Laser Ablation of a Nonlesional Cingulate Gyrus Epileptogenic Zone Using Robotic-Assisted Stereotactic EEG Localization: A Case Report.
Stereotact Funct Neurosurg
; 97(1): 10-17, 2019.
Article
em En
| MEDLINE
| ID: mdl-30943498
ABSTRACT
BACKGROUND:
Nonlesional cingulate gyrus epilepsy is rare, difficult to diagnose, and challenging to treat.METHODS:
We report the use of ROSA (Medtech Surgical, Inc., New York, NY, USA) robotic assistance for stereotactic EEG (S-EEG) localization and therapeutic thermal laser ablation of a nonlesional cingulate gyrus epileptogenic zone in a 17-year-old female with intractable partial epilepsy.RESULTS:
After an inconclusive exhaustive initial workup, robotic-assisted S-EEG localized the patient's seizure focus to the right cingulate gyrus. Robotic-assisted lesioning of the cingulate gyrus was performed via 5 total ablations with 3 minimally invasive catheters. There were no perioperative complications. The patient was discharged home on postoperative day 2 at her neurologic baseline. She was seizure free for 8 months postoperatively, with a sustained partial response through the 23-month follow-up.CONCLUSIONS:
This report expands the technical uses, pathologies, and patient populations being treated via robotic-assisted neurosurgery.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Epilepsias Parciais
/
Eletroencefalografia
/
Terapia a Laser
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Procedimentos Cirúrgicos Robóticos
/
Epilepsia Resistente a Medicamentos
/
Giro do Cíngulo
Limite:
Adolescent
/
Female
/
Humans
Idioma:
En
Revista:
Stereotact Funct Neurosurg
Assunto da revista:
NEUROCIRURGIA
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Estados Unidos