Abstract:
:Surgical management and strategies for the supplementary motor area (SMA) epilepsy are described. The following is our preoperative evaluations. The steps include functional magnetic resonance imaging (fMRI), interictal dipole tracing (DT), subdural electrodes mapping, measurements of movement-related cortical potential (MRCP), and the use of the intraoperative open MRI under conscious craniotomy. Six patients with SMA epilepsy underwent surgery after the mapping procedures and are now seizure-free. Combinations of preoperative (fMRI, subdural electrodes mapping) and intraoperative mapping allow exact localization and identification of the critical functional areas. Early postoperative deficits in motor and speech function were profound but patients recovered rapidly. It is concluded that the step of mapping procedures plays an important role in the management of SMA epilepsy surgery.
journal_name
Psychiatry Clin Neuroscijournal_title
Psychiatry and clinical neurosciencesauthors
Yamane F,Muragaki Y,Maruyama T,Okada Y,Iseki H,Ikeda A,Homma I,Hori Tdoi
10.1111/j.1440-1819.2004.01244_5.xsubject
Has Abstractpub_date
2004-06-01 00:00:00pages
S16-21issue
3eissn
1323-1316issn
1440-1819pii
PCN1244_5journal_volume
58pub_type
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