Abstract：
BACKGROUND:Focal cortical dysplasias (FCDs) are highly epileptogenic and frequently associated with medically refractory focal epilepsy. FCDs are frequently located in the frontal lobe, making its complete resection highly challenging when in proximity to the motor cortex. CASE DESCRIPTION:We report a case of a 25-year-old woman with medically refractory epilepsy secondary to a focal cortical dysplasia in the motor cortex and extending deeply into the subcortical white matter. A detailed presurgical evaluation and invasive electroencephalographic monitoring performed at our epilepsy monitoring unit, along with the use of motor mapping, functional magnetic resonance imaging, diffusion tensor imaging, and the Stealth navigation system resulted in the complete resection of the lesion without a permanent postoperative motor deficit. The patient remained seizure-free at a 63-month follow-up while being maintained on a single antiepileptic drug. CONCLUSION:A detailed presurgical evaluation, accurate mapping of the functional and dysplastic cortex, and a well-planned tailored and complete surgical resection of the cortical dysplasia can result in a favorable outcome with relatively little risk of postoperative neurologic deficit.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Farhat S,Darwish H,Nasreddine W,Salame J,Beydoun Adoi
10.1016/j.wneu.2019.08.181subject
Has Abstractpub_date
2019-12-01 00:00:00pages
93-98eissn
1878-8750issn
1878-8769pii
S1878-8750(19)32337-Xjournal_volume
132pub_type
杂志文章abstract：BACKGROUND:Sufficient visualization of the operating field is crucial for success in surgery and is important especially concerning minimally invasive and deep approaches in spine surgery. METHODS:The spinal microsurgical approach was imitated using an isolated box that was accessed with different devices. Different l...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.06.013
更新日期：2017-09-01 00:00:00
abstract：OBJECTIVE:Patients with large and giant intracranial aneurysms (IAs) can experience neurological deterioration within 6 months after successful flow diverter (FD) placement. The purpose of the present study was to assess whether the occurrence of neurological deterioration can be linked to IA expansion within 6 months ...
journal_title：World neurosurgery
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doi：10.1016/j.wneu.2018.08.169
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abstract：BACKGROUND:The decision between conservative management and invasive treatment of juxtaorbital intracranial vascular anomalies can be challenging. Whereas arteriovenous malformations (AVMs) can lead to vision loss and are potentially life-threatening if they rupture, invasive endovascular and surgical procedures also c...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2013.01.093
更新日期：2014-07-01 00:00:00
abstract：OBJECTIVE:It is generally accepted that larger saccular intracranial aneurysms are at greater risk to rupture. We investigated whether aneurysm location influences the effect of aneurysm size on the propensity of rupture. METHODS:We reviewed patient and aneurysm characteristics in a consecutive series of patients with...
journal_title：World neurosurgery
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doi：10.1016/j.wneu.2019.10.027
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:Pediatric isolated penetrating traumatic vertebral artery injuries require urgent multidisciplinary management as they may lead to potentially fatal posterior circulation ischemia. CASE DESCRIPTION:We present a 19-month-old patient with an isolated penetrating vertebral artery injuries at the V2 segment of ...
journal_title：World neurosurgery
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doi：10.1016/j.wneu.2020.02.063
更新日期：2020-05-01 00:00:00
abstract：OBJECTIVE:The blood-brain barrier (BBB) of patients with moyamoya angiopathy (MMA) is unstable, which may contribute to transient neurologic symptoms (TNS) after direct bypass surgery. However, BBB-related proteins have never been investigated. The purpose of this study was to evaluate the perioperative serum levels of...
journal_title：World neurosurgery
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doi：10.1016/j.wneu.2018.08.134
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abstract：OBJECTIVE:Measurement of the optic nerve sheath diameter (ONSD) by using sonography is a straightforward, noninvasive technique to detect an increased intracranial pressure, which can even be conducted at the bedside. However, the correlation between ONSD and intracranial midline shift has not been studied. METHODS:Th...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2015.10.015
更新日期：2016-01-01 00:00:00
abstract：:The debate over the influence approach sidedness has on the risk of recurrent laryngeal nerve palsy (RLNP) following anterior cervical discectomy and fusion (ACDF) has its origins with the introduction of the procedure for radicular pain in the 1950s. The recurrent laryngeal nerves follow disparate courses in the lowe...
journal_title：World neurosurgery
pub_type： 历史文章,杂志文章,评审
doi：10.1016/j.wneu.2019.12.052
更新日期：2020-03-01 00:00:00
abstract：BACKGROUND:Multiple sclerosis (MS) is a common autoimmune and neurodegenerative disease of the central nervous system characterized by inflammatory demyelination, axonal degeneration, and neuronal loss. The exact pathogenesis of MS remains uncertain; however, studies have shown that the development of MS is influenced ...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2016.04.027
更新日期：2016-11-01 00:00:00
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2018.03.111
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.12.168
更新日期：2018-03-01 00:00:00
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2020.12.012
更新日期：2020-12-25 00:00:00
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journal_title：World neurosurgery
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更新日期：2019-07-01 00:00:00
abstract：BACKGROUND:For several variants of quasi-moyamoya disease, cerebral revascularization treatment is as effective as it is for the more typical cases of moyamoya disease. Here, we examined a case of moyamoya disease with concurrent congenital rubella syndrome (CRS). On the basis of concurrent underlying disease, the pati...
journal_title：World neurosurgery
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doi：10.1016/j.wneu.2020.02.081
更新日期：2020-06-01 00:00:00
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2016.12.019
更新日期：2017-03-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
doi：10.1016/j.wneu.2016.09.100
更新日期：2017-02-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.09.175
更新日期：2018-01-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.07.017
更新日期：2019-10-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2015.07.004
更新日期：2015-12-01 00:00:00
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2020.10.139
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doi：10.1016/j.wneu.2017.02.113
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2019.03.175
更新日期：2019-07-01 00:00:00
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2019.10.022
更新日期：2020-01-01 00:00:00
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doi：10.1016/j.wneu.2017.06.016
更新日期：2017-09-01 00:00:00
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2016.11.087
更新日期：2017-02-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.04.188
更新日期：2019-08-01 00:00:00
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2016.03.104
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journal_title：World neurosurgery
pub_type： 历史文章,杂志文章,评审
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更新日期：2013-02-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2020-02-01 00:00:00
