Chronic intractable epilepsy associated with a tumor located in the central region: functional mapping data and postoperative outcome.

Abstract:

:Out of 57 patients operated for intractable epilepsy of the central region, 8 harbored an indolent glioma (7 dysembryoplastic neuroepithelial tumors, 1 ganglioglioma). Mapping of the sensorimotor area with depth electrodes implanted for stereoelectroencephalographic exploration demonstrated no or abnormal motor responses after low-frequency stimulation, and variable sensory responses to high-frequency stimulation, suggesting reorganization of the sensorimotor cortex representation around the tumor and absence of functional tissue within the neoplastic volume. After lesionectomy (3 cases) or corticectomy including the tumor (5 cases), 6 (75%) patients were seizure-free (class I of Engel) at the time to follow-up. No permanent motor or sensory deficit was observed in 6 cases. In 2, a mild facial (in 1) and arm (in 1) deficit persisted. It is concluded that the resection of intrinsic low-grade tumors associated with long-standing epilepsy and located in the central region can be associated with excellent seizure outcome and no or minimal postoperative deficit because of functional reorganization of the sensorimotor cortex.

authors

Devaux B,Chassoux F,Landré E,Turak B,Daumas-Duport C,Chagot D,Gagnepain JP,Chodkiewicz JP

doi

10.1159/000099880

subject

Has Abstract

pub_date

1997-01-01 00:00:00

pages

229-38

issue

1-4 Pt 2

eissn

1011-6125

issn

1423-0372

journal_volume

69

pub_type

杂志文章
  • Analysis of parameters for epidural spinal cord stimulation. 3. Topographical distribution of paresthesiae--a preliminary analysis of 266 combinations with contacts implanted in the midcervical and midthoracic vertebral levels.

    abstract::As a part of the systematic analysis of parameters involved in electrical epidural spinal cord stimulation therapy, distribution of paresthesiae in accordance with the position of contacts, as related to midline and vertebral level of contacts, was investigated. A preliminary analysis performed for 266 combinations ha...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000100632

    authors: Tulgar M,He J,Barolat G,Ketcik B,Struijk H,Holsheimer J

    更新日期:1993-01-01 00:00:00

  • Intractable epilepsy and olfactory bulb hamartoma. A case report.

    abstract::The objective of this case report is to demonstrate that a benign tumour arising solely from the olfactory bulb can act as a primary epileptic focus and to illustrate the difficulty in making a preoperative diagnosis of pathological lesions in this area. The case of a 29-year-old male with intractable epilepsy is pres...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000070104

    authors: McEvoy AW,Bartolucci M,Revesz T,Harkness W

    更新日期:2002-01-01 00:00:00

  • A 13-year experience with epilepsy surgery.

    abstract::Between 1985 and 1997, 563 therapeutic craniotomies were performed: 311 anterior temporal (ATL) and 158 extramesial temporal (XMT) resections, 67 callosotomies, 20 hemispherectomies and 7 multiple subpial transections. Sixty-seven percent of nonlesional ATL cases were seizure free (SF), and 76% of nonlesional ATL case...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000029763

    authors: Smith JR,Lee MR,Jenkins PD,King DW,Murro AM,Park YD,Lee GP,Meador KJ,Loring DW

    更新日期:1999-01-01 00:00:00

  • Distinguishing recurrent tumor and radiation necrosis with positron emission tomography versus stereotactic biopsy.

    abstract::With the recent approval of reimbursement for positron emission tomography (PET), it has become important to clarify the utility of this diagnostic study. We evaluated the utility of PET to distinguish radiation necrosis from recurrent tumor in a retrospective review of patients with primary glial neoplasms. Fifteen p...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000029743

    authors: Thompson TP,Lunsford LD,Kondziolka D

    更新日期:1999-01-01 00:00:00

  • A target-specific electrode and lead design for internal globus pallidus deep brain stimulation.

    abstract::In nearly all deep brain stimulation (DBS) applications, the same quadripolar electrode design is used for different anatomical targets even if shape and volume differences exist between nuclei. Taking into account the electrode location within the internal globus pallidus (GPi) and the size of the GPi, 2 electrodes w...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000303524

    authors: Vasques X,Cif L,Mennessier G,Coubes P

    更新日期:2010-01-01 00:00:00

  • Radiosurgical treatment of meningiomas.

