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Experiences of awake surgery in non-tumoural epilepsy in eloquent localizations.
Vigren, Patrick; Eriksson, Martin; Duffau, Hugues; Wretman, Anna; Lindehammar, Hans; Milos, Peter; Richter, Johan; Karlsson, Thomas; Gauffin, Helena.
Afiliação
  • 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
  • Eriksson M; Department of Neurosurgery, Linköping University Hospital, Region Östergötland, Sweden.
  • Duffau H; Department of Neurosurgery, Gui de Chauliac Hospital, Montpellier University Medical Center, Montpellier, France.
  • Wretman A; Department of Neurology, Linköping University Hospital, Region Östergötland, Sweden; Department of Behavioral Science, Linköping University, Sweden.
  • 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.
  • Milos P; Department of Neurosurgery, Linköping University Hospital, Region Östergötland, Sweden.
  • Richter J; Department of Neurosurgery, Linköping University Hospital, Region Östergötland, Sweden.
  • Karlsson T; Department of Behavioral Science, Linköping University, Sweden.
  • 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.
Clin Neurol Neurosurg ; 199: 106251, 2020 12.
Article em En | MEDLINE | ID: mdl-33031989
ABSTRACT

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.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Vigília / Mapeamento Encefálico / Procedimentos Neurocirúrgicos / Monitorização Neurofisiológica Intraoperatória / Epilepsia Resistente a Medicamentos Limite: Adult / Female / Humans Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Vigília / Mapeamento Encefálico / Procedimentos Neurocirúrgicos / Monitorização Neurofisiológica Intraoperatória / Epilepsia Resistente a Medicamentos Limite: Adult / Female / Humans Idioma: En Ano de publicação: 2020 Tipo de documento: Article