Hemispherotomy or lobectomy? The role of presurgical neuroimaging in a young case of a large porencephalic cyst with intractable epilepsy.

Abstract:

:A young patient with a large left hemisphere porencephalic cyst underwent neuroimaging investigation (functional magnetic resonance imaging (fMRI), EEG-fMRI, DTI tractography) during presurgical evaluation for intractable epilepsy. The functional workup showed that (a) the healthy hemisphere had undertaken language processing, primary and secondary sensory functions of bilateral upper and lower extremities, and bilateral feet motion, and (b) the porencephalic hemisphere had retained contralateral arm and shoulder motion. EEG-fMRI localized the epileptogenic area occipitally. Tractography anatomically supported the above. Neuroimaging tailored surgery into selective lobectomy, thereby preserving all sensorimotor functionality and strongly supporting its use for presurgical evaluation of patients with large hemispheric lesions.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Kokkinos V,Garganis K,Kontogiannis K,Zountsas B

doi

10.1159/000330546

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

204-9

issue

3

eissn

1016-2291

issn

1423-0305

pii

000330546

journal_volume

47

pub_type

杂志文章
  • Polyostotic monosystemic calvarial and spinal langerhans' cell histiocytosis treated by surgery and chemotherapy.

    abstract::There are several treatment modalities for Langerhans' cell histiocytosis (LCH) of bone, formerly usually referred to as eosinophilic granuloma, including surgery, radiotherapy and chemotherapy. In spinal lesions, surgery is not recommended generally, because of the potential for reconstitution of vertebral height. We...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000069100

    authors: Karagoz Guzey F,Bas NS,Emel E,Alatas I,Kebudi R

    更新日期:2003-04-01 00:00:00

  • Benign melanocytic tumor in infancy: discussion on a rare case and review of the literature.

    abstract::Meningeal melanocytoma is an infrequent neoplasm of the central nervous system (CNS), especially in childhood and infancy. It was first described as an entity different from pigmented meningiomas and schwannomas in 1972, and few cases have been published so far. In this article, a 5-month-old male patient with meninge...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000028945

    authors: Oruckaptan HH,Soylemezoglu F,Kutluk T,Akalan N

    更新日期:2000-05-01 00:00:00

  • Stereotactic radiosurgery in children and adolescents.

    abstract::Stereotactic radiosurgery has had an increasing role in the treatment of selected intracranial lesions in pediatric patients. In our first 44 months experience, 60 of the patients (9%) treated were less than or equal to 18 years of age. Current indications for radiosurgery include primary treatment of high-risk arteri...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120530

    authors: Kondziolka D,Lunsford LD,Flickinger JC

    更新日期:1990-01-01 00:00:00

  • Diffuse intravascular coagulation associated with brain tumor surgery in children.

    abstract::There have been numerous reported cases of diffuse intravascular coagulation (DIC) or defibrination syndrome associated with head trauma, but very few reported cases associated with primary brain tumor. This report concerns the findings in a case of DIC associated with brain tumor surgery in an infant. The patient die...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120504

    authors: Huang PS,Koo KE

    更新日期:1990-01-01 00:00:00

  • Gastric perforation due to ventriculo-peritoneal shunt.

    abstract::Gastric perforation is a complication that can arise from ventriculo-peritoneal (VP) shunting. Careful examination of a newborn girl admitted to our department revealed several neurological problems. A VP shunt was inserted under direct visualization, leaving 20 cm of the catheter in the peritoneal cavity. The infant ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120834

    authors: Alonso-Vanegas M,Alvarez JL,Delgado L,Mendizabal R,Jiménez JL,Sanchez-Cabrera JM

    更新日期:1994-01-01 00:00:00

  • Moyamoya disease in children with congenital dwarfing conditions.

    abstract::Congenital dwarfisms can be associated with a variety of vascular anomalies. Here, we describe 2 patients with congenital dwarfisms who presented with moyamoya syndrome and underwent indirect intracranial revascularization. The pathogenesis of moyamoya syndrome in this population is not well understood, but it is a ma...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000322017

    authors: Moftakhar P,Smith ER,Choulakian A,Scott RM,Danielpour M

    更新日期:2010-01-01 00:00:00

  • Chiari I malformations and hydromyelia--complications.

