stroke Cerebrovasc Dis, 2015, 24(9): 2039-2048.
17.	Dheeraj Gandhi, Roberto Wee, Mayank Goyal. CT and MR Imaging of intracerebral amyloidoma: case report and review of the literature. AJNR Am J Neuroradiol, 2003, 24(3): 519-522.
18.	张秀茹, 于国, 伊志强, 等. 原发性脑淀粉瘤临床病理观察. 诊断病理学杂志, 2009, 16(6): 444-446.
19.	孟川, 赵宁辉, 毛伯镛. 脑淀粉样血管病1例报告并文献复习. 华西医学, 2001, 16(2): 177-178.
20.	Gandhi D, Wee R, Goyal M. CT and MR imaging of intracerebral amyloidoma: case report and review of the literature. AJNR Am J Neuroradiol, 2003, 24(3): 519-522.

1. Bartolomei F, HayashiM, TamuraM. Long-term efficacy of Gamma Knife radiosurgery in mesial temporal lobe epilepsy. Neurology, 2008, 70(19): 1658-1663.
2. Srikijvilaikul T, Najm I, Foldvary-Schaefer N. Failure of Gamma Knife radiosurgery for mesial temporal lobe epilepsy: report of five cases. Neurosurgery, 2004, 54(6): 1395-1402, discussion 1402-1404.
3. Vojtěch Z, Vladyka V, Kalina M. The use of radiosurgery for the treat-ment of mesial temporal lobe epilepsy and long-term results. Epilepsia, 2009, 50(9): 2061-2071.
4. Kawamura T, Onishi H, Kohda Y. Serious adverse effects of gamma knife radiosurgery for mesial temporal lobe epilepsy. Neurol Med Chir (Tokyo), 2012, 52(12): 892-898.
5. Chen N, Du SQ, Yan N. Delayed complications after Gamma Knife surgery for intractable epilepsy. J Clin Neurosci, 2014, 21(9): 1525-1528.
6. Foroughi M, Kemeny AA, Lehecka M. Operative intervention for delayed symptomatic radionecrotic masses developing following stereotacticradiosurgery for cerebral arteriovenous malformations-case analysis and literature review. Acta Neurochir (Wien), 2010, 152(5): 803-815.
7. Barbaro NM, Quigg M, Broshek DK. A multicenter, prospective pilot study of Gamma Knife radiosurgery for mesial temporal lobe epilepsy: seizure response, adverse events, and verbal memory. Ann Neurol, 2009, 65(2): 167-175.
8. Zdeněk Vojtěch, Hana Malíková, Martin Syrůček. Morphological changes after radiosurgery for mesial temporal lobe epilepsy. Acta Neurochir, 2015, 157(10): 1783-1792.
9. McKhann G, Drachman D, Folstein M. Clinical diagnosis of alzheimer’s disease: report of the NINCDS-ADRDA work group under the auspices of department of health and human services task force on alzheimer’s disease. Neurology, 1984, 34(7): 939-944.
10. Michelle M, Miller-Thomas, Adam L. Multimodality review of amyloid related diseases of the central nervous system. Radiographics, 2016, 36(4): 1147-1163.
11. Wippold FJ 2nd, Cairns N, Vo K. Neuropathology for the neuroradiologist: plaques and tangles. AJNR Am J Neuroradiol, 2008, 29(1): 18-22.
12. Thal DR, Rüb U, Orantes M. Phases of abdeposition in the human brain and its relevance for the development of AD. Neurology, 2002, 58(12): 1791-1800.
13. McKhann GM, Knopman DS, Chertkow H. The diagnosis of dementia due to alzheimer’s disease: recommendations from the national institute on aging-alzheimer’s association workgroups on diagnostic guidelines for alzheimer’s disease. Alzheimers Dement, 2011, 7(3): 263-269.
14. Yamada M. Cerebral amyloid angiopathy: an overview. Neuropathology, 2000, 20(1): 8-22.
15. Charidimou A, Gang Q, Werring DJ. Sporadic cerebral amyloid angiopathy revisited: recent insights into pathophysiology and clinical spectrum. J Neurol Neurosurg Psychiatry, 2012, 83(2): 124-137.
16. Castro Caldas A, Silva C, Albuquerque L. Cerebral amyloid angiopathy associated with inflammation: report of 3 cases and systematic review. J Stroke Cerebrovasc Dis, 2015, 24(9): 2039-2048.
17. Dheeraj Gandhi, Roberto Wee, Mayank Goyal. CT and MR Imaging of intracerebral amyloidoma: case report and review of the literature. AJNR Am J Neuroradiol, 2003, 24(3): 519-522.
18. 张秀茹, 于国, 伊志强, 等. 原发性脑淀粉瘤临床病理观察. 诊断病理学杂志, 2009, 16(6): 444-446.
19. 孟川, 赵宁辉, 毛伯镛. 脑淀粉样血管病1例报告并文献复习. 华西医学, 2001, 16(2): 177-178.
20. Gandhi D, Wee R, Goyal M. CT and MR imaging of intracerebral amyloidoma: case report and review of the literature. AJNR Am J Neuroradiol, 2003, 24(3): 519-522.

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