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| http://dx.doi.org/10.1007/s00701-020-04306-9 | DOI Listing |
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Epilepsy surgery in children with operculoinsular epilepsy: Results of a large unicentric cohort.
Epilepsia
December 2024
Department of Paediatric Neurology, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic.
Objective: Epilepsy surgery in the operculoinsular cortex is challenging due to the difficult delineation of the epileptogenic zone and the high risk of postoperative deficits.
Methods: Pre- and postsurgical data from 30 pediatric patients who underwent operculoinsular cortex surgery at the Motol Epilepsy Center Prague from 2010 to 2022 were analyzed.
Results: Focal cortical dysplasia (FCD; n = 15, 50%) was the predominant cause of epilepsy, followed by epilepsy-associated tumors (n = 5, 17%) and tuberous sclerosis complex (n = 2, 7%).
Educational stereoscopic representation of a step-by-step brain white fiber dissection according to Klingler's method.
Surg Radiol Anat
March 2024
Department of Neurosurgery, Stanford University Medical Center, Stanford, CA, USA.
Background: Understanding and teaching the three-dimensional architecture of the brain remains difficult because of the intricate arrangement of grey nuclei within white matter tracts. Although cortical area functions have been well studied, educational and three-dimensional descriptions of the organization of deep nuclei and white matter tracts are still missing.
Objective: We propose herein a detailed step-by-step dissection of the lateral aspect of a left hemisphere using the Klingler method and provide high-quality stereoscopic views with the aim to help teach medical students or surgeons the three-dimensional anatomy of the brain.
Interhemispheric Transcingulate Sulcus Approach to Deep-Seated Medial Frontal and Parietal Lesions-Fiber Dissection Study With Illustrative Cases.
Oper Neurosurg (Hagerstown)
March 2023
Department of Neurosurgery, University of Health Sciences, Kartal Training and Research Hospital, Istanbul, Turkey.
Background: Surgery for lesions located in the medial frontal and parietal lobes can be quite challenging for neurosurgeons because of morbidities that may arise from damage to critical midline structures or intact neural tissue that need to be crossed to reach the lesion. In our anatomic studies, the cingulate sulcus was observed as an alternative access route for lesions located in medial frontal and parietal lobes.
Objective: To explain the microsurgical anatomy of the medial hemisphere and cingulate sulcus and to demonstrate the interhemispheric transcingulate sulcus approach (ITCSA) with 3 clinical cases.
Incidence of ischemic complications and technical nuances of arteries preservation for insular gliomas resection.
Front Surg
October 2022
Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Introduction: Insular gliomas have complex anatomy and microvascular supply that make resection difficult. Furthermore, resection of insular glioma is associated with a significant risk of postoperative ischemic complications. Thus, this study aimed to assess the incidence of ischemic complications related to insular glioma resection, determine its risk factors, and describe a single surgeon's experience of artery-preserving tumor resection.
View Article and Find Full Text PDFThe Relevant Role of Navigated Tractography in Speech Eloquent Area Glioma Surgery: Single Center Experience.
Brain Sci
October 2021
Neurosurgery Unit, AOC Città della Salute e della Scienza, Department of Neuroscience "Rita Levi Montalcini", University of Turin, 10126 Turin, Italy.
Article Synopsis
- Gliomas are difficult for neurosurgeons to treat due to their ability to invade and recur in key brain areas, impacting patient survival and quality of life, especially concerning language functions.
- Researchers analyzed 18 right-handed patients with gliomas in the left hemisphere over 12 months, using Diffusion-Tensor Imaging to map critical language tracts and assess potential surgical risks.
- The study found that patients with permanent language disorders had pre-operative involvement of essential fascicles; identified high-risk areas for language damage, and confirmed that navigated tractography helps surgeons balance effective tumor removal with preserving patient functions.
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