Intraoperative Generalized Tonic-Clonic Seizure and Consequent Severe Brain Bulge During Functional Motor Cortex Mapping: A Case Report.
A A Pract
; 12(3): 66-68, 2019 Feb 01.
Article
em En
| MEDLINE
| ID: mdl-30095447
ABSTRACT
Intraoperative cortical and subcortical bipolar or monopolar mapping is the gold standard for neurosurgical procedures that involve lesions near functional or "eloquent" cortex. However, the classic Penfield stimulation has a higher intraoperative seizure rate than high-frequency short-train stimulation. As a result, high-frequency monopolar stimulation is now the most widely practiced technique. However, seizure-free mapping cannot be guaranteed even with high-frequency stimulation particularly at high current thresholds. We encountered a case of severe generalized tonic-clonic seizure and consequent severe brain bulge in an 8-year-old child during cortical mapping with the high-frequency protocol.
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Base de dados:
MEDLINE
Assunto principal:
Convulsões
/
Edema Encefálico
/
Mapeamento Encefálico
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article