The oxymoron of image-guided resection in 3 T MRI-negative extratemporal epilepsy: Technique and postoperative results
•Treatment of extratemporal MRI-negative epilepsy is challenging.•An “image” of the epileptogenic area is generated after intracranial EEG-recordings.•With the use of neuronavigation, an “image-guided” resection is performed.•This procedure is elaborate but can be effective. We share our experience...
Gespeichert in:
| Veröffentlicht in: | Clinical neurology and neurosurgery 2018-03, Vol.166, p.16-22 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 22 |
|---|---|
| container_issue | |
| container_start_page | 16 |
| container_title | Clinical neurology and neurosurgery |
| container_volume | 166 |
| creator | Kogias, Evangelos Evangelou, Petros Schmeiser, Barbara Reinacher, Peter C. Altenmüller, Dirk-Matthias |
| description | •Treatment of extratemporal MRI-negative epilepsy is challenging.•An “image” of the epileptogenic area is generated after intracranial EEG-recordings.•With the use of neuronavigation, an “image-guided” resection is performed.•This procedure is elaborate but can be effective.
We share our experience with extratemporal MRI-negative epilepsies that received “image-guided” resection with the use of neuronavigation after invasive presurgical video-EEG monitoring. We describe and discuss our technique of image generation, navigation system registration, and surgical resection. In addition, we evaluate seizure outcome with respect to the preoperatively planned versus achieved resection.
Seven patients with 3 T MRI-negative extratemporal epilepsy received navigation-guided resective surgery. The resection plan was based on electrophysiological data from intracranial EEG recordings. For each case a resection segment was created in the neuronavigation device in a systematic manner. We compared the preoperatively planned segment to the achieved resection and looked for correlation with postoperative seizure outcome according to Engel classification, at last follow-up (mean 2.4 years, range 1–4 years).
Mean volume of planned resections was 23.8 ± 15.3 cm3 and of achieved resections 17 ± 10.4 cm3. There was complete overlap with planned resection in 4 patients and partial overlap in 3. Postoperative seizure outcome was class I in 4 patients (57%), IIIA in 1 patient and IVB in 2 patients. Three patients reached seizure-freedom (Engel IA). Volume of planned resection, volume difference of planned versus achieved resection and level of overlap (complete versus partial) did not significantly correlate to seizure outcome.
The use of neuronavigation for planning and executing a tailored resection in MRI-negative extratemporal epilepsy is elaborate but can be an effective procedure. |
| doi_str_mv | 10.1016/j.clineuro.2018.01.017 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1990490025</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0303846718300167</els_id><sourcerecordid>1990490025</sourcerecordid><originalsourceid>FETCH-LOGICAL-c396t-83402e45b3c170e5f532dbb79b30162cf2cb5274feadf9ffa6e3e154d8e309ee3</originalsourceid><addsrcrecordid>eNqFkcFu1DAURS1ERYfCL1SW2LDJ8Gwnsc0KVBWo1KpSNaytxH6ZepTEwU6qmR1_xD_xJbialgUbpCe9hc-9frqXkHMGawas_rBb296PuMSw5sDUGlge-YKsmJK8qHWtXpIVCBCFKmt5Sl6ntAMAIWr1ipxyLSrFQK7IfnOPNOwPQ4hhpKGjfmi2WGwX79DRiAnt7POLH6n4_fPXht7cXRUjbpvZPyDF_RybGYcpxKanOPkep3T4SDdo70f_Y0HajI5OIc1hwnjUZM-ln9MbctI1fcK3T_uMfP9yubn4Vlzffr26-HxdWKHruVCiBI5l1QrLJGDVVYK7tpW6FTkGbjtu24rLssPGdbrrmhoFsqp0CgVoRHFG3h99pxjyQWk2g08W-74ZMSzJMK2h1AC8yui7f9BdWOKYrzMcQFagmYJM1UfKxpBSxM5MMYcWD4aBeezG7MxzN-axGwMsj8zC8yf7pR3Q_ZU9l5GBT0cAcx4PHqNJ1uNo0fmYazAu-P_98QcyWqZp</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2007509180</pqid></control><display><type>article</type><title>The oxymoron of image-guided resection in 3 T MRI-negative extratemporal epilepsy: Technique and postoperative results</title><source>Elsevier ScienceDirect Journals Complete</source><creator>Kogias, Evangelos ; Evangelou, Petros ; Schmeiser, Barbara ; Reinacher, Peter C. ; Altenmüller, Dirk-Matthias</creator><creatorcontrib>Kogias, Evangelos ; Evangelou, Petros ; Schmeiser, Barbara ; Reinacher, Peter C. ; Altenmüller, Dirk-Matthias</creatorcontrib><description>•Treatment of extratemporal MRI-negative epilepsy is challenging.•An “image” of the epileptogenic area is generated after intracranial EEG-recordings.•With the use of neuronavigation, an “image-guided” resection is performed.•This procedure is elaborate but can be effective.
