Epilepsy surgery near or in eloquent cortex in children-Practice patterns and recommendations for minimizing and reporting deficits

被引：17

作者：

Jayakar, Prasanna ^{[1
,2
]}

Jayakar, Anuj ^{[3
]}

Libenson, Mark ^{[4
]}

Arzimanoglou, Alexis ^{[5
]}

Rydenhag, Bertil ^{[6
]}

Cross, J. Helen ^{[7
]}

Bhatia, Sanjiv ^{[8
]}

Tassi, Laura ^{[9
]}

Lachhwani, Deepak ^{[10
]}

Gaillard, William D. ^{[11
]}

机构：

[1] Nicklaus Childrens Hosp, Brain Inst, Dept Neurol, Miami, FL USA

[2] Nicklaus Childrens Hosp, Brain Inst, Comprehens Epilepsy Program, Miami, FL USA

[3] Nicklaus Childrens Hosp, Dept Neurol & Epilepsy, Miami, FL USA

[4] Childrens Hosp Boston, Dept Neurol, Boston, MA USA

[5] Univ Hosp Lyon, Clin Epileptol Sleep Disorders & Funct Neurol Chi, Lyon, France

[6] Inst Neurosci & Physiol, Epilepsy Res Grp, Gothenburg, Sweden

[7] UCL, Dept Clin & Expt Epilepsy, Great Ormond St Hosp, London, England

[8] Miami Childrens Hosp, Dept Neurosurg, Miami, FL USA

[9] Claudio Munari Epilepsy Surg Ctr, Dept Neurosci, Milan, Italy

[10] Cleveland Clin, Dept Neurol, Cleveland, OH 44106 USA

[11] Childrens Natl Hlth Syst, Washington, DC USA

来源：

EPILEPSIA | 2018年 / 59卷 / 08期

关键词：

critical cortex; deficit scale; epilepsy surgery strategies; epileptogenic zone; FOCAL CORTICAL DYSPLASIA; TEMPORAL-LOBE EPILEPSY; INTRACTABLE EPILEPSY; SEIZURE FREEDOM; IMAGING TRACTOGRAPHY; INCOMPLETE RESECTION; PEDIATRIC-PATIENTS; CLINICAL ARTICLE; OUTCOMES; MRI;

D O I：

10.1111/epi.14510

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Objective: We aimed to investigate the current practices guiding surgical resection strategies involving epileptogenic zones (EZs) near or in eloquent cortex (EC) at pediatric epilepsy surgery centers worldwide. Methods: A survey was conducted among 40 respondents from 33 pediatric epilepsy surgery centers worldwide on the weight assigned to diagnostic tests used to define the EZ and EC, how EC is viewed, and how surgeries are planned for foci near or in eloquent cortex. Results: A descriptive analysis was performed that revealed considerable variation in the use of diagnostic tests and resective strategies toward EZ and EC. Significance: The wide variation in strategies may contribute to undesirable outcomes characterized by poor seizure control with added deficits and underscores the need to establish best practices in pediatric epilepsy surgery. The survey data were used to formulate a set of recommendations to help minimize deficits and to report them consistently.

引用

页码：1484 / 1491

页数：8

共 2 条

[1] Epilepsy surgery at or near eloquent cortex: Challenges, approaches and outcomes
Kumar, S.
Nayak, D.
Rao, R. M.
Kumar, S.
Kanagarajan, A.
[J]. JOURNAL OF THE NEUROLOGICAL SCIENCES, 2019, 405
[2] Portal imaging practice patterns of Children's Oncology Group institutions: Dosimetric assessment and recommendations for minimizing unnecessary exposure
Olch, Arthur J.
Geurts, Mark
Thomadsen, Bruce
Famiglietti, Robin
Chang, Eric L.
[J]. INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2007, 67 (02): : 594 - 600

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