Article ; Online: The oxymoron of image-guided resection in 3 T MRI-negative extratemporal epilepsy: Technique and postoperative results.
Clinical neurology and neurosurgery
2018 Volume 166, Page(s) 16–22
Abstract: ... achieved resection.: Patients and methods: Seven patients with 3 T MRI-negative extratemporal epilepsy ...
Abstract | Objective: We share our experience with extratemporal MRI-negative epilepsies that received "image-guided" resection with the use of neuronavigation after invasive presurgical video-EEG monitoring. We describe and discuss our technique of image generation, navigation system registration, and surgical resection. In addition, we evaluate seizure outcome with respect to the preoperatively planned versus achieved resection. Patients and methods: Seven patients with 3 T MRI-negative extratemporal epilepsy received navigation-guided resective surgery. The resection plan was based on electrophysiological data from intracranial EEG recordings. For each case a resection segment was created in the neuronavigation device in a systematic manner. We compared the preoperatively planned segment to the achieved resection and looked for correlation with postoperative seizure outcome according to Engel classification, at last follow-up (mean 2.4 years, range 1-4 years). Results: Mean volume of planned resections was 23.8 ± 15.3 cm Conclusion: The use of neuronavigation for planning and executing a tailored resection in MRI-negative extratemporal epilepsy is elaborate but can be an effective procedure. |
---|---|
MeSH term(s) | Adolescent ; Adult ; Epilepsy/diagnostic imaging ; Epilepsy/surgery ; Female ; Humans ; Magnetic Resonance Imaging/methods ; Male ; Neuronavigation/methods ; Retrospective Studies ; Surgery, Computer-Assisted/methods ; Treatment Outcome ; Young Adult |
Language | English |
Publishing date | 2018-01-20 |
Publishing country | Netherlands |
Document type | Journal Article |
ZDB-ID | 193107-6 |
ISSN | 1872-6968 ; 0303-8467 |
ISSN (online) | 1872-6968 |
ISSN | 0303-8467 |
DOI | 10.1016/j.clineuro.2018.01.017 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
Ui I Zs.53: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.