1. Experiences of awake surgery in non-tumoural epilepsy in eloquent localizations
- Author
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Hugues Duffau, Peter Milos, Patrick Vigren, Anna Wretman, Hans Lindehammar, Martin Eriksson, Helena Gauffin, Thomas Karlsson, Johan Richter, Linköping university hospital, Linköping University (LIU), Service de Neurochirurgie [Montpellier], Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)-CHU Gui de Chauliac [Montpellier], Institut des Neurosciences de Montpellier - Déficits sensoriels et moteurs (INM), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM), Herrada, Anthony, and Institut des Neurosciences de Montpellier (INM)
- Subjects
Drug Resistant Epilepsy ,Intraoperative Neurophysiological Monitoring ,[SDV.MHEP.CHI] Life Sciences [q-bio]/Human health and pathology/Surgery ,Neurologi ,Neurosurgical Procedures ,MESH: Magnetic Resonance Imaging ,Epilepsy ,0302 clinical medicine ,Eloquent cortex ,Seizure control ,Epilepsy surgery ,Awake surgery ,MESH: Brain Mapping ,Brain Mapping ,MESH: Drug Resistant Epilepsy ,Electroencephalography ,General Medicine ,Magnetic Resonance Imaging ,Awake craniotomy ,Neurology ,030220 oncology & carcinogenesis ,Female ,[SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC] ,Craniotomy ,Adult ,medicine.medical_specialty ,MESH: Craniotomy ,[SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/Surgery ,03 medical and health sciences ,Hodotopy ,Neurocognitive intraoperative examination ,MESH: Electroencephalography ,medicine ,Humans ,[SDV.NEU] Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC] ,Wakefulness ,MESH: Humans ,business.industry ,General surgery ,MESH: Adult ,MESH: Neurosurgical Procedures ,medicine.disease ,MESH: Wakefulness ,MESH: Intraoperative Neurophysiological Monitoring ,Surgery ,Neurology (clinical) ,business ,MESH: Female ,030217 neurology & neurosurgery - Abstract
International audience; 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.
- Published
- 2020
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