[A case of XXXX (author's transl)].

@entity1 @entity410 @entity2695 @entity17156 @entity148 @entity2477 @entity2414
A 32-year-old male, who had had @entity410 for the past 10 years, was admitted to the neurosurgical institute of Tenri Hospital on @entity17156 , 1981. Physical examination on admission revealed some @entity2414 , neuroasthenic tendency and a purplish nevus in the left foot. Plain x-ray series of the skull showed several nodular calcified lesions in the medial aspect of the left temporal lobe. Electroencephalography showed sporadic negative spikes and irregular slow waves dominant in the left anterior quadrant of the head. CT scan showed a high-density area in the left hippocampal gyrus with slight enhancement by contrast medium. Under stereotactic consideration, a left temporal osteoplastic craniotomy and total removal of the mass were performed on March 20, 1981. The histological examination proved it to be calcified @entity2477 or @entity2695 after Penfield and Ward (1948). Postoperative course was uneventful; even 4 weeks after surgery, electroencephalogram became normalized, and memory and @entity148 scores became better. At present, in spite of decreased anticonvulsant, the @entity1 has had no more @entity410 since surgery, and has returned to his business without any complaint. The authors have emphasized the necessity of active operation for @entity2695 even for the one located in the depth of the dominant cerebral hemisphere. Stereotactic consideration can make the surgical risk minimize. CT scan especially with its contour plot of the images is helpful precisely to locate the lesion. For the nevus in the left foot, the biopsy was refused by the @entity1 , which might have connection with the intracerebral @entity2477 .
