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

Matteo Martinoni; Gianluca Marucci; Stefano Meletti; Lilia Volpi; Roberto Michelucci; Marco Giulioni

doi:10.23736/S0390-5616.17.04186-8

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

Matteo Martinoni, Gianluca Marucci, Stefano Meletti, Lilia Volpi, Roberto Michelucci, Marco Giulioni

Istituto Scienze Neurologiche

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English
Journal	Journal of Neurosurgical Sciences
DOIs	https://doi.org/10.23736/S0390-5616.17.04186-8
Publication status	E-pub ahead of print - Sep 28 2017

Keywords

Journal Article

Access to Document

10.23736/S0390-5616.17.04186-8

Cite this

@article{85cd09062bc5427b95a8e580407987a6,

title = "Ultrasound assisted awake epilepsy surgery for type IIB focal cortical dysplasia in eloquent areas",

abstract = "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.",

keywords = "Journal Article",

author = "Matteo Martinoni and Gianluca Marucci and Stefano Meletti and Lilia Volpi and Roberto Michelucci and Marco Giulioni",

year = "2017",

month = sep,

day = "28",

doi = "10.23736/S0390-5616.17.04186-8",

language = "English",

journal = "Journal of Neurosurgical Sciences",

issn = "0026-4881",

publisher = "Edizioni Minerva Medica S.p.A.",

}

TY - JOUR

T1 - Ultrasound assisted awake epilepsy surgery for type IIB focal cortical dysplasia in eloquent areas

AU - Martinoni, Matteo

AU - Marucci, Gianluca

AU - Meletti, Stefano

AU - Volpi, Lilia

AU - Michelucci, Roberto

AU - Giulioni, Marco

PY - 2017/9/28

Y1 - 2017/9/28

N2 - 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.

AB - 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.

KW - Journal Article

U2 - 10.23736/S0390-5616.17.04186-8

DO - 10.23736/S0390-5616.17.04186-8

M3 - Article

C2 - 28959876

JO - Journal of Neurosurgical Sciences

JF - Journal of Neurosurgical Sciences

SN - 0026-4881

ER -

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

Abstract

Keywords

Access to Document

Fingerprint

Cite this