We share our experience with extratemporal MRI-negative epilepsies that received “image-guided” resection with the use of neuronavigation after invasive presurgical video-EEG monitoring. We describe and discuss our technique of image generation, navigation system registration, and surgical resection. In addition, we evaluate seizure outcome with respect to the preoperatively planned versus achieved resection.
Seven patients with 3 T MRI-negative extratemporal epilepsy received navigation-guided resective surgery. The resection plan was based on electrophysiological data from intracranial EEG recordings. For each case a resection segment was created in the neuronavigation device in a systematic manner. We compared the preoperatively planned segment to the achieved resection and looked for correlation with postoperative seizure outcome according to Engel classification, at last follow-up (mean 2.4 years, range 1–4 years).
Mean volume of planned resections was 23.8 ± 15.3 cm3 and of achieved resections 17 ± 10.4 cm3. There was complete overlap with planned resection in 4 patients and partial overlap in 3. Postoperative seizure outcome was class I in 4 patients (57%), IIIA in 1 patient and IVB in 2 patients. Three patients reached seizure-freedom (Engel IA). Volume of planned resection, volume difference of planned versus achieved resection and level of overlap (complete versus partial) did not significantly correlate to seizure outcome.
The use of neuronavigation for planning and executing a tailored resection in MRI-negative extratemporal epilepsy is elaborate but can be an effective procedure.</description><identifier>ISSN: 0303-8467</identifier><identifier>EISSN: 1872-6968</identifier><identifier>DOI: 10.1016/j.clineuro.2018.01.017</identifier><identifier>PMID: 29358107</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Electrodes ; Electroencephalography ; Epilepsy ; Extratemporal ; Hypotheses ; Intracranial electroencephalography ; Localization ; Magnetic resonance imaging ; MRI-negative ; Neurology ; Neuronavigation ; NMR ; non-lesional ; Nuclear magnetic resonance ; Patients ; Planning ; Surgery ; Surgical outcomes ; Systematic review</subject><ispartof>Clinical neurology and neurosurgery, 2018-03, Vol.166, p.16-22</ispartof><rights>2018 Elsevier B.V.</rights><rights>Copyright © 2018 Elsevier B.V. All rights reserved.</rights><rights>Copyright Elsevier Limited 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-83402e45b3c170e5f532dbb79b30162cf2cb5274feadf9ffa6e3e154d8e309ee3</citedby><cites>FETCH-LOGICAL-c396t-83402e45b3c170e5f532dbb79b30162cf2cb5274feadf9ffa6e3e154d8e309ee3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0303846718300167$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29358107$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kogias, Evangelos</creatorcontrib><creatorcontrib>Evangelou, Petros</creatorcontrib><creatorcontrib>Schmeiser, Barbara</creatorcontrib><creatorcontrib>Reinacher, Peter C.</creatorcontrib><creatorcontrib>Altenmüller, Dirk-Matthias</creatorcontrib><title>The oxymoron of image-guided resection in 3 T MRI-negative extratemporal epilepsy: Technique and postoperative results</title><title>Clinical neurology and neurosurgery</title><addtitle>Clin Neurol Neurosurg</addtitle><description>•Treatment of extratemporal MRI-negative epilepsy is challenging.•An “image” of the epileptogenic area is generated after intracranial EEG-recordings.•With the use of neuronavigation, an “image-guided” resection is performed.•This procedure is elaborate but can be effective.
