Assessing efficacy of endoscopic ventriculocisternostomy using a semi-rigid needle endoscope in сhildren with hydrocephalus and concomitant drug-resistant epilepsy: results of CT brain perfusion and time-frequency EEG analysis
Background. The probability of seizures after endoscopic surgical treatment of hydrocephalus may comprise up to 9.5%, therefore accounting for a need to find solutions for alleviating the surgical trauma to the brain. One option to this problem might be based on using “seamless” neurosurgery, partic...
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| Format: | Article |
| Language: | Russian |
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IRBIS LLC
2022-01-01
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| Series: | Эпилепсия и пароксизмальные состояния |
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| Online Access: | https://www.epilepsia.su/jour/article/view/748 |
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| author | A. A. Sufianov G. Z. Sufianova A. G. Shapkin I. S. Shelyagin A. A. H. Al Zakhrani R. R. Rustamov S. Zh. Stefanov A. M. Khayretdinov R. A. Sufianov K. Simfukwe |
| author_facet | A. A. Sufianov G. Z. Sufianova A. G. Shapkin I. S. Shelyagin A. A. H. Al Zakhrani R. R. Rustamov S. Zh. Stefanov A. M. Khayretdinov R. A. Sufianov K. Simfukwe |
| author_sort | A. A. Sufianov |
| collection | DOAJ |
| description | Background. The probability of seizures after endoscopic surgical treatment of hydrocephalus may comprise up to 9.5%, therefore accounting for a need to find solutions for alleviating the surgical trauma to the brain. One option to this problem might be based on using “seamless” neurosurgery, particularly endoscopes with a minimal outer sheath diameter (needle endoscopes, shunt endoscopes).Objective: to evaluate major outcomes of surgically treated epilepsy, cerebral haemodynamics and electroencephalogram (EEG) in children with hydrocephalus and concomitant drug-resistant epilepsy before and after endoscopic ventriculocysternostomy of the third ventricular floor by using a semi-rigid needle endoscope.Material and methods. In the early and remote postoperative periods, no epileptic seizures were observed in 57.1% of subjects (Engel Class I). Mean seizure frequency decreased from 12.9±6.1 to 0.82±0.31 per month (p<0.01). A significant decline in slow-wave amplitude and the paroxysmal index from 19.1±2.5% to 6.9±1.7% (p<0.01) were observed, as well as improvement of cerebral hemodynamics in the form of increased mean cerebral blood flow by 29.1±4.3% (p<0.01), mean circulating blood volume by 22.4±5.27% (p<0.05) and decreased mean transit time by 12.8±2.5% (p<0.05).Results. In the early and remote postoperative periods, no epileptic seizures were observed in 57.1% of subjects (Engel Class I). Mean seizure frequency decreased from 12.9±6.1 to 0.82±0.31 per month (p<0.01). A significant decline in slow-wave amplitude and the paroxysmal index from 19.1±2.5% to 6.9±1.7% (p><0.01) were observed, as well as improvement of cerebral hemodynamics in the form of increased mean cerebral blood flow by 29.1±4.3% (p><0.01), mean circulating blood volume by ><0.01). A significant decline in slow-wave amplitude and the paroxysmal index from 19.1±2.5% to 6.9±1.7% (p<0.01), mean circulating blood volume by 22.4±5.27% (p<0.05) and decreased mean transit time by 12.8±2.5% (p><0.05). |
| first_indexed | 2024-04-10T02:46:32Z |
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| id | doaj.art-361683d7914d4cc88b2753f31d10b3ff |
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| language | Russian |
| last_indexed | 2024-04-10T02:46:32Z |
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| series | Эпилепсия и пароксизмальные состояния |
| spelling | doaj.art-361683d7914d4cc88b2753f31d10b3ff2023-03-13T07:44:18ZrusIRBIS LLCЭпилепсия и пароксизмальные состояния2077-83332311-40882022-01-0113434935810.17749/2077-8333/epi.par.con.2021.105561Assessing efficacy of endoscopic ventriculocisternostomy using a semi-rigid needle endoscope in сhildren with hydrocephalus and concomitant drug-resistant epilepsy: results of CT brain perfusion and time-frequency EEG analysisA. A. Sufianov0G. Z. Sufianova1A. G. Shapkin2I. S. Shelyagin3A. A. H. Al Zakhrani4R. R. Rustamov5S. Zh. Stefanov6A. M. Khayretdinov7R. A. Sufianov8K. Simfukwe9Sechenov University; Federal Center of NeurosurgeryFederal Center of Neurosurgery; Tyumen State Medical UniversityFederal Center of Neurosurgery; Tyumen State Medical UniversityFederal Center of NeurosurgerySechenov UniversityFederal Center of NeurosurgeryFederal