Epilepsy surgery in children with electrical status epilepticus in sleep.

Abstract:

OBJECTIVE:Pediatric epilepsy surgery candidates with unilateral congenital or early-acquired brain lesions may present with refractory seizures and generalized electroencephalographic features such as electrical status epilepticus in sleep (ESES). The purpose of our study was to review the clinical presentation, neuroimaging findings, and outcome in a series of children with unilateral brain lesions and ESES undergoing resective surgery for refractory epilepsy. METHODS:A total of 415 consecutive patients younger than 18 years of age undergoing video electroencephalographic evaluation and epilepsy surgery at Cleveland Clinic were reviewed for ESES, an underlying pathological lesion, and outcome after surgery. RESULTS:Eight patients were included. All patients presented with medically refractory epilepsy, hemiparesis, and developmental delay. The pathogenesis was perinatal infarction in 7 patients and malformation of cortical development in 1 patient. Preoperative electroencephalography demonstrated generalized interictal spikes, electroencephalographic seizures, and ESES in all cases. Age at the time of surgery ranged from 3 to 14 years. Six patients underwent hemispherectomy, and 2 patients underwent focal resection. Six patients became seizure-free after resection. Two patients with functional hemispherectomy continued to have rare seizures, but were much improved. These patients also had perinatal infarctions in the hemisphere contralateral to the resection, possibly indicating a less beneficial outcome. Postoperative electroencephalography demonstrated resolution of generalized interictal discharges and ESES in all. Formal pre- and postoperative neuropsychological testing showed overall improvement of age-equivalent scores. CONCLUSION:Children with unilateral brain lesions and seizures may become seizure-free after epilepsy surgery, even if the preoperative electroencephalogram shows generalized ESES. The lesion occurring early in life and the location of the lesion may play a role in the development of ESES. Cognitive impairment may be aggravated by the persistence of ESES. Preliminary developmental data in this small sample suggest that termination of seizures and possibly of ESES by epilepsy surgery may have developmental benefits.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Loddenkemper T,Cosmo G,Kotagal P,Haut J,Klaas P,Gupta A,Lachhwani DK,Bingaman W,Wyllie E

doi

10.1227/01.NEU.0000336767.14252.76

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

328-37; discussion 337

issue

2

eissn

0148-396X

issn

1524-4040

pii

00006123-200902000-00014

journal_volume

64

pub_type

杂志文章
  • Chronic encapsulated intracerebellar hematoma in infancy: case report.

    abstract::A case of intracerebellar hematoma in infancy is reported. Although the clinical course and computed tomographic appearances suggested a cerebellar tumor, intraoperative and microscopic investigations demonstrated a chronic expanding hematoma enlarging with repeated hemorrhages inside the capsule. The differential dia...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198405000-00015

    authors: Aoki N,Mizuguchi K

    更新日期:1984-05-01 00:00:00

  • Changing Therapeutic Landscape for Melanoma With Multiple Brain Metastases.

    abstract::Over 90 000 people are expected to be diagnosed with melanoma in the United States this year. The development of brain metastases is particularly difficult to manage. Over the past few years, melanoma patients with multiple unresectable brain metastases for which stereotactic surgery might also not be a viable option ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1093/neuros/nyaa076

    authors: Jiang C,Wallington DG,Anker CJ,Lawson DH,Yushak ML,Kudchadkar RR,Tarhini A,Khan MK

    更新日期:2020-09-01 00:00:00

  • Primary osteogenic sarcoma of the skull: case report.

    abstract::A case of primary osteogenic sarcoma of the skull with metastases to the lungs, left diaphragm, 2nd lumbar and 1st sacral vertebral bodies, and both femoral heads was presented. A young man with a lump over his right parieto-occipital region since the age of 14 had noticed rapid growth of the mass after having experie...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Wang YC,Shih CJ,Leu FJ,Tu YC

    更新日期:1981-09-01 00:00:00

  • Surgical decompression without transposition for ulnar neuropathy: factors determining outcome.

    abstract::Fifty-one surgical decompressions without nerve transposition for ulnar neuropathy were performed in 46 patients. All of the patients were men with an average age of 59 years at the time of surgery. The follow-up range was between 5 and 32 months (average, 17.8 months). The disease involved the nondominant arm in 24 p...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199011000-00007

    authors: LeRoux PD,Ensign TD,Burchiel KJ

    更新日期:1990-11-01 00:00:00

  • Extracranial-intracranial vein graft bypass for giant intracranial aneurysm surgery for pediatric patients: two technical case reports.

    abstract:OBJECTIVE AND IMPORTANCE:Herein we describe two cases of extracranial-intracranial vein graft bypasses for the treatment of giant intracranial aneurysms in prepubertal pediatric patients. One patient is, we think, the youngest patient reported in the literature to have been successfully treated in such a manner, with a...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200203000-00048

    authors: Zhang YJ,Barrow DL,Day AL

    更新日期:2002-03-01 00:00:00

  • Modifications of the transoral approach to the craniovertebral junction: anatomic study and clinical correlations.

