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Experiences of awake surgery in non-tumoural epilepsy in eloquent localizations
Clinical Neurology and Neurosurgery ( IF 1.9 ) Pub Date : 2020-12-01 , DOI: 10.1016/j.clineuro.2020.106251
Patrick Vigren , Martin Eriksson , Hugues Duffau , Anna Wretman , Hans Lindehammar , Peter Milos , Johan Richter , Thomas Karlsson , Helena Gauffin

BACKGROUND Whilst modern awake intraoperative mapping has been widely accepted and implemented in the last decades in neuro-oncology, sparse reports have been published on the safety and efficiency of this approach in epilepsy surgery. METHOD This article reports four cases with different locations of epileptogenic zones as examples of possible safe and efficient resections. RESULT The results of the resections on seizure control were Engel 1 (no disabling seizures) in all cases and no patient experienced significant neurological deficits. DISCUSSION The discussion focuses on aspects of the future of epilepsy surgery in a hodotopical paradigm.

中文翻译:

雄辩定位非肿瘤性癫痫的清醒手术经验

背景虽然现代清醒术中标测在过去几十年中在神经肿瘤学中已被广泛接受和实施,但关于这种方法在癫痫手术中的安全性和有效性的报道很少。方法 本文报告了 4 例癫痫发生区不同位置的病例,作为可能安全有效切除的例子。结果 在所有病例中,癫痫控制切除术的结果均为 Engel 1(无致残性癫痫发作),并且没有患者出现明显的神经功能缺损。讨论 讨论的重点是在同种异位范式中癫痫手术的未来方面。
更新日期:2020-12-01
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