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

Research output: Contribution to journalArticle

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 languageEnglish
JournalJournal of Neurosurgical Sciences
DOIs
Publication statusE-pub ahead of print - Sep 28 2017

Fingerprint

Malformations of Cortical Development
Neuronavigation
Epilepsy
Magnetic Resonance Imaging
Technology
Morbidity
Brain

Keywords

  • Journal Article

Cite this

Ultrasound assisted awake epilepsy surgery for type IIB focal cortical dysplasia in eloquent areas. / Martinoni, Matteo; Marucci, Gianluca; Meletti, Stefano; Volpi, Lilia; Michelucci, Roberto; Giulioni, Marco.

In: Journal of Neurosurgical Sciences, 28.09.2017.

Research output: Contribution to journalArticle

@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 = "9",
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 -