We share our experience with extratemporal MRI-negative epilepsies that received “image-guided” resection with the use of neuronavigation after invasive presurgical video-EEG monitoring. We describe and discuss our technique of image generation, navigation system registration, and surgical resection. In addition, we evaluate seizure outcome with respect to the preoperatively planned versus achieved resection.
Seven patients with 3 T MRI-negative extratemporal epilepsy received navigation-guided resective surgery. The resection plan was based on electrophysiological data from intracranial EEG recordings. For each case a resection segment was created in the neuronavigation device in a systematic manner. We compared the preoperatively planned segment to the achieved resection and looked for correlation with postoperative seizure outcome according to Engel classification, at last follow-up (mean 2.4 years, range 1–4 years).
Mean volume of planned resections was 23.8 ± 15.3 cm3 and of achieved resections 17 ± 10.4 cm3. There was complete overlap with planned resection in 4 patients and partial overlap in 3. Postoperative seizure outcome was class I in 4 patients (57%), IIIA in 1 patient and IVB in 2 patients. Three patients reached seizure-freedom (Engel IA). Volume of planned resection, volume difference of planned versus achieved resection and level of overlap (complete versus partial) did not significantly correlate to seizure outcome.
The use of neuronavigation for planning and executing a tailored resection in MRI-negative extratemporal epilepsy is elaborate but can be an effective procedure.</description><subject>Electrodes</subject><subject>Electroencephalography</subject><subject>Epilepsy</subject><subject>Extratemporal</subject><subject>Hypotheses</subject><subject>Intracranial electroencephalography</subject><subject>Localization</subject><subject>Magnetic resonance imaging</subject><subject>MRI-negative</subject><subject>Neurology</subject><subject>Neuronavigation</subject><subject>NMR</subject><subject>non-lesional</subject><subject>Nuclear magnetic resonance</subject><subject>Patients</subject><subject>Planning</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Systematic review</subject><issn>0303-8467</issn><issn>1872-6968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkcFu1DAURS1ERYfCL1SW2LDJ8Gwnsc0KVBWo1KpSNaytxH6ZepTEwU6qmR1_xD_xJbialgUbpCe9hc-9frqXkHMGawas_rBb296PuMSw5sDUGlge-YKsmJK8qHWtXpIVCBCFKmt5Sl6ntAMAIWr1ipxyLSrFQK7IfnOPNOwPQ4hhpKGjfmi2WGwX79DRiAnt7POLH6n4_fPXht7cXRUjbpvZPyDF_RybGYcpxKanOPkep3T4SDdo70f_Y0HajI5OIc1hwnjUZM-ln9MbctI1fcK3T_uMfP9yubn4Vlzffr26-HxdWKHruVCiBI5l1QrLJGDVVYK7tpW6FTkGbjtu24rLssPGdbrrmhoFsqp0CgVoRHFG3h99pxjyQWk2g08W-74ZMSzJMK2h1AC8yui7f9BdWOKYrzMcQFagmYJM1UfKxpBSxM5MMYcWD4aBeezG7MxzN-axGwMsj8zC8yf7pR3Q_ZU9l5GBT0cAcx4PHqNJ1uNo0fmYazAu-P_98QcyWqZp</recordid><startdate>20180301</startdate><enddate>20180301</enddate><creator>Kogias, Evangelos</creator><creator>Evangelou, Petros</creator><creator>Schmeiser, Barbara</creator><creator>Reinacher, Peter C.</creator><creator>Altenmüller, Dirk-Matthias</creator><general>Elsevier B.V</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20180301</creationdate><title>The oxymoron of image-guided resection in 3 T MRI-negative extratemporal epilepsy: Technique and postoperative results</title><author>Kogias, Evangelos ; Evangelou, Petros ; Schmeiser, Barbara ; Reinacher, Peter C. ; Altenmüller, Dirk-Matthias</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-83402e45b3c170e5f532dbb79b30162cf2cb5274feadf9ffa6e3e154d8e309ee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Electrodes</topic><topic>Electroencephalography</topic><topic>Epilepsy</topic><topic>Extratemporal</topic><topic>Hypotheses</topic><topic>Intracranial electroencephalography</topic><topic>Localization</topic><topic>Magnetic resonance imaging</topic><topic>MRI-negative</topic><topic>Neurology</topic><topic>Neuronavigation</topic><topic>NMR</topic><topic>non-lesional</topic><topic>Nuclear magnetic resonance</topic><topic>Patients</topic><topic>Planning</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kogias, Evangelos</creatorcontrib><creatorcontrib>Evangelou, Petros</creatorcontrib><creatorcontrib>Schmeiser, Barbara</creatorcontrib><creatorcontrib>Reinacher, Peter C.