    abstract::From January 1992 to November 1996, 17 patients with the diagnosis of intracranial meningioma underwent radiosurgical treatment. Of these, 7 patients were treated using a Linac-based system (group 1), and 10 using the Leksell Gamma Knife unit (group 2). The follow-up ranged between 12 and 48 (median 33) months for gro...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099869

    authors: Zamorano L,Saenz A,Matter A,Buciuc R,Gaspar L,Fontanesi J,Garzon A,Diaz F

    更新日期:1997-01-01 00:00:00

  • A prospective, randomized study of spinal cord stimulation versus reoperation for failed back surgery syndrome: initial results.

    abstract::Spinal cord stimulation (SCS) has been reported to be effective treatment for the failed back surgery syndrome in a number of retrospective case series. Its retrospectively reported results compare favorably with those of neurosurgical treatment alternatives, such as reoperation and ablative procedures. There has been...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000098631

    authors: North RB,Kidd DH,Lee MS,Piantodosi S

    更新日期:1994-01-01 00:00:00

  • Lateral orthogonal approach for depth electrode insertion using the Leksell frame: technical note.

    abstract::A simple device is described to perform lateral orthogonal approaches using the Leksell stereotactic frame. This device is especially useful for simultaneous bilateral insertion of intracerebral electrodes without the need for attaching the stereotactic arc. It also allows for targeting of far lateral lesions that lie...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000100610

    authors: Rees Cosgrove G

    更新日期:1993-01-01 00:00:00

  • Interstitial irradiation for CNS lesions.

    abstract::In this study, we investigated the efficacy of brachytherapy in the treatment of 138 patients with intracranial neoplasms of the CNS. Of the total number of patients, 50 presented with glioblastoma multiforme, 45 presented with low-grade glioma, 19 presented with anaplastic astrocytoma, 23 presented with metastases an...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000075100

    authors: Teixeira MJ,Lepski G,Correia C,Aguiar PH

    更新日期:2003-01-01 00:00:00

  • Less is more: adaptation of voltage after battery replacement in deep brain stimulation for dystonia.

    abstract:BACKGROUND:To maintain the efficacy of deep brain stimulation (DBS) on dystonic symptoms, slight incremental increase in voltage may be necessary over years after a steady state has been reached following the initial programming of optimal settings. So far however, no data are available regarding the adjustment of volt...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000319958

    authors: Blahak C,Capelle HH,Bäzner H,Kinfe T,Hennerici MG,Krauss JK

    更新日期:2010-01-01 00:00:00

  • The Effects of Deep Brain Stimulation of the Subthalamic Nucleus on Vascular Endothelial Growth Factor, Brain-Derived Neurotrophic Factor, and Glial Cell Line-Derived Neurotrophic Factor in a Rat Model of Parkinson's Disease.

    abstract:OBJECTIVE:Deep brain stimulation (DBS) of the subthalamic nucleus (STN) has evolved as a powerful therapeutic alternative for the treatment of Parkinson's disease (PD). Despite its clinical efficacy, the mechanisms of action have remained poorly understood. In addition to the immediate symptomatic effects, long-term ne...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000511121

    authors: Faust K,Vajkoczy P,Xi B,Harnack D

    更新日期:2020-11-05 00:00:00

  • Tolerance and tremor rebound following long-term chronic thalamic stimulation for Parkinsonian and essential tremor.

    abstract::Fifty-eight patients, 36 with essential tremor (ET) and 22 with Parkinson's disease (PD), received deep brain stimulation (DBS) in the thalamic ventral intermediate (Vim) nucleus. The mean follow-up was 17 months for ET and 21 months for PD patients. Stimulation parameters were adjusted as needed, at various intervals...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000029728

    authors: Hariz MI,Shamsgovara P,Johansson F,Hariz G,Fodstad H

    更新日期:1999-01-01 00:00:00

  • History of Chinese stereotactic and functional neurosurgery.

    abstract::Chinese stereotactic and functional neurosurgery started in 1963. Dr. Jian-Ping Xu did stereotactic surgery for Parkinson's disease with a small Cartesian coordinate stereotactic device which he designed. In 1983, the first Chinese Institute of Stereotactic and Functional Neurosurgery was established by Dr. Jian-Ping ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.1159/000064588

    authors: Sun B,Lang LQ,Cong PY,Liu KY,Pan L

    更新日期:2001-01-01 00:00:00

  • A system for microscope-assisted guided interventions.

    abstract::We present a system for surgical navigation using stereo overlays in the operating microscope aligned to the operative scene. This augmented reality system provides 3D information about nearby structures and offers a significant advancement over pointer-based guidance, which provides only the location of one point and...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000029708

    authors: King AP,Edwards PJ,Maurer CR Jr,de Cunha DA,Hawkes DJ,Hill DL,Gaston RP,Fenlon MR,Strong AJ,Chandler CL,Richards A,Gleeson MJ