Center of NeurosurgeryFederal Center of NeurosurgerySechenov UniversitySechenov UniversityBackground. The probability of seizures after endoscopic surgical treatment of hydrocephalus may comprise up to 9.5%, therefore accounting for a need to find solutions for alleviating the surgical trauma to the brain. One option to this problem might be based on using “seamless” neurosurgery, particularly endoscopes with a minimal outer sheath diameter (needle endoscopes, shunt endoscopes).Objective: to evaluate major outcomes of surgically treated epilepsy, cerebral haemodynamics and electroencephalogram (EEG) in children with hydrocephalus and concomitant drug-resistant epilepsy before and after endoscopic ventriculocysternostomy of the third ventricular floor by using a semi-rigid needle endoscope.Material and methods. In the early and remote postoperative periods, no epileptic seizures were observed in 57.1% of subjects (Engel Class I). Mean seizure frequency decreased from 12.9±6.1 to 0.82±0.31 per month (p<0.01). A significant decline in slow-wave amplitude and the paroxysmal index from 19.1±2.5% to 6.9±1.7% (p<0.01) were observed, as well as improvement of cerebral hemodynamics in the form of increased mean cerebral blood flow by 29.1±4.3% (p<0.01), mean circulating blood volume by 22.4±5.27% (p<0.05) and decreased mean transit time by 12.8±2.5% (p<0.05).Results. In the early and remote postoperative periods, no epileptic seizures were observed in 57.1% of subjects (Engel Class I). Mean seizure frequency decreased from 12.9±6.1 to 0.82±0.31 per month (p<0.01). A significant decline in slow-wave amplitude and the paroxysmal index from 19.1±2.5% to 6.9±1.7% (p><0.01) were observed, as well as improvement of cerebral hemodynamics in the form of increased mean cerebral blood flow by 29.1±4.3% (p><0.01), mean circulating blood volume by ><0.01). A significant decline in slow-wave amplitude and the paroxysmal index from 19.1±2.5% to 6.9±1.7% (p<0.01), mean circulating blood volume by 22.4±5.27% (p<0.05) and decreased mean transit time by 12.8±2.5% (p><0.05).https://www.epilepsia.su/jour/article/view/748hydrocephalusepilepsyendoscopic ventriculocysternostomyneedle semi-rigid endoscopect perfusionelectroencephalogramshort-time fourier transform |
| spellingShingle | A. A. Sufianov G. Z. Sufianova A. G. Shapkin I. S. Shelyagin A. A. H. Al Zakhrani R. R. Rustamov S. Zh. Stefanov A. M. Khayretdinov R. A. Sufianov K. Simfukwe Assessing efficacy of endoscopic ventriculocisternostomy using a semi-rigid needle endoscope in сhildren with hydrocephalus and concomitant drug-resistant epilepsy: results of CT brain perfusion and time-frequency EEG analysis Эпилепсия и пароксизмальные состояния hydrocephalus epilepsy endoscopic ventriculocysternostomy needle semi-rigid endoscope ct perfusion electroencephalogram short-time fourier transform |
| title | Assessing efficacy of endoscopic ventriculocisternostomy using a semi-rigid needle endoscope in сhildren with hydrocephalus and concomitant drug-resistant epilepsy: results of CT brain perfusion and time-frequency EEG analysis |
| title_full | Assessing efficacy of endoscopic ventriculocisternostomy using a semi-rigid needle endoscope in сhildren with hydrocephalus and concomitant drug-resistant epilepsy: results of CT brain perfusion and time-frequency EEG analysis |
| title_fullStr | Assessing efficacy of endoscopic ventriculocisternostomy using a semi-rigid needle endoscope in сhildren with hydrocephalus and concomitant drug-resistant epilepsy: results of CT brain perfusion and time-frequency EEG analysis |
| title_full_unstemmed | Assessing efficacy of endoscopic ventriculocisternostomy using a semi-rigid needle endoscope in сhildren with hydrocephalus and concomitant drug-resistant epilepsy: results of CT brain perfusion and time-frequency EEG analysis |
| title_short | Assessing efficacy of endoscopic ventriculocisternostomy using a semi-rigid needle endoscope in сhildren with hydrocephalus and concomitant drug-resistant epilepsy: results of CT brain perfusion and time-frequency EEG analysis |
| title_sort | assessing efficacy of endoscopic ventriculocisternostomy using a semi rigid needle endoscope in сhildren with hydrocephalus and concomitant drug resistant epilepsy results of ct brain perfusion and time frequency eeg analysis |
| topic | hydrocephalus epilepsy endoscopic ventriculocysternostomy needle semi-rigid endoscope ct perfusion electroencephalogram short-time fourier transform |
| url | https://www.epilepsia.su/jour/article/view/748 |
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