Epilepsy is a common neurological condition with varied etiological causes, with temporal lobe epilepsy being the most common. Among the varied etiologies of temporal lobe epilepsy, mesial temporal sclerosis is an important one and it presents as intractable epilepsy. However, we describe here a case of intractable temporal lobe epilepsy with a rather rare etiology, calcifying pseudo neoplasm of neuraxis (CAPNON) syndrome. CAPNON is a rare benign lesion that can occur anywhere in the central nervous system. The thought process till date is to excise any intracranial space occupying lesion to relieve pressure and for a better prognosis, which is not questionable. However, we feel in case of CAPNON, wait and watch protocol can be used to a better effect with radiological and clinical follow-up. Above all surgical excision was primarily done due to imaging confusion over CAPNON and this article comes up with few key findings to clinch the radiological diagnosis of CAPNON.

中文翻译：

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神经钙化假神经质（CAPNON）–颞叶癫痫的罕见原因：并非所有人都需要手术干预

癫痫病是一种常见的神经系统疾病，病因多种多样，其中颞叶癫痫最为常见。在颞叶癫痫的各种病因中，中间颞叶硬化是重要的一种，并且表现为难治性癫痫。然而，我们在这里描述了一种病因颇为罕见的顽固性颞叶癫痫的病例，其中钙化了神经病性假性肿瘤（CAPNON）综合征。CAPNON是一种罕见的良性病变，可发生在中枢神经系统的任​​何位置。迄今为止的思想过程是切除颅内占位性病变，以减轻压力并改善预后，这是不容置疑的。但是，我们认为在使用CAPNON的情况下，可以在放射学和临床随访中使用“等待观察”方案以取得更好的效果。