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  1. Article ; Online: Resective epilepsy surgery in a 55-year-old man with focal cortical dysplasia and drug-resistant epilepsy.

    Yue, Jiong / Zhang, Guanni / Zhao, Dongdong

    Lancet (London, England)

    2023  Volume 402, Issue 10414, Page(s) 1786–1787

    MeSH term(s) Male ; Humans ; Middle Aged ; Focal Cortical Dysplasia ; Epilepsy/surgery ; Drug Resistant Epilepsy/surgery ; Magnetic Resonance Imaging ; Retrospective Studies ; Treatment Outcome ; Electroencephalography
    Language English
    Publishing date 2023-11-10
    Publishing country England
    Document type Case Reports ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 3306-6
    ISSN 1474-547X ; 0023-7507 ; 0140-6736
    ISSN (online) 1474-547X
    ISSN 0023-7507 ; 0140-6736
    DOI 10.1016/S0140-6736(23)02225-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Intraoperative Combined Use of Somatosensory Evoked Potential, Microvascular Doppler Sonography, and Indocyanine Green Angiography in Clipping of Intracranial Aneurysm.

    Li, Zhili / Zhang, Guanni / Huang, Guangfu / Wang, Zhengyu / Tan, Haibin / Liu, Jinping / Li, Aiguo

    Medical science monitor : international medical journal of experimental and clinical research

    2016  Volume 22, Page(s) 373–379

    Abstract: BACKGROUND The aim of this study was to evaluate the effect of combining application of somatosensory evoked potential (SEP), microvascular Doppler sonography (MDS), and indocyanine green angiography (ICGA) in intracranial aneurysm clipping surgery. ... ...

    Abstract BACKGROUND The aim of this study was to evaluate the effect of combining application of somatosensory evoked potential (SEP), microvascular Doppler sonography (MDS), and indocyanine green angiography (ICGA) in intracranial aneurysm clipping surgery. MATERIAL AND METHODS A total of 158 patients undergoing an intracranial aneurysm clipping operation were recruited. All patients were evaluated with intraoperative SEP and MDS monitoring, and 28 of them were evaluated with intraoperative combined monitoring of SEP, MDS, and ICGA. RESULTS The SEP waves dropped during temporary occlusion of arteries in 19 cases (12.0%), and returned to normal after the clips were repositioned. After aneurysms were clipped, the vortex flow signals were detected by MDS in 6 cases. The aneurysm neck remnants were detected by ICGA in 2 cases of olfactory artery (OA) and in 1 case of middle cerebral artery (MCA), which disappeared after the clips were repositioned. Postoperative CTA or DSA showed that aneurysms were clipped completely and parent arteries and perforating vessels were patent. GOS at 1 month after the surgery was good in 111 cases (70.3%), mild disability in 22 cases (13.9%), severe disability in 14 cases (8.9%), vegetative state in 5 cases (3.2%), and death in 6 cases (3.8%). CONCLUSIONS Intraoperative combining application of SEP, MDS, and ICGA can reduce brain tissue ischemia and damage and disability and mortality rate after effective clipping of intracranial aneurysms, thereby improving surgical outcomes.
    MeSH term(s) Adult ; Aged ; Brain Ischemia/mortality ; Brain Ischemia/surgery ; Cerebral Angiography/methods ; Evoked Potentials, Somatosensory ; Female ; Humans ; Indocyanine Green/chemistry ; Intracranial Aneurysm/diagnostic imaging ; Intracranial Aneurysm/surgery ; Male ; Microsurgery/methods ; Middle Aged ; Monitoring, Intraoperative/methods ; Neurosurgical Procedures/methods ; Ultrasonography, Doppler, Transcranial/methods ; Vascular Surgical Procedures/methods
    Chemical Substances Indocyanine Green (IX6J1063HV)
    Language English
    Publishing date 2016-02-04
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1439041-3
    ISSN 1643-3750 ; 1234-1010
    ISSN (online) 1643-3750
    ISSN 1234-1010
    DOI 10.12659/msm.895457
    Database MEDical Literature Analysis and Retrieval System OnLINE

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