    abstract:OBJECTIVE:This study was designed to more precisely characterize the changes in exposure achieved by modifying the standard transoral approach by sequential mandibulotomy and mandibuloglossotomy with or without palatotomy. METHODS:A series of cadaveric dissections was performed and the operative distance and angle of ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000317386.99055.3f

    authors: Youssef AS,Guiot B,Black K,Sloan AE

    更新日期:2008-03-01 00:00:00

  • Sacral fracture with pseudomeningocele and cerebrospinal fluid fistula: case report and review of the literature.

    abstract::A patient who sustained an isolated transverse sacral fracture is presented. A large ventral sacral pseudomeningocele with cerebrospinal fluid (CSF) fistula developed. Eighteen previous cases of traumatic pseudomeningocele have been documented. A review of those cases leads these authors to conclude that: transverse s...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198506000-00022

    authors: Hadley MN,Carter LP

    更新日期:1985-06-01 00:00:00

  • Intracranial head and neck tumors: endovascular considerations, present and future.

    abstract::To review the literature on endovascular therapies available to clinicians to aid in the management of head, neck, and intracranial tumors. Hypervascular tumors of the head and neck region, as well as the intracranial region, are associated with large amounts of blood loss intraoperatively. Preoperative embolization o...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000239249.65742.1C

    authors: Gupta R,Thomas AJ,Horowitz M

    更新日期:2006-11-01 00:00:00

  • Peculiarities of intracranial arachnoid cysts: location, sidedness, and sex distribution in 126 consecutive patients.

    abstract:OBJECTIVE:To study the distribution of intracranial arachnoid cysts in a large and nonbiased patient population. METHODS:One hundred twenty-six patients with 132 arachnoid cysts were studied. Patients were consecutively referred to our department during a 10-year period from a well-defined geographical area with a sta...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199910000-00008

    authors: Wester K

    更新日期:1999-10-01 00:00:00

  • Enhanced reclosure of surgically induced spinal open neural tube defects in chick embryos by injecting human bone marrow stem cells into the amniotic cavity.

    abstract:OBJECTIVE:To evaluate the reclosure-promoting capacity of a neural stem cell line (F3) and a human bone marrow stem cell line (B10) injected into the amniotic cavity of spinal open neural tube defects (ONTDs) of chick embryos of Hamburger and Hamilton stage 18 or 19. METHODS:Fifteen chick embryos that survived the pro...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000371048.76494.0F

    authors: Lee DH,Phi JH,Kim SK,Cho BK,Kim SU,Wang KC

    更新日期:2010-07-01 00:00:00

  • Radiographic and anatomic basis of endoscopic anterior craniocervical decompression: a comparison of endonasal, transoral, and transcervical approaches.

    abstract:OBJECTIVE:To evaluate surgical access to the craniocervical junction using 3 endoscopic approaches: endonasal, transoral, and transcervical. METHODS:Nine cadaveric specimens were used. Image guidance was used in 1 specimen for each approach; fluoroscopy was used in every case. The Vitrea imaging station (Vital Images ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000345641.97181.ED

    authors: Baird CJ,Conway JE,Sciubba DM,Prevedello DM,Quiñones-Hinojosa A,Kassam AB

    更新日期:2009-12-01 00:00:00

  • Posterior fossa subdural hematoma in a hemophiliac.

    abstract::A successfully managed case of posterior fossa subdural hematoma occurring in a hemophiliac is reported, and the rarity of this lesion is mentioned. The management of the hemophiliac who is a victim of craniocerebral trauma is discussed, with emphasis on the use of computerized tomographic scanning to obtain rapid dia...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-197809000-00014

    authors: Raggio JF,Fleischer AS,Corley CC

    更新日期:1978-09-01 00:00:00

  • Tirofiban Protocol Protects Against Delayed Cerebral Ischemia: A Case-Series Study.

    abstract:BACKGROUND:There has not been any effective prophylaxis for delayed cerebral ischemia delayed cerebral ischemia (DCI) since the introduction of nimodipine. Platelet inhibition may reduce the risk by preventing the formation of microthrombi. Tirofiban has been used as a single monotherapy bridge given its safety profile...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyaa170

    authors: Zanaty M,Osorno-Cruz C,Byer S,Roa JA,Limaye K,Ishii D,Nakagawa D,Torner J,Yongjun L,Ortega-Gutiérrez S,Samaniego EA,Allan L,Hasan D

    更新日期:2020-10-15 00:00:00

  • Intraoperative brain shift and deformation: a quantitative analysis of cortical displacement in 28 cases.

