Seizure's outcome after cortical resections including the face and tongue rolandic areas in patients with refractory epilepsy and normal MRI submitted to subdural grids' implantation
PURPOSE: To study the seizure's outcome in patients with refractory epilepsy and normal MRI submitted to resections including the rolandic cortex. METHODS: Four adult patients were studied. All patients had motor or somatosensory simple partial seizures and normal MRI and were submitted to subd...
Main Authors: | , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Academia Brasileira de Neurologia (ABNEURO)
2001-01-01
|
Series: | Arquivos de Neuro-Psiquiatria |
Subjects: | |
Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000500012 |
_version_ | 1828849393926668288 |
---|---|
author | Cukiert Arthur Buratini Jose A. Machado Elcio Sousa Alcione Vieira Joaquim Forster Cassio Argentoni Meire Baldauf Cristine Frayman Leila |
author_facet | Cukiert Arthur Buratini Jose A. Machado Elcio Sousa Alcione Vieira Joaquim Forster Cassio Argentoni Meire Baldauf Cristine Frayman Leila |
author_sort | Cukiert Arthur |
collection | DOAJ |
description | PURPOSE: To study the seizure's outcome in patients with refractory epilepsy and normal MRI submitted to resections including the rolandic cortex. METHODS: Four adult patients were studied. All patients had motor or somatosensory simple partial seizures and normal MRI and were submitted to subdural grids' implantation with extensive coverage of the cortical convexity (1 in the non-dominant and 3 in the dominant hemisphere). RESULTS: ECoG was able to define focal areas of seizures' onset in every patient. All patients were submitted to resection of the face and tongue motor and sensitive cortex; two patients had resections including the perirolandic cortex and 2 had additional cortical removals. Three patients are seizures' free and one had a greater then 90% reduction in seizure frequency. CONCLUSION: Resections including the face and tongue rolandic cortex can be safely performed even within the dominant hemisphere. |
first_indexed | 2024-12-12T22:51:20Z |
format | Article |
id | doaj.art-35fea241687346a48fccd79c0678d312 |
institution | Directory Open Access Journal |
issn | 0004-282X 1678-4227 |
language | English |
last_indexed | 2024-12-12T22:51:20Z |
publishDate | 2001-01-01 |
publisher | Academia Brasileira de Neurologia (ABNEURO) |
record_format | Article |
series | Arquivos de Neuro-Psiquiatria |
spelling | doaj.art-35fea241687346a48fccd79c0678d3122022-12-22T00:09:04ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria0004-282X1678-42272001-01-01593B717721Seizure's outcome after cortical resections including the face and tongue rolandic areas in patients with refractory epilepsy and normal MRI submitted to subdural grids' implantationCukiert ArthurBuratini Jose A.Machado ElcioSousa AlcioneVieira JoaquimForster CassioArgentoni MeireBaldauf CristineFrayman LeilaPURPOSE: To study the seizure's outcome in patients with refractory epilepsy and normal MRI submitted to resections including the rolandic cortex. METHODS: Four adult patients were studied. All patients had motor or somatosensory simple partial seizures and normal MRI and were submitted to subdural grids' implantation with extensive coverage of the cortical convexity (1 in the non-dominant and 3 in the dominant hemisphere). RESULTS: ECoG was able to define focal areas of seizures' onset in every patient. All patients were submitted to resection of the face and tongue motor and sensitive cortex; two patients had resections including the perirolandic cortex and 2 had additional cortical removals. Three patients are seizures' free and one had a greater then 90% reduction in seizure frequency. CONCLUSION: Resections including the face and tongue rolandic cortex can be safely performed even within the dominant hemisphere.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000500012epilepsysurgeryoutcomesubdural gridsrolandic cortex |
spellingShingle | Cukiert Arthur Buratini Jose A. Machado Elcio Sousa Alcione Vieira Joaquim Forster Cassio Argentoni Meire Baldauf Cristine Frayman Leila Seizure's outcome after cortical resections including the face and tongue rolandic areas in patients with refractory epilepsy and normal MRI submitted to subdural grids' implantation Arquivos de Neuro-Psiquiatria epilepsy surgery outcome subdural grids rolandic cortex |
title | Seizure's outcome after cortical resections including the face and tongue rolandic areas in patients with refractory epilepsy and normal MRI submitted to subdural grids' implantation |
title_full | Seizure's outcome after cortical resections including the face and tongue rolandic areas in patients with refractory epilepsy and normal MRI submitted to subdural grids' implantation |
title_fullStr | Seizure's outcome after cortical resections including the face and tongue rolandic areas in patients with refractory epilepsy and normal MRI submitted to subdural grids' implantation |
title_full_unstemmed | Seizure's outcome after cortical resections including the face and tongue rolandic areas in patients with refractory epilepsy and normal MRI submitted to subdural grids' implantation |
title_short | Seizure's outcome after cortical resections including the face and tongue rolandic areas in patients with refractory epilepsy and normal MRI submitted to subdural grids' implantation |
title_sort | seizure s outcome after cortical resections including the face and tongue rolandic areas in patients with refractory epilepsy and normal mri submitted to subdural grids implantation |
topic | epilepsy surgery outcome subdural grids rolandic cortex |
url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000500012 |
work_keys_str_mv | AT cukiertarthur seizuresoutcomeaftercorticalresectionsincludingthefaceandtonguerolandicareasinpatientswithrefractoryepilepsyandnormalmrisubmittedtosubduralgridsimplantation AT buratinijosea seizuresoutcomeaftercorticalresectionsincludingthefaceandtonguerolandicareasinpatientswithrefractoryepilepsyandnormalmrisubmittedtosubduralgridsimplantation AT machadoelcio seizuresoutcomeaftercorticalresectionsincludingthefaceandtonguerolandicareasinpatientswithrefractoryepilepsyandnormalmrisubmittedtosubduralgridsimplantation AT sousaalcione seizuresoutcomeaftercorticalresectionsincludingthefaceandtonguerolandicareasinpatientswithrefractoryepilepsyandnormalmrisubmittedtosubduralgridsimplantation AT vieirajoaquim seizuresoutcomeaftercorticalresectionsincludingthefaceandtonguerolandicareasinpatientswithrefractoryepilepsyandnormalmrisubmittedtosubduralgridsimplantation AT forstercassio seizuresoutcomeaftercorticalresectionsincludingthefaceandtonguerolandicareasinpatientswithrefractoryepilepsyandnormalmrisubmittedtosubduralgridsimplantation AT argentonimeire seizuresoutcomeaftercorticalresectionsincludingthefaceandtonguerolandicareasinpatientswithrefractoryepilepsyandnormalmrisubmittedtosubduralgridsimplantation AT baldaufcristine seizuresoutcomeaftercorticalresectionsincludingthefaceandtonguerolandicareasinpatientswithrefractoryepilepsyandnormalmrisubmittedtosubduralgridsimplantation AT fraymanleila seizuresoutcomeaftercorticalresectionsincludingthefaceandtonguerolandicareasinpatientswithrefractoryepilepsyandnormalmrisubmittedtosubduralgridsimplantation |