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Table 1 Brain lesion categories encountered in the German Neuropathology Reference Center for Epilepsy Surgery

From: Low-grade developmental and epilepsy associated brain tumors: a critical update 2020

Category

Numbers

Age @ Onset

Disease Duration

Age @ Surgery

HS

2144 (31.2%)

11,4

22,7

34,1

Dual

262 (3.9%)

8,6

14,6

23,3

Tumors

1680 (25.9%)

15,4

11,5

26,8

Malformations

1238 (18.3%)

6,0

12,1

18,3

No Lesion

542 (8%)

11,9

15,0

27,9

Vascular

369 (5.5%)

23,1

12,7

35,9

Scars

344 (5.1%)

9,7

14,9

25,3

Encephalitis

138 (2%)

13,2

7,7

20,7

Double

30 (0.4%)

7,0

14,8

21,4

Total

6747

11,8

16,1

27,9

  1. HS-Hippocampal sclerosis; Dual-dual pathology includes HS with any other principle lesion such as tumors, malformations of cortical development (excluding associated FCD Type IIIA according to the ILAE classification of 2013); vascular malformations, glial scars (excluding postsurgical scars), or encephalitis; Tumors see Table 2; Malformations of cortical development include Focal Cortical Dysplasia (ILAE classification of 2011), polymicrogyria, hemimegalencephaly, hypothalamic hamartoma or cortical tubers; No lesion – microscopic inspection of surgical sample could not reveal any specific lesion entity, including no-HS and gliosis only; Vascular malformations include cavernoma and meningoangiomatosis in Sturge-Weber syndrome, but not ischemic stroke or hypertensive hemorrhages; glial or glio-mesodermal scars include traumatic brain injury and any pre−/peri- or postnatal stroke lesion, excluding postsurgical scaring; Encephalitis includes Rasmussen, limbic or other focal infection; Double pathology represents a combination of at least 2 principal lesions, excluding HS; Age at onset, duration of epilepsy and age at surgery in years