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...

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Main Authors: Cukiert Arthur, Buratini Jose A., Machado Elcio, Sousa Alcione, Vieira Joaquim, Forster Cassio, Argentoni Meire, Baldauf Cristine, Frayman Leila
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
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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.
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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
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