Surgical management of epilepsy due to cerebral cavernomas using neuronavigation and intraoperative MR imaging

作者: Bjoern Sommer , Burkhard Sebastian Kasper , Roland Coras , Ingmar Blumcke , Hajo Martinus Hamer

DOI: 10.1179/016164113X13801151880551

关键词: Intraoperative MRIMagnetic resonance imagingEpilepsyNeuronavigationHemosiderinDrug Resistant EpilepsyEpilepsy surgerySurgeryHemangiomaMedicine

摘要: Objectives: Cure from seizures due to cavernomas might be surgically achieved dependent on both, the complete removal of cavernoma as well its surrounding hemosiderin rim. High field intraoperative MRI imaging (iopMRI) and neuronavigation play a crucial role achieve both goals. We retrospectively investigated long-term results impact 1·5T completeness surgical cavernous malformation (CM) perilesional rim reduction morbidity. Methods: 26 patients (14 female, 12 male, mean age 39·1 years, range: 17–63 years) with CM related epilepsy were identified. Eighteen suffered drug resistant (69·2%). Mean duration was 11·9 years in subjects (n  =  18) 0·3 presenting first-time 8). performed 24 lesionectomies two combined extended temporal resectio...

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