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Usefulness of Intraoperative ultrasound for cortical dysplasia type I treatment - A single-center experience
BACKGROUND: Focal cortical dysplasias (FCD) cause a subgroup of malformations of cortical development that has been closely linked to cause drug intractable epilepsy. Attaining adequate and safe resection of the dysplastic lesion has proved to be a viable option to archive meaningful seizure control...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9990806/ https://www.ncbi.nlm.nih.gov/pubmed/36895230 http://dx.doi.org/10.25259/SNI_926_2022 |
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author | Sufianov, Albert Simfukwe, Keith Iakimov, Iurii A. Sufianov, Rinat A. Rassi, Marcio S. Mastronardi, Luciano Borba, Luis A. B. Campero, Alvaro Rangel, Carlos Castillo Baldoncini, Matias |
author_facet | Sufianov, Albert Simfukwe, Keith Iakimov, Iurii A. Sufianov, Rinat A. Rassi, Marcio S. Mastronardi, Luciano Borba, Luis A. B. Campero, Alvaro Rangel, Carlos Castillo Baldoncini, Matias |
author_sort | Sufianov, Albert |
collection | PubMed |
description | BACKGROUND: Focal cortical dysplasias (FCD) cause a subgroup of malformations of cortical development that has been closely linked to cause drug intractable epilepsy. Attaining adequate and safe resection of the dysplastic lesion has proved to be a viable option to archive meaningful seizure control. Of the three types of FCD (types I, II, and III), type I has the least detectable architectural and radiological abnormalities. This makes it challenging (preoperatively and intraoperatively) to achieve adequate resection. Intraoperatively, ultrasound navigation has proven an effective tool during the resection of these lesions. We evaluate our institutional experience in surgical management of FCD type I using intraoperative ultrasound (IoUS). METHODS: Our work is a retrospective and descriptive study, where we analyzed patients diagnosed with refractory epilepsy who underwent IoUS-guided epileptogenic tissue resection. The surgical cases analyzed were from January 2015 to June 2020 at the Federal Center of Neurosurgery, Tyumen, only patients with histological confirmation of postoperative CDF type I were included in the study. RESULTS: Of the 11 patients with histologically diagnosed FCD type I, 81.8% of the patients postoperatively had a significant reduction in seizure frequency (Engel outcome I-II). CONCLUSION: IoUS is a critical tool for detecting and delineating FCD type I lesions, which is necessary for effective post-epilepsy surgery results. |
format | Online Article Text |
id | pubmed-9990806 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-99908062023-03-08 Usefulness of Intraoperative ultrasound for cortical dysplasia type I treatment - A single-center experience Sufianov, Albert Simfukwe, Keith Iakimov, Iurii A. Sufianov, Rinat A. Rassi, Marcio S. Mastronardi, Luciano Borba, Luis A. B. Campero, Alvaro Rangel, Carlos Castillo Baldoncini, Matias Surg Neurol Int Original Article BACKGROUND: Focal cortical dysplasias (FCD) cause a subgroup of malformations of cortical development that has been closely linked to cause drug intractable epilepsy. Attaining adequate and safe resection of the dysplastic lesion has proved to be a viable option to archive meaningful seizure control. Of the three types of FCD (types I, II, and III), type I has the least detectable architectural and radiological abnormalities. This makes it challenging (preoperatively and intraoperatively) to achieve adequate resection. Intraoperatively, ultrasound navigation has proven an effective tool during the resection of these lesions. We evaluate our institutional experience in surgical management of FCD type I using intraoperative ultrasound (IoUS). METHODS: Our work is a retrospective and descriptive study, where we analyzed patients diagnosed with refractory epilepsy who underwent IoUS-guided epileptogenic tissue resection. The surgical cases analyzed were from January 2015 to June 2020 at the Federal Center of Neurosurgery, Tyumen, only patients with histological confirmation of postoperative CDF type I were included in the study. RESULTS: Of the 11 patients with histologically diagnosed FCD type I, 81.8% of the patients postoperatively had a significant reduction in seizure frequency (Engel outcome I-II). CONCLUSION: IoUS is a critical tool for detecting and delineating FCD type I lesions, which is necessary for effective post-epilepsy surgery results. Scientific Scholar 2023-02-24 /pmc/articles/PMC9990806/ /pubmed/36895230 http://dx.doi.org/10.25259/SNI_926_2022 Text en Copyright: © 2023 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Sufianov, Albert Simfukwe, Keith Iakimov, Iurii A. Sufianov, Rinat A. Rassi, Marcio S. Mastronardi, Luciano Borba, Luis A. B. Campero, Alvaro Rangel, Carlos Castillo Baldoncini, Matias Usefulness of Intraoperative ultrasound for cortical dysplasia type I treatment - A single-center experience |
title | Usefulness of Intraoperative ultrasound for cortical dysplasia type I treatment - A single-center experience |
title_full | Usefulness of Intraoperative ultrasound for cortical dysplasia type I treatment - A single-center experience |
title_fullStr | Usefulness of Intraoperative ultrasound for cortical dysplasia type I treatment - A single-center experience |
title_full_unstemmed | Usefulness of Intraoperative ultrasound for cortical dysplasia type I treatment - A single-center experience |
title_short | Usefulness of Intraoperative ultrasound for cortical dysplasia type I treatment - A single-center experience |
title_sort | usefulness of intraoperative ultrasound for cortical dysplasia type i treatment - a single-center experience |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9990806/ https://www.ncbi.nlm.nih.gov/pubmed/36895230 http://dx.doi.org/10.25259/SNI_926_2022 |
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