    abstract::The Chiari I malformation is associated with a hydromyelic cavity in 55-75% of patients. In the author's series (1977-1991), hydromelia occurred in 111 of 131 patients (85%). There were 35 children. Posterior fossa decompression with duraplasty and fourth ventricle to subarachnoid shunt was made in all patients with C...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000120586

    authors: Menezes AH

    更新日期:1991-01-01 00:00:00

  • Blister-like supraclinoid internal carotid artery pseudoaneurysm in a 15-year-old male: case report and review of the literature.

    abstract::With an incidence of less than 1-3 per million, pediatric aneurysms are rare clinical entities. A traumatic etiology is implicated in a large proportion of these cases, leading to the formation of both 'false' and 'true' aneurysms. These occur most often in the distal circulation, but have also been described in the s...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000339355

    authors: Haji FA,Boulton MR,de Ribaupierre S

    更新日期:2011-01-01 00:00:00

  • Complete ocular paresis in a child with posterior fossa syndrome.

    abstract::Posterior fossa syndrome (PFS), also known as cerebellar affective syndrome, is characterized by emotional lability and decreased speech production following injury or surgery to the cerebellum. Rarely, oculomotor dysfunction has been described in association with PFS. Here, we report a case of complete ocular paresis...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000339382

    authors: Afshar M,Link M,Edwards MS,Fisher PG,Fredrick D,Monje M

    更新日期:2012-01-01 00:00:00

  • The first description of a device for repeated external ventricular drainage in the treatment of congenital hydrocephalus, invented in 1744 by Claude-Nicolas Le Cat.

    abstract::An 18th century report of a device for repeated extracranial drainage of cerebrospinal fluid in the treatment of congenital hydrocephalus is reviewed. On 15th October 1744, the French surgeon Claude-Nicolas Le Cat (1700-1768) introduced a specially invented canula into the lateral ventricle of a newborn boy with hydro...

    journal_title:Pediatric neurosurgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1159/000070872

    authors: Kompanje EJ,Delwel EJ

    更新日期:2003-07-01 00:00:00

  • Solitary intracerebral juvenile xanthogranuloma. Case report and review of the literature.

    abstract::A case of an intracerebral juvenile xanthogranuloma (JXG) producing complex-partial seizures in a 13-year-old boy is presented. Although the child had no history of JXGs or a systemic histiocytic proliferative disorder, the histopathological and immunocytochemical studies of this lesion were identical to that of a cut...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000121212

    authors: Schultz KD Jr,Petronio J,Narad C,Hunter SB

    更新日期:1997-06-01 00:00:00

  • Staphylococcus lugdunensis: an emerging cause of ventriculoperitoneal shunt infections.

    abstract::Staphylococcus lugdunensis, a coagulase-negative staphylococcus first described in 1988, has gained recognition as an organism with considerable pathogenic capability in adults. In contrast to the indolent presentation characteristic of other coagulase-negative staphylococci, S. lugdunensis infections resemble the agg...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000050405

    authors: Elliott SP,Yogev R,Shulman ST

    更新日期:2001-09-01 00:00:00

  • The Total Calvarial Remodeling with Transsutural Distraction Osteogenesis of 21 Cases of Craniosynostosis: New, Efficient, Safe and Natural Method in Craniosynostosis Surgery.

    abstract:INTRODUCTION:The majority of the present distraction osteogenesis techniques involve local site expansion that only produces localized decompression and affords limited decompression and cosmetic results. We designed a new surgical procedure, total calvarial transsutural distraction osteogenesis (TSuDO). METHODS:We pe...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000381860

    authors: Park DH,Yoon SH

    更新日期:2015-01-01 00:00:00

  • Atlantoaxial Rotatory Subluxation after Removal of a Ventriculoperitoneal Shunt in the Supine-Lateral Position.