    更新日期:1999-01-01 00:00:00

  • Stereotactic neurosurgery for writer's cramp: report of two cases with an overview of the literature.

    abstract:BACKGROUND:Writer's cramp is a specific movement disorder with hand muscle cramps in writing, being classified into focal and action-specific dystonia. Stereotactic surgery, such as thalamotomy and deep brain stimulation (DBS), has been reported for writer's cramp; however, the number of reported cases is still scarce ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000366004

    authors: Asahi T,Koh M,Kashiwazaki D,Kuroda S

    更新日期:2014-01-01 00:00:00

  • Initial clinical experience with the Peacock intensity modulation of a 3-D conformal radiation therapy system.

    abstract::Peacock is a 3-D conformal treatment planning and delivery system for conformal radiation therapy which delivers intensity-modulated fields. A group of 13 patients were treated between March and February, 1995. Patient age ranged from 10 to 74. Six of the patients had previously received radiation therapy. Target volu...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1159/000099664

    authors: Carol M,Grant WH 3rd,Pavord D,Eddy P,Targovnik HS,Butler B,Woo S,Figura J,Onufrey V,Grossman R,Selkar R

    更新日期:1996-01-01 00:00:00

  • Frame-based and frameless endoscopic procedures in the third ventricle.

    abstract::Stereotactic guidance is useful for planning an accurate trajectory to the third ventricle. A guiding block with a ball joint was developed for frame-based endoscopy and adaptors for arm-based and armless navigation systems. Between 1992 and 1996, 52 patients were operated on endoscopically in the third ventricle unde...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099907

    authors: Grunert P,Hopf N,Perneczky A

    更新日期:1997-01-01 00:00:00

  • Interstitial hyperthermia of malignant brain tumors by an implant heating system using stereotactic techniques.

    abstract::Interstitial hyperthermia of malignant brain tumors has been produced by a heated ferromagnetic implant with a low Curie point. Induction heating of the implant, which is stereotactically implanted in a tumor, is obtained by eddy currents in a high-frequency magnetic field. Safe, repeated and long-term treatment of 35...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000098928

    authors: Kobayashi T,Kida Y

    更新日期:1992-01-01 00:00:00

  • Electrical stimulation for epilepsy: stimulation of hippocampal foci.

    abstract::Subacute and chronic continuous electrical stimulation at the epileptic focus in the hippocampus or parahippocampal cortex at 130 Hz, 0.21-1.0 ms, 2.5-3.5 V (about 200-300 microA) induces a decrease in focal EEG epileptic interictal activity and also in the occurrence of clinical seizures. This may represent an altern...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000064610

    authors: Velasco F,Velasco M,Velasco AL,Menez D,Rocha L

    更新日期:2001-01-01 00:00:00

  • The Role of Hippocampal Neurogenesis in ANT-DBS for LiCl-Pilocarpine-Induced Epileptic Rats.

    abstract:PURPOSE:Abnormal neurogenesis in the hippocampus after status epilepticus (SE) has been suggested as a key pathogeny of temporal lobe epilepsy. This study aimed to investigate the effect of deep brain stimulation of the anterior thalamic nucleus (ANT-DBS) on hippocampal neurogenesis in LiCl-pilocarpine-induced epilepti...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000509314

    authors: Tang W,He X,Feng L,Liu D,Yang Z,Zhang J,Xiao B,Yang Z

    更新日期:2020-12-10 00:00:00

  • Neuropsychological outcome following pallidotomy and thalamotomy for Parkinson's disease.

    abstract::Cognitive and emotional outcomes were assessed after unilateral posteroventral pallidotomy (PVP) and ventral intermediate nucleus thalamotomy (Vim-Th) in patients suffering from idiopathic Parkinson's disease (PD). PVP was performed on 12 PD patients (8 men and 4 women, mean age 56.4 years, 6 left lesions and 6 right ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000056458

    authors: Fukuda M,Kameyama S,Yoshino M,Tanaka R,Narabayashi H

    更新日期:2000-01-01 00:00:00

  • Predicting acute affective symptoms after deep brain stimulation surgery in Parkinson's disease.

    abstract::The current study aimed to investigate predictive markers for acute symptoms of depression and mania following deep brain stimulation (DBS) surgery of the subthalamic nucleus for the treatment of motor symptoms in Parkinson's disease (PD). Fourteen patients with PD (7 males) were included in a prospective longitudinal...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000319046

    authors: Schneider F,Reske M,Finkelmeyer A,Wojtecki L,Timmermann L,Brosig T,Backes V,Amir-Manavi A,Sturm V,Habel U,Schnitzler A