</creatorcontrib><creatorcontrib>Altenmüller, Dirk-Matthias</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical neurology and neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kogias, Evangelos</au><au>Evangelou, Petros</au><au>Schmeiser, Barbara</au><au>Reinacher, Peter C.</au><au>Altenmüller, Dirk-Matthias</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The oxymoron of image-guided resection in 3 T MRI-negative extratemporal epilepsy: Technique and postoperative results</atitle><jtitle>Clinical neurology and neurosurgery</jtitle><addtitle>Clin Neurol Neurosurg</addtitle><date>2018-03-01</date><risdate>2018</risdate><volume>166</volume><spage>16</spage><epage>22</epage><pages>16-22</pages><issn>0303-8467</issn><eissn>1872-6968</eissn><abstract>•Treatment of extratemporal MRI-negative epilepsy is challenging.•An “image” of the epileptogenic area is generated after intracranial EEG-recordings.•With the use of neuronavigation, an “image-guided” resection is performed.•This procedure is elaborate but can be effective.
We share our experience with extratemporal MRI-negative epilepsies that received “image-guided” resection with the use of neuronavigation after invasive presurgical video-EEG monitoring. We describe and discuss our technique of image generation, navigation system registration, and surgical resection. In addition, we evaluate seizure outcome with respect to the preoperatively planned versus achieved resection.
Seven patients with 3 T MRI-negative extratemporal epilepsy received navigation-guided resective surgery. The resection plan was based on electrophysiological data from intracranial EEG recordings. For each case a resection segment was created in the neuronavigation device in a systematic manner. We compared the preoperatively planned segment to the achieved resection and looked for correlation with postoperative seizure outcome according to Engel classification, at last follow-up (mean 2.4 years, range 1–4 years).
Mean volume of planned resections was 23.8 ± 15.3 cm3 and of achieved resections 17 ± 10.4 cm3. There was complete overlap with planned resection in 4 patients and partial overlap in 3. Postoperative seizure outcome was class I in 4 patients (57%), IIIA in 1 patient and IVB in 2 patients. Three patients reached seizure-freedom (Engel IA). Volume of planned resection, volume difference of planned versus achieved resection and level of overlap (complete versus partial) did not significantly correlate to seizure outcome.
The use of neuronavigation for planning and executing a tailored resection in MRI-negative extratemporal epilepsy is elaborate but can be an effective procedure.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>29358107</pmid><doi>10.1016/j.clineuro.2018.01.017</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0303-8467 |
| ispartof | Clinical neurology and neurosurgery, 2018-03, Vol.166, p.16-22 |
| issn | 0303-8467 1872-6968 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1990490025 |
| source | Elsevier ScienceDirect Journals Complete |
| subjects | Electrodes Electroencephalography Epilepsy Extratemporal Hypotheses Intracranial electroencephalography Localization Magnetic resonance imaging MRI-negative Neurology Neuronavigation NMR non-lesional Nuclear magnetic resonance Patients Planning Surgery Surgical outcomes Systematic review |
| title | The oxymoron of image-guided resection in 3 T MRI-negative extratemporal epilepsy: Technique and postoperative results |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T14%3A25%3A13IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20oxymoron%20of%20image-guided%20resection%20in%203%E2%80%AFT%20MRI-negative%20extratemporal%20epilepsy:%20Technique%20and%20postoperative%20results&rft.jtitle=Clinical%20neurology%20and%20neurosurgery&rft.au=Kogias,%20Evangelos&rft.date=2018-03-01&rft.volume=166&rft.spage=16&rft.epage=22&rft.pages=16-22&rft.issn=0303-8467&rft.eissn=1872-6968&rft_id=info:doi/10.1016/j.clineuro.2018.01.017&rft_dat=%3Cproquest_cross%3E1990490025%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2007509180&rft_id=info:pmid/29358107&rft_els_id=S0303846718300167&rfr_iscdi=true |