    abstract::Atlantoaxial rotatory subluxation (AARS) is an uncommon disease with a greater prevalence in children than adults. So far there has only been one report of AARS after surgery related to ventriculoperitoneal (VP) shunting. We present a new case of AARS closed reduction treatment after VP shunt removal in an 8-year-old ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000433601

    authors: Hashide S,Aihara Y,Nagahara A,Mitsuyama T,Okada Y

    更新日期:2015-01-01 00:00:00

  • Delayed diagnosis of neurological bladder following spinal cord injury without radiological abnormality.

    abstract::Spinal cord injuries are a well-known cause of neurological bladder and a well-known complication of high-velocity trauma. They can, however, be difficult to diagnose in young children, in whom the absence of initial neurological symptoms and normality of the radiological workup can be falsely reassuring. Management o...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000360402

    authors: Abbo O,Mouttalib S,L'Kaissi M,Sauvat F,Accadbled F,Harper L

    更新日期:2013-01-01 00:00:00

  • Acute and subacute hydrocephalus in a rat neonatal model: correlation with functional injury of neurotransmitter systems.

    abstract:OBJECT:The evolution and severity of hydrocephalus in animal models varies in the species and mode of induction. This makes comparisons of the physiological system under investigation difficult between models. We noted that injection of kaolin into neonatal rats results in a dichotomous outcome into either an acute or ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000055975

    authors: Ishizaki R,Tashiro Y,Inomoto T,Hashimoto N

    更新日期:2000-12-01 00:00:00

  • Use of bipedicular advancement flaps for intrauterine closure of myeloschisis.

    abstract::Several groups have begun to explore the feasibility and utility of intrauterine closure of myelomeningocele. A subset of these fetuses have defects which fall into the category of myeloschisis, and therefore have inadequate skin to enable primary closure. After considerable discussion, it was decided to utilize biped...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000028898

    authors: Mangels KJ,Tulipan N,Bruner JP,Nickolaus D

    更新日期:2000-01-01 00:00:00

  • Dual occurrence of pineal germinoma and testicular seminoma. Case report and review of the literature.

    abstract::A 16-year-old male presented with obstructive hydrocephalus secondary to pineal germinoma. There have been many reported cases of abdominal metastasis of pineal germinoma after ventriculoperitoneal shunting. Endoscopic ventriculostomy was preferred in our case, thus avoiding iatrogenic peritoneal seeding, but spinal m...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000089508

    authors: Ho CL,Deruytter MJ

    更新日期:2006-01-01 00:00:00

  • Intracranial hypertension after cranial vault decompression for craniosynostosis.

    abstract::A 3-year-old boy with chronic papilledema, bilateral coronal synostosis and Pfeiffer syndrome underwent an orbitofrontal advancement. One month postoperatively, his papilledema had resolved, however, his vision progressively deteriorated over the ensuing 3 months to legal blindness. He had no symptoms or signs of incr...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120913

    authors: Campbell JW,Albright AL,Losken HW,Biglan AW

    更新日期:1995-01-01 00:00:00

  • Ascending transaqueductal cystoventriculoperitoneal shunting in Dandy-Walker malformation: technical note.

    abstract::The optimal treatment for Dandy-Walker malformation is still controversial. Ventriculoperitoneal shunting, cystoperitoneal shunting or combinations are the most common surgical options in the management of this clinical entity. Endoscopic procedures like ventriculocystostomy, 3rd ventriculostomy or endoscopy-assisted ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000353610

    authors: Unal OF,Aras Y,Aydoseli A,Akcakaya MO

    更新日期:2012-01-01 00:00:00

  • Can the requirement of a diversion procedure be predicted after an uncomplicated intracranial hydatid cyst surgery?

    abstract::Intracranial hydatidosis is mainly a pediatric disease. Surgical evacuation of the mass in toto is the gold standard of therapy. No concise data related to the requirement of diversion procedures after uncomplicated hydatid cyst removal is encountered in the literature. The aim of this report is to focus on this idea ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000095570

    authors: Onal C,Erguvan-Onal R,Yakinci C,Karayol A,Atambay M,Daldal N

    更新日期:2006-01-01 00:00:00

  • Occipital reduction-biparietal widening technique for correction of sagittal synostosis.

