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Epilepsy Behav. 2012 Jun;24(2):279-82. doi: 10.1016/j.yebeh.2012.03.021. Epub 2012 Apr 28.

Sutton's law in epilepsy: because that is where the lesion is.

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  • 1Department of Neurology, SUNY Downstate Medical Center, Brooklyn, NY 11203, USA.


Successful epilepsy surgery requires unambiguous identification of the epileptogenic zone. This determination may be a challenge when the pre-surgical evaluation yields conflicting data. We evaluated an adult patient with a right insular mass, but a seizure semiology, interictal EEG, and ictal EEG, suggesting left temporal lobe epilepsy. Resection of the mass, a ganglioglioma, resulted in seizure freedom and disappearance of interictal left temporal lobe epileptiform discharges. This case illustrates the principle that in localization-related epilepsy, the money is usually in the mass.

Copyright © 2012 Elsevier Inc. All rights reserved.

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