    更新日期:2010-01-01 00:00:00

  • Spinal cord stimulation to abort painful spasms of atypical stiff limb syndrome.

    abstract::Stiff limb syndrome (SLS) is a rare chronic condition which can result in significant debility. We report the case of a 44-year-old man suffering from severe painful spasms in his right leg with a diagnosis of SLS. He had been initially treated for his pain with a spinal cord stimulator but presented with exacerbation...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000313871

    authors: Ughratdar I,Sivakumar G,Basu S

    更新日期:2010-01-01 00:00:00

  • Implementation of a stereotactic microscope using an optically coupled tracking system.

    abstract::Image-directed neurosurgical systems allow the correlation of a point in the operative field to a corresponding point on the patient's CT/MR scans. We have modified a surgical microscope by mounting three light-emitting diodes (LEDs) on a small frame attached to the microscope. The operative field was registered to th...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099675

    authors: Hirschberg H

    更新日期:1996-01-01 00:00:00

  • Intraoperative cortical mapping has low sensitivity for the detection of motor function in proximity to a tumor in the primary motor area.

    abstract::Six patients with brain tumors within or near the primary motor cortex underwent preoperative functional magnetic resonance imaging (fMRI) and intraoperative cortical mapping, and the accuracy of those techniques for localization of the primary motor cortex and motor function beside the tumor were determined by compar...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000088160

    authors: Shinoura N,Yamada R,Kodama T,Suzuki Y,Takahashi M,Yagi K

    更新日期:2005-01-01 00:00:00

  • Microvascular Decompression Alone without Rhizotomy Is an Effective Way of Treating Glossopharyngeal Neuralgia: Clinical Analysis of 46 Cases.

    abstract:BACKGROUND:Microvascular decompression (MVD) has been the right choice for glossopharyngeal neuralgia (GPN) patients. However, whether glossopharyngeal/vagal nerve root rhizotomy should be combined with MVD is still controversial. OBJECTIVE:To evaluate whether glossopharyngeal/vagal nerve root rhizotomy during MVD is ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000505712

    authors: Zheng X,Wei XY,Zhu J,Yuan Y,Ying TT,Li ST

    更新日期:2020-01-01 00:00:00

  • Development of a Standardized Cranial Phantom for Training and Optimization of Functional Stereotactic Operations.

    abstract:BACKGROUND:In recent years, simulations based on phantom models have become increasingly popular in the medical field. In the field of functional and stereotactic neurosurgery, a cranial phantom would be useful to train operative techniques, such as stereo-electroencephalography (SEEG), to establish new methods as well...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000489581

    authors: Krüger MT,Coenen VA,Egger K,Shah M,Reinacher PC

    更新日期:2018-01-01 00:00:00

  • Transplantation of autologous superior cervical ganglion into the brain of parkinsonian monkeys.

    abstract::Autologous transplantation of the superior cervical ganglion (SCG) into the caudate nuclei of 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-induced parkinsonian monkey was studied in regard to animal behavior and catecholamine (CA) metabolites in cerebrospinal fluid. Monkeys which had undergone autotransplantation of t...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000100231

    authors: Nakai M,Itakura T,Komai N

    更新日期:1990-01-01 00:00:00

  • The efficacy of linear accelerator radiosurgery in the management of patients with Cushing's disease.

    abstract::We identified 35 patients who had undergone stereotactic radiosurgery (SRS) for their biochemically proven Cushing's disease in order to assess the efficacy of SRS with regard to control of hypercortisolism, improvement of clinical features and prevention of tumor progression, and subsequent incidence of hypopituitari...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000083476

    authors: Devin JK,Allen GS,Cmelak AJ,Duggan DM,Blevins LS

    更新日期:2004-01-01 00:00:00

  • Gamma knife radiosurgery for trigeminal neuralgia: comparing the use of a 4-mm versus concentric 4- and 8-mm collimators.

    abstract:PURPOSE:Gamma knife (GK) radiosurgery for trigeminal neuralgia (TN) has been effective in 50-80% of cases when using a single 4-mm collimator and a maximum dose of 60-90 Gy. Attempting to improve the response rate by increasing the dose may lead to increased risk of facial numbness or disturbed sensation. Combined use ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000076661

    authors: Kanner AA,Neyman G,Suh JH,Weinhous MS,Lee SY,Barnett GH

    更新日期:2004-01-01 00:00:00