    abstract::In the older infant with a marked skull deformation from sagittal synostosis a midline craniectomy will not produce an optimal cosmetic result as the brain grows at a much reduced rate and cannot provide the impetus for passive correction of the deformity. An operative technique is described whereby the occipital prom...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120772

    authors: McComb JG

    更新日期:1994-01-01 00:00:00

  • Pediatric extradural spinal tumors.

    abstract::We have reviewed 16 children with extradural spinal tumors, both benign and malignant, treated from 1998 to 2006 in Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. The duration of symptomatology, clinical signs, radiological investigations, surgical approach, outcome and histopathological var...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120147

    authors: Kumar R,Giri PJ

    更新日期:2008-01-01 00:00:00

  • Fibrous dysplasia of the skull in children.

    abstract::Early diagnosis of skull fibrous dysplasia in children is relatively easy, based on a history of painless progressive bony bulging. The therapeutic approach is still controversial, due to the benignity of the lesion. However, the clinical course may be unpredictable, with sudden appearance of symptoms, some of which c...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120649

    authors: Di Rocco C,Marchese E,Velardi F

    更新日期:1992-01-01 00:00:00

  • Schwannoma of the tentorium cerebelli in a child. Case report.

    abstract::Intracranial schwannomas not arising from a cranial nerve are very rare. Schwannomas of the dura are even rarer; in the literature, we found only two cases: a schwannoma of the falx and one of the torcula. We report a third case of a 9-year-old girl with a schwannoma of the tentorium cerebelli. The different theories ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000048371

    authors: Jabbour P,Rizk T,Lahoud GA,Hourani R,Checrallah A,Samaha E,Nohra G,Moussa R,Okais N

    更新日期:2002-03-01 00:00:00

  • Fludrocortisone treatment in a child with severe cerebral salt wasting.

    abstract::Hyponatremia is a common complication of intracranial disease or surgery. An evaluation should be undertaken to determine whether cerebral salt wasting (CSW) or inappropriate secretion of antidiuretic hormone is present as a cause. Since the treatment principles are completely different in the two pathological states,...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000050424

    authors: Kinik ST,Kandemir N,Baykan A,Akalan N,Yordam N

    更新日期:2001-10-01 00:00:00

  • Do grip and pinch strength predict neurologic complications in children with spina bifida and hydrocephalus?

    abstract:BACKGROUND:Neurological complications occur commonly in children with meningomyelocele and can cause significant morbidity and mortality. An earlier study suggested that acute changes in grip and pinch strength could be used to identify individuals at increased risk for developing a neurological complication. OBJECTIV...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000092356

    authors: Liptak GS,Fried R,Baltus-Hebert E,Eyer Tierney S,Fucile S,Doremus TL

    更新日期:2006-01-01 00:00:00

  • Epidemiology of cerebrospinal fluid shunting.

    abstract::The epidemiology of cerebrospinal fluid (CSF) shunting in the United States is not well known; however, with recent national surveys, the prevalence, incidence, and cost of these procedures can be estimated. The prevalence of CSF shunts in the United States appears to be greater than 125,000, though this is likely an ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120968

    authors: Bondurant CP,Jimenez DF

    更新日期:1995-01-01 00:00:00

  • Transient Horizontal Gaze Palsy in a One-Month-Old Boy after a Fall.

    abstract::A 1-month-old boy was evaluated after a fall from a height of 3 feet and found to have right parietal skull fracture as well as right and left frontal traumatic hemorrhage. Ten days after the injury, he represented with a persistent left gaze preference. Further workup including MRI and EEG determined that this findin...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000441680

    authors: Bourne SK,Duhaime AC

    更新日期:2016-01-01 00:00:00

  • Rare manifestation of a craniovertebral junction anomaly: is blue breath holding always benign?

    abstract::Breath-holding or reflex anoxic seizures predominantly occur in preschool children and usually resolve by late childhood, rarely persisting through adolescence and into adulthood. Investigations are generally unnecessary. Education and reassurance is the mainstay of management. In this report, the author describes a c...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000365763

    authors: Udayakumaran S

    更新日期:2013-01-01 00:00:00