Experiences of awake surgery in non-tumoural epilepsy in eloquent localizations.

Adult Brain Mapping / methods Craniotomy / methods Drug Resistant Epilepsy / diagnostic imaging Electroencephalography / methods Female Humans Intraoperative Neurophysiological Monitoring / methods Magnetic Resonance Imaging / methods Neurosurgical Procedures / methods Wakefulness
Awake craniotomy Eloquent cortex Epilepsy Hodotopy Neurocognitive intraoperative examination

Journal

Clinical neurology and neurosurgery
ISSN: 1872-6968
Titre abrégé: Clin Neurol Neurosurg
Pays: Netherlands
ID NLM: 7502039

Informations de publication

Date de publication:
12 2020
Historique:
received: 20 07 2020
revised: 22 09 2020
accepted: 23 09 2020
pubmed: 9 10 2020
medline: 17 6 2021
entrez: 8 10 2020
Statut: ppublish

Résumé

Whilst modern awake intraoperative mapping has been widely accepted and implemented in the last decades in neuro-oncology, sparse reports have been published on the safety and efficiency of this approach in epilepsy surgery. This article reports four cases with different locations of epileptogenic zones as examples of possible safe and efficient resections. The results of the resections on seizure control were Engel 1 (no disabling seizures) in all cases and no patient experienced significant neurological deficits. The discussion focuses on aspects of the future of epilepsy surgery in a hodotopical paradigm.

Sections du résumé

BACKGROUND
Whilst modern awake intraoperative mapping has been widely accepted and implemented in the last decades in neuro-oncology, sparse reports have been published on the safety and efficiency of this approach in epilepsy surgery.
METHOD
This article reports four cases with different locations of epileptogenic zones as examples of possible safe and efficient resections.
RESULT
The results of the resections on seizure control were Engel 1 (no disabling seizures) in all cases and no patient experienced significant neurological deficits.
DISCUSSION
The discussion focuses on aspects of the future of epilepsy surgery in a hodotopical paradigm.

Identifiants

DOI: 10.1016/j.clineuro.2020.106251 PMID: 33031989
pubmed: 33031989
pii: S0303-8467(20)30594-1
doi: 10.1016/j.clineuro.2020.106251
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

106251

Informations de copyright

Copyright © 2020 The Author(s). Published by Elsevier B.V. All rights reserved.

Auteurs

Patrick Vigren (P)

Department of Neurology, Linköping University Hospital, Region Östergötland, Sweden; Department of Neurosurgery, Linköping University Hospital, Region Östergötland, Sweden; Department of Biomedical and Clinical Sciences, Faculty of Medicine and Health Sciences Linköping University, Linköping, Sweden.

Martin Eriksson (M)

Department of Neurosurgery, Linköping University Hospital, Region Östergötland, Sweden.

Hugues Duffau (H)

Department of Neurosurgery, Gui de Chauliac Hospital, Montpellier University Medical Center, Montpellier, France.

Anna Wretman (A)

Department of Neurology, Linköping University Hospital, Region Östergötland, Sweden; Department of Behavioral Science, Linköping University, Sweden.

Hans Lindehammar (H)

Department of Biomedical and Clinical Sciences, Faculty of Medicine and Health Sciences Linköping University, Linköping, Sweden; Department of Neurophysiology, Linköping University Hospital, Region Östergötland, Sweden.

Peter Milos (P)

Department of Neurosurgery, Linköping University Hospital, Region Östergötland, Sweden.

Johan Richter (J)

Department of Neurosurgery, Linköping University Hospital, Region Östergötland, Sweden.

Thomas Karlsson (T)

Department of Behavioral Science, Linköping University, Sweden.

Helena Gauffin (H)

Department of Neurology, Linköping University Hospital, Region Östergötland, Sweden; Department of Biomedical and Clinical Sciences, Faculty of Medicine and Health Sciences Linköping University, Linköping, Sweden. Electronic address: helena.gauffin@regionostergotland.se.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Experiences of awake surgery in non-tumoural...
questionsmedicales.fr › Techniques d'investigation › Neuroimagerie › Neuroimagerie fonctionnelle › Cartographie cérébrale › Experiences of awake surgery in non-tumoural...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de neurochirurgie › Craniotomie › Experiences of awake surgery in non-tumoural...
questionsmedicales.fr › Maladies du système nerveux › Maladies du système nerveux central › Encéphalopathies › Épilepsie › Épilepsie pharmacorésistante › Experiences of awake surgery in non-tumoural...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Électrodiagnostic › Électroencéphalographie › Experiences of awake surgery in non-tumoural...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Experiences of awake surgery in non-tumoural...
questionsmedicales.fr › Procédures de chirurgie opératoire › Surveillance peropératoire › Monitorage neurophysiologique peropératoire › Experiences of awake surgery in non-tumoural...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Imagerie diagnostique › Tomographie › Imagerie par résonance magnétique › Experiences of awake surgery in non-tumoural...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de neurochirurgie › Experiences of awake surgery in non-tumoural...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système nerveux › Éveil › Vigilance › Experiences of awake surgery in non-tumoural...