    abstract:OBJECTIVE:A quantitative analysis of intraoperative cortical shift and deformation was performed to gain a better understanding of the nature and extent of this problem and the resultant loss of spatial accuracy in surgical procedures coregistered to preoperative imaging studies. METHODS:Three-dimensional feature trac...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199810000-00010

    authors: Roberts DW,Hartov A,Kennedy FE,Miga MI,Paulsen KD

    更新日期:1998-10-01 00:00:00

  • Caspase-9 transduction overrides the resistance mechanism against p53-mediated apoptosis in U-87MG glioma cells.

    abstract:OBJECTIVE:Conflicting reports have been published with regard to the relationship between the efficacy of p53 gene therapy and the p53 status of gliomas. In this study, we evaluated whether U-87MG glioma cells harboring wild-type p53 and U251 and U-373MG glioma cells harboring mutated p53 demonstrate different sensitiv...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200107000-00027

    authors: Shinoura N,Sakurai S,Asai A,Kirino T,Hamada H

    更新日期:2001-07-01 00:00:00

  • Radiation-associated atheromatous disease of the cervical carotid artery: report of seven cases and review of the literature.

    abstract::The natural history of postirradiation extracranial cerebrovascular disease is uncertain. Previous reported cases spanning 20 years of carotid surgery are difficult to evaluate, because patients may sometimes have unspecified symptoms, physical examinations, postoperative results, and follow-up. Also, the evolution of...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/00006123-198902000-00004

    authors: Atkinson JL,Sundt TM Jr,Dale AJ,Cascino TL,Nichols DA

    更新日期:1989-02-01 00:00:00

  • Neurological surgery at the University of Vienna.

    abstract::ANTON VON EISELSBERG was the first to resect a cerebral tumor at the First Surgical Clinic at the General Hospital in Vienna in 1904. He successfully removed a cerebral glioma, the first of no fewer than 15,000 tumors operated on at that hospital to date. von Eiselsberg and his successors, Egon Ranzi and Leopold Schön...

    journal_title:Neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.1097/00006123-199609000-00030

    authors: Koos WT,Day JD

    更新日期:1996-09-01 00:00:00

  • Stretch-associated injury in cervical spondylotic myelopathy: new concept and review.

    abstract::The simple pathoanatomic concept that a narrowed spinal canal causes compression of the enclosed cord, leading to local tissue ischemia, injury, and neurological impairment, fails to explain the entire spectrum of clinical findings observed in cervical spondylotic myelopathy. A growing body of evidence indicates that ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:

    authors: Henderson FC,Geddes JF,Vaccaro AR,Woodard E,Berry KJ,Benzel EC

    更新日期:2005-05-01 00:00:00

  • Congenital reactive myofibroblastic tumor of the petrous bone: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Myofibroblastic tumors are members of a diverse spectrum of neoplastic and quasineoplastic lesions that occur most commonly during childhood and typically involve soft tissues. We present a case of a congenital reactive myofibroblastic tumor of the petrous bone (i.e., cranial fasciitis) that wa...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-200102000-00041

    authors: Pollack IF,Hamilton RL,Fitz C,Kassam A,Snyderman CH

    更新日期:2001-02-01 00:00:00

  • Postcontrast magnetic resonance imaging to predict progression of traumatic epidural and subdural hematomas in the acute stage.

    abstract:OBJECTIVE:We investigated the possibility of predicting the progression of traumatic epidural hematomas (EDHs) and subdural hematomas (SDHs), in the acute stage, by using postcontrast magnetic resonance imaging (MRI) with gadolinium-diethylenetriaminepentaacetic acid. METHODS:From January 1990 through December 1996, 4...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199807000-00040

    authors: Tomida M,Muraki M,Uemura K,Yamasaki K

    更新日期:1998-07-01 00:00:00

  • The morning visit by Oliver Wendell Holmes, Sr., M.D.

    abstract::Today, physicians in general and neurosurgeons in particular practice in an era of fundamental change in Medicine from a profession to an industry. This change has produced erosion in the very personal physician-patient relationship. "The Morning Visit" is a poem written by Oliver Wendell Holmes, Sr., M.D., a 19th cen...

    journal_title:Neurosurgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1227/01.NEU.0000351280.04013.65

    authors: Ciric IS

    更新日期:2009-10-01 00:00:00

  • Mirror-image spinal dural arteriovenous fistulas at the craniocervical junction: case report and review of the literature.

    abstract:BACKGROUND AND IMPORTANCE:We report an extremely rare case with mirror-site spinal dural arteriovenous fistulas (DAVFs) at the craniocervical junction. Although multiple spinal DAVFs have been reported in the literature, complete mirror-site lesions with fistulas and feeding arteries in the symmetric position have not ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/NEU.0b013e318223bab5

    authors: Oshita J,Yamaguchi S,Ohba S,Kurisu K

    更新日期:2011-11-01 00:00:00

  • Unique aspects of central nervous system immunology.

