The usefulness of neuronavigation in functional hemispherectomy
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Journal of epilepsy and clinical neurophysiology (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-26492011000300004 |
Resumo: | Catastrophic epileptic encephalopathies in children comprise devastating conditions that features cerebral dysfunction in association with refractory epileptic seizures. The diagnosis is based on the clinical findings, on magnetic resonance imaging (MRI) of the brain and on electroencephalographic findings. For these conditions, surgery remains essential for attaining seizure control. We report two cases of 5-year-old girls. The first one had a diagnosis of Rasmussens syndrome. The second one had a large porencephalic cyst secondary to perinatal cerebral ischemia. Despite trials of anticonvulsants, both patients deteriorated, and a functional hemispherectomy guided by neuronavigation was indicated and performed, with low morbidity and excellent seizure control. The neuronavigation proved to be a valuable guidance tool in performing the functional hemispherectomy, making the disconnections more accurate, and thus decreasing the surgical time and blood loss. |
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Journal of epilepsy and clinical neurophysiology (Online) |
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The usefulness of neuronavigation in functional hemispherectomyRasmussens syndromehemispherectomyhemispherotomyneuronavigationepilepsy surgeryCatastrophic epileptic encephalopathies in children comprise devastating conditions that features cerebral dysfunction in association with refractory epileptic seizures. The diagnosis is based on the clinical findings, on magnetic resonance imaging (MRI) of the brain and on electroencephalographic findings. For these conditions, surgery remains essential for attaining seizure control. We report two cases of 5-year-old girls. The first one had a diagnosis of Rasmussens syndrome. The second one had a large porencephalic cyst secondary to perinatal cerebral ischemia. Despite trials of anticonvulsants, both patients deteriorated, and a functional hemispherectomy guided by neuronavigation was indicated and performed, with low morbidity and excellent seizure control. The neuronavigation proved to be a valuable guidance tool in performing the functional hemispherectomy, making the disconnections more accurate, and thus decreasing the surgical time and blood loss.Liga Brasileira de Epilepsia (LBE)2011-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-26492011000300004Journal of Epilepsy and Clinical Neurophysiology v.17 n.3 2011reponame:Journal of epilepsy and clinical neurophysiology (Online)instname:Liga Brasileira de Epilepsia (LBE)instacron:LBE10.1590/S1676-26492011000300004info:eu-repo/semantics/openAccessMeneses,Murilo Sousa deKondageski,CharlesSantos,Heraldo Ney Larocca dosKowacs,Pedro AndréCoelho,Giselle CaselattoGadens,GiovanaRocha,Samanta Blattes daSimão,Cristianeeng2012-01-31T00:00:00Zoai:scielo:S1676-26492011000300004Revistahttp://epilepsia.org.br/publicacoes/ONGhttps://old.scielo.br/oai/scielo-oai.php||jecnpoa@terra.com.br1980-53651676-2649opendoar:2012-01-31T00:00Journal of epilepsy and clinical neurophysiology (Online) - Liga Brasileira de Epilepsia (LBE)false |
dc.title.none.fl_str_mv |
The usefulness of neuronavigation in functional hemispherectomy |
title |
The usefulness of neuronavigation in functional hemispherectomy |
spellingShingle |
The usefulness of neuronavigation in functional hemispherectomy Meneses,Murilo Sousa de Rasmussens syndrome hemispherectomy hemispherotomy neuronavigation epilepsy surgery |
title_short |
The usefulness of neuronavigation in functional hemispherectomy |
title_full |
The usefulness of neuronavigation in functional hemispherectomy |
title_fullStr |
The usefulness of neuronavigation in functional hemispherectomy |
title_full_unstemmed |
The usefulness of neuronavigation in functional hemispherectomy |
title_sort |
The usefulness of neuronavigation in functional hemispherectomy |
author |
Meneses,Murilo Sousa de |
author_facet |
Meneses,Murilo Sousa de Kondageski,Charles Santos,Heraldo Ney Larocca dos Kowacs,Pedro André Coelho,Giselle Caselatto Gadens,Giovana Rocha,Samanta Blattes da Simão,Cristiane |
author_role |
author |
author2 |
Kondageski,Charles Santos,Heraldo Ney Larocca dos Kowacs,Pedro André Coelho,Giselle Caselatto Gadens,Giovana Rocha,Samanta Blattes da Simão,Cristiane |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Meneses,Murilo Sousa de Kondageski,Charles Santos,Heraldo Ney Larocca dos Kowacs,Pedro André Coelho,Giselle Caselatto Gadens,Giovana Rocha,Samanta Blattes da Simão,Cristiane |
dc.subject.por.fl_str_mv |
Rasmussens syndrome hemispherectomy hemispherotomy neuronavigation epilepsy surgery |
topic |
Rasmussens syndrome hemispherectomy hemispherotomy neuronavigation epilepsy surgery |
description |
Catastrophic epileptic encephalopathies in children comprise devastating conditions that features cerebral dysfunction in association with refractory epileptic seizures. The diagnosis is based on the clinical findings, on magnetic resonance imaging (MRI) of the brain and on electroencephalographic findings. For these conditions, surgery remains essential for attaining seizure control. We report two cases of 5-year-old girls. The first one had a diagnosis of Rasmussens syndrome. The second one had a large porencephalic cyst secondary to perinatal cerebral ischemia. Despite trials of anticonvulsants, both patients deteriorated, and a functional hemispherectomy guided by neuronavigation was indicated and performed, with low morbidity and excellent seizure control. The neuronavigation proved to be a valuable guidance tool in performing the functional hemispherectomy, making the disconnections more accurate, and thus decreasing the surgical time and blood loss. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-26492011000300004 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-26492011000300004 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1676-26492011000300004 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Liga Brasileira de Epilepsia (LBE) |
publisher.none.fl_str_mv |
Liga Brasileira de Epilepsia (LBE) |
dc.source.none.fl_str_mv |
Journal of Epilepsy and Clinical Neurophysiology v.17 n.3 2011 reponame:Journal of epilepsy and clinical neurophysiology (Online) instname:Liga Brasileira de Epilepsia (LBE) instacron:LBE |
instname_str |
Liga Brasileira de Epilepsia (LBE) |
instacron_str |
LBE |
institution |
LBE |
reponame_str |
Journal of epilepsy and clinical neurophysiology (Online) |
collection |
Journal of epilepsy and clinical neurophysiology (Online) |
repository.name.fl_str_mv |
Journal of epilepsy and clinical neurophysiology (Online) - Liga Brasileira de Epilepsia (LBE) |
repository.mail.fl_str_mv |
||jecnpoa@terra.com.br |
_version_ |
1754734659754786816 |