دورية أكاديمية
Magnetic resonance imaging-guided laser interstitial thermal therapy for complete corpus callosotomy: technique and 1-year outcomes. Patient series.
| العنوان: | Magnetic resonance imaging-guided laser interstitial thermal therapy for complete corpus callosotomy: technique and 1-year outcomes. Patient series. |
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| المؤلفون: | Best BJ; 1Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin; and.; 2Division of Pediatric Neurosurgery, Children's Wisconsin, Milwaukee, Wisconsin., Kim I; 1Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin; and.; 2Division of Pediatric Neurosurgery, Children's Wisconsin, Milwaukee, Wisconsin., Lew SM; 1Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin; and.; 2Division of Pediatric Neurosurgery, Children's Wisconsin, Milwaukee, Wisconsin. |
| المصدر: | Journal of neurosurgery. Case lessons [J Neurosurg Case Lessons] 2022 Dec 19; Vol. 4 (25). Date of Electronic Publication: 2022 Dec 19 (Print Publication: 2022). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Association of Neurosurgeons dba Journal of Neurosurgery Publishing Group Country of Publication: United States NLM ID: 9918227275606676 Publication Model: Electronic-Print Cited Medium: Internet ISSN: 2694-1902 (Electronic) Linking ISSN: 26941902 NLM ISO Abbreviation: J Neurosurg Case Lessons Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [Charlottesville, VA] : American Association of Neurosurgeons dba Journal of Neurosurgery Publishing Group, [2021]- |
| مستخلص: | Background: Magnetic resonance imaging (MRI)-guided stereotactic laser interstitial thermal therapy (LITT) is a minimally invasive technique that has been described for the treatment of certain forms of epilepsy through partial or complete callosotomy, with few cases describing single-stage complete LITT callosotomy. The authors aimed to demonstrate this technique's feasibility and efficacy through description of the technique and 1-year outcomes in 3 cases of single-stage complete LITT callosotomy in patients with anatomically normal corpa callosa (CCs). Observations: The patients were aged 14-27 years and experienced atonic seizures. Completeness of callosotomy was determined from MRI scans obtained >3 months after LITT procedures. The estimated ablations of the CC were 94%, 89%, and 100%, respectively. The second patient had a catheter breach the lateral ventricle, resulting in the lowest estimated percentage of ablation in this series (89%), with minimal atonic seizure reduction. The first patient had significant reduction in atonic seizure frequency, and the third patient had complete resolution of atonic seizures. None of the patients experienced any long-term complications. Intensive care length of stay was 1 night for each patient, and total length of stay was between 2 and 7 nights. Postoperative follow-up was between 14 and 18 months. Lessons: Complete laser callosotomy is achievable and is a safe alternative to microsurgical or endoscopic approaches. |
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| فهرسة مساهمة: | Keywords: LITT; corpus callosotomy; epilepsy; laser ablation; laser callosotomy; laser interstitial thermal therapy; minimally invasive; stereotactic |
| تواريخ الأحداث: | Date Created: 20221220 Latest Revision: 20221222 |
| رمز التحديث: | 20221222 |
| مُعرف محوري في PubMed: | PMC9764374 |
| DOI: | 10.3171/CASE22364 |
| PMID: | 36536524 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2694-1902 |
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| DOI: | 10.3171/CASE22364 |