    abstract::In this review the authors discuss three immunologically unique aspects of the central nervous system (CNS). The first relates to whether the CNS is really an immunologically privileged site. Although still somewhat controversial, the answer to that question is that the CNS is, to a large extent, an immunologically pr...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/00006123-197811000-00018

    authors: Neuwelt EA,Clark WK

    更新日期:1978-11-01 00:00:00

  • Thoracoscopically guided transaxillary resection of adjoining intercostal plexiform neurofibromas: review of mosaicism in neurofibromatosis: technical note.

    abstract:OBJECTIVE AND IMPORTANCE:The present article describes a rare presentation of Type I neurofibromatosis (NFI) involving adjoining intercostal plexiform neurofibromas, as well as the novel use of thoracoscopy to guide surgical resection. This presentation highlights the manner in which NFI may affect selective regions of...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000176707.44598.53

    authors: Salazar F,Machado A,Murthy S,Boulis NM

    更新日期:2005-10-01 00:00:00

  • Influence of previous treatment on outcome after glycerol rhizotomy for trigeminal neuralgia.

    abstract::The aim of the present study was to evaluate the influence of previous treatment on outcome and sensory disturbance after a retrogasserian glycerol injection for trigeminal neuralgia. Ninety-nine patients with trigeminal neuralgia underwent a retrogasserian glycerol rhizotomy. Fifty-three of those patients experienced...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199502000-00009

    authors: Bergenheim AT,Hariz MI

    更新日期:1995-02-01 00:00:00

  • Isocitrate Dehydrogenase Mutations in Low-Grade Gliomas Correlate With Prolonged Overall Survival in Older Patients.

    abstract:BACKGROUND:Older age has been associated with worse outcomes in low-grade gliomas (LGGs). Given their rarity in the older population, determining optimal treatment plans and patient outcomes remains difficult. OBJECTIVE:To retrospectively study LGG survival outcomes in an older population stratified by molecular genet...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyy149

    authors: Jones PS,Carroll KT,Koch M,DiCesare JAT,Reitz K,Frosch M,Barker FG 2nd,Cahill DP,Curry WT Jr

    更新日期:2019-02-01 00:00:00

  • Familial Predisposition and Differences in Radiographic Patterns in Spontaneous Nonaneurysmal Subarachnoid Hemorrhage.

    abstract:BACKGROUND:Subarachnoid hemorrhage (SAH) from an intracranial aneurysmal rupture is the most common nontraumatic etiology for SAH, but up to 15% of patients with SAH have no identifiable source. OBJECTIVE:To assess familial predisposition to spontaneous nonaneurysmal SAH (naSAH) and to evaluate whether family history ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyaa396

    authors: Lai PMR,Ng I,Gormley WB,Patel NJ,Frerichs KU,Aziz-Sultan MA,Du R

    更新日期:2021-01-13 00:00:00

  • Elevation of brain norepinephrine concentration after experimental subarachnoid hemorrhage.

    abstract::Regional brain tissue catecholamine concentrations were measured in 5 control rats and in 10 rats 72 hours after experimental subarachnoid hemorrhage (SAH). Catecholamine levels were determined in the cerebral hemispheres, brain stem, and cerebellum of each animal using a radioenzymatic assay. Three days after SAH, th...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198609000-00005

    authors: Solomon RA,McCormack BM,Lovitz RN,Swift DM,Hegemann MT

    更新日期:1986-09-01 00:00:00

  • Regulated neuronal neuromodulation via spinal cord expression of the gene for the inwardly rectifying potassium channel 2.1 (Kir2.1).

    abstract:BACKGROUND:Neuromodulation is used to restore neural function in disorders that stem from an imbalance in the activity of specific neural networks when they prove refractory to pharmacological therapy. The Kir2.1 gene contributes to stabilizing the resting potential below the threshold of activation of voltage-gated so...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318283f59a

    authors: Boulis NM,Handy CR,Krudy CA,Donnelly EM,Federici T,Franz CK,Barrow EM,Teng Q,Kumar P,Cress D

    更新日期:2013-04-01 00:00:00

  • Double dissociation between visual recognition and picture naming: a study of the visual language connectivity using tractography and brain stimulation.

    abstract:BACKGROUND:Study of the corticosubcortical functional anatomy of reading and picture naming. OBJECTIVE:To study the role of the left basal occipitotemporal area and its white matter pathways. METHODS:Three patients underwent awake surgery for lesions in the left basal posterotemporal region with intraoperative electr...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318282a361

    authors: Gil-Robles S,Carvallo A,Jimenez Mdel M,Gomez Caicoya A,Martinez R,Ruiz-Ocaña C,Duffau H

    更新日期:2013-04-01 00:00:00