Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Image-guided, frameless stereotactic sectioning of the corpus callosum in children with intractable epilepsy
Autore:
Hodaie, M; Musharbash, A; Otsubo, H; Snead, OC; Chitoku, S; Ochi, A; Holowka, S; Hoffman, HJ; Rutka, JT;
Indirizzi:
Hosp Sick Children, Div Neurosurg, Toronto, ON M5G 1X8, Canada Hosp Sick Children Toronto ON Canada M5G 1X8 Toronto, ON M5G 1X8, Canada Univ Toronto, Toronto, ON, Canada Univ Toronto Toronto ON CanadaUniv Toronto, Toronto, ON, Canada Hosp Sick Children, Div Neurol, Toronto, ON M5G 1X8, Canada Hosp Sick Children Toronto ON Canada M5G 1X8 Toronto, ON M5G 1X8, Canada Hosp Sick Children, Div Diagnost Imaging, Toronto, ON M5G 1X8, Canada HospSick Children Toronto ON Canada M5G 1X8 Toronto, ON M5G 1X8, Canada
Titolo Testata:
PEDIATRIC NEUROSURGERY
fascicolo: 6, volume: 34, anno: 2001,
pagine: 286 - 294
SICI:
1016-2291(200106)34:6<286:IFSSOT>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
CALLOSOTOMY; ANTERIOR; EXTENT; NEUROSURGERY; RESECTION; SEIZURES; SYSTEM;
Keywords:
corpus callosotomy; intractable epilepsy; atonic seizures; image-guided neurosurgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Rutka, JT Hosp Sick Children, Div Neurosurg, Suite 1504,555 Univ Ave, Toronto, ON M5G 1X8, Canada Hosp Sick Children Suite 1504,555 Univ Ave Toronto ON Canada M5G 1X8
Citazione:
M. Hodaie et al., "Image-guided, frameless stereotactic sectioning of the corpus callosum in children with intractable epilepsy", PED NEUROS, 34(6), 2001, pp. 286-294

Abstract

Corpus callosotomy is an effective neurosurgical procedure for children with intractable atonic or drop attack seizures. While this procedure has notchanged significantly over the past three decades, some technical issues remain to be resolved. These include the intraoperative determination of theextent of the callosotomy, the need to stage the procedure, as well as side of approach of craniotomy. We report our 8-year experience with corpus callosotomy using a frameless stereotactic image-guided system (ISG Viewing Wand((R))). Seventeen children with atonic seizures underwent sectioning of the corpus callosum. The mean patient age was 10.5 years. Six children underwent complete callosotomy while 11 underwent resection of the anterior two-thirds. MRI 3D reconstruction of the sagittal sinus and draining cerebral veins was undertaken in all cases. The side of the craniotomy was determined on the basis of favorability of the draining veins with respect to the extent of the callosotomy. The extent of the callosotomy was determined by intraoperative feedback using the ISG Viewing Wand((R)). Nine of 11 patients in the partial callosotomy group and 4 of 6 patients in the complete callosotomy group showed significant improvement in atonic seizures. We conclude that the use of frameless stereotaxy can function as an important adjunct in the planning and conduction of successful sectioning of the corpus callosum in children with intractable seizures.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 09:05:20