Home > Riviste > Journal of Neurosurgical Sciences > Fascicoli precedenti > Articles online first > Journal of Neurosurgical Sciences 2017 Sep 28

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Publication history
Estratti
Per citare questo articolo

JOURNAL OF NEUROSURGICAL SCIENCES

Rivista di Neurochirurgia


Indexed/Abstracted in: e-psyche, EMBASE, PubMed/MEDLINE, Neuroscience Citation Index, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,522


eTOC

 

Journal of Neurosurgical Sciences 2017 Sep 28

DOI: 10.23736/S0390-5616.17.04186-8

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Ultrasound assisted awake epilepsy surgery for type IIB focal cortical dysplasia in eloquent areas

Matteo MARTINONI 1 , Gianluca MARUCCI 2, Stefano MELETTI 3, Lilia VOLPI 4, Roberto MICHELUCCI 4, Marco GIULIONI 5

1 Neurosurgery Unit, Department of Neurosciences, OCSAE Hospital, Azienda Ospedaliero-Universitaria di Modena, Modena, Italy; 2 Department of Neuropathology, IRCCS Foundation Carlo Besta Neurological Institute, Milan, Italy; 3 Department of Biomedical, Metabolic and Neural Science, OCSAE Hospital, Azienda Ospedaliero-Universitaria di Modena, University of Modena and Reggio Emilia, Modena, Italy; 4 IRCCS Institute of Neurological Science of Bologna, Division of Neurology, Bellaria Hospital, Bologna, Italy; 5 IRCCS Institute of Neurological Science of Bologna, Division of Neurosurgery, Bellaria Hospital, Bologna, Italy


PDF  


INTRODUCTION: Focal cortical dysplasia (FCD) type IIb is a frequent cause of pharmacoresistant epilepsy. However, intraoperative identification of the pathological tissue still remains a challenge despite the use of neuronavigation, particularly when it lies in eloquent areas.
CASE REPORT: We here report a case of intraoperative identification of a right frontal FCD type IIB through ultrasound assisted neuronavigation during awake surgery in a patient with drug-resistant epilepsy.
CONCLUSIONS: Intraoperative ultrasound may have a role in focal cortical dysplasia localization optimizing its resection. In selected patient submitted to epilepsy surgery the integration of disposable technologies (i.e. brain neuronavigation, fMRI and iUS) with awake surgery could improve FCD identification preventing unacceptable neurological morbidity.


KEY WORDS: Epilepsy surgery - Intraoperative ultrasound - Focal cortical dysplasia - Awake surgery - Malformation of cortical development

inizio pagina

Publication History

Article first published online: September 28, 2017
Manuscript accepted: September 22, 2017
Manuscript received: August 16, 2017

Per citare questo articolo

Martinoni M, Marucci G, Meletti S, Volpi L, Michelucci R, Giulioni M. Ultrasound assisted awake epilepsy surgery for type IIB focal cortical dysplasia in eloquent areas. J Neurosurg Sci 2017 Sep 28. DOI: 10.23736/S0390-5616.17.04186-8

Corresponding author e-mail

matteo.martinoni@gmail.com