دورية أكاديمية
Vertical Parasagittal Hemispherotomy in a Pediatric Case of Epilepsy Due to Rasmussen Encephalitis: 2-Dimensional Operative Video.
| العنوان: | Vertical Parasagittal Hemispherotomy in a Pediatric Case of Epilepsy Due to Rasmussen Encephalitis: 2-Dimensional Operative Video. |
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| المؤلفون: | De Benedictis A; Neurosurgery Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Pepi C; Epilepsy and Movement Disorders Unit, Bambino Gesù Children's Hospital, IRCCS, European Reference Network EpiCARE, Rome, Italy., Herur-Raman A; George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA., Barba M; Neurosurgery Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Marasi A; Functional and Interventional Neuroradiology Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Rossi-Espagnet MC; Neuroradiology Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Napolitano A; Medical Physics Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Rossi S; Pathology Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Luglietto D; Neurosurgery Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.; Department of Electrical Engineering and Information Technology (DIETI), Federico II University, Naples, Italy., Capelli S; Division of Neurosurgery, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.; Division of Neurosurgery, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy., Zanus C; Institute for Maternal and Child Health - IRCCS 'Burlo Garofolo', Trieste, Italy., Savioli A; Intensive Care Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., de Palma L; Epilepsy and Movement Disorders Unit, Bambino Gesù Children's Hospital, IRCCS, European Reference Network EpiCARE, Rome, Italy., Specchio N; Epilepsy and Movement Disorders Unit, Bambino Gesù Children's Hospital, IRCCS, European Reference Network EpiCARE, Rome, Italy., Marras CE; Neurosurgery Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy. |
| المصدر: | Operative neurosurgery (Hagerstown, Md.) [Oper Neurosurg (Hagerstown)] 2024 Jul 05. Date of Electronic Publication: 2024 Jul 05. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins, Inc Country of Publication: United States NLM ID: 101635417 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2332-4260 (Electronic) Linking ISSN: 23324252 NLM ISO Abbreviation: Oper Neurosurg (Hagerstown) Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2022- : [Philadelphia] : Lippincott Williams & Wilkins, Inc. Original Publication: Hagerstown, MD: Lippincott, Williams & Wilkins, 2014- |
| مستخلص: | Hemispherotomy is an effective disconnection technique for the treatment of different forms of drug-resistant epilepsy due to encephalopathies with unilateral hemispheric involvement.1-8 We describe the case of a 6-year-old child affected by Rasmussen encephalitis who underwent right vertical parasagittal hemispherotomy.9 The goal of the procedure was to isolate the basal ganglia region by interrupting the interhemispheric and intrahemispheric white matter connectivity. The main surgical steps include the transcortical approach to the lateral ventricle, the posterior callosotomy, the fimbria-fornix incision, the laterothalamic vertical incision, the anterior callosotomy, the frontobasal disconnection, and the transcaudate lateral incision to the anterior temporal horn.7,10 At 10-month follow-up, the patient was seizure free with a stable left hemiparesis. The antiepileptic therapy was progressively interrupted. The video describes the main surgical steps, using both intraoperative videos and advanced three-dimensional modeling of neuroimaging pictures. Patient' parents consented to the procedure. The participants and any identifiable individuals consented to publication of his/her image. Approval from the ethics committee was acquired. (Copyright © Congress of Neurological Surgeons 2024. All rights reserved.) |
| References: | de Palma L, Pietrafusa N, Gozzo F, et al. Outcome after hemispherotomy in patients with intractable epilepsy: comparison of techniques in the Italian experience. Epilepsy Behav. 2019;93:22-28. Cossu M, Nichelatti M, De Benedictis A, et al. Lateral versus vertical hemispheric disconnection for epilepsy: a systematic review and meta-analysis. J Neurosurg. 2022;136(6):1627-1637. Marras CE, Granata T, Franzini A, et al. Hemispherotomy and functional hemispherectomy: indications and outcome. Epilepsy Res. 2010;89(1):104-112. Villemure JG, Mascott CR. Peri-insular hemispherotomy: surgical principles and anatomy. Neurosurgery. 1995;37(5):975-981. Schramm J, Kral T, Clusmann H. Transsylvian keyhole functional hemispherectomy. Neurosurgery. 2001;49(4):891-901. Danielpour M, Von Koch CS, Ojemann SG, Peacock WJ. Disconnective hemispherectomy. Pediatr Neurosurg. 2001;35(4):169-172. Delalande O, Bulteau C, Dellatolas G, et al. Vertical parasagittal hemispherotomy: surgical procedures and clinical long-term outcomes in a population of 83 children. Neurosurgery. 2007;60(2 Suppl 1):ONS19-ONS32. Giordano F, Spacca B, Barba C, et al. Vertical extraventricular functional hemispherotomy: a new variant for hemispheric disconnection. Technical notes and results in three patients. Childs Nerv Syst. 2015;31(11):2151-2160. Bien CG, Granata T, Antozzi C, et al. Pathogenesis, diagnosis and treatment of Rasmussen encephalitis: a European consensus statement. Brain. 2005;128(Pt 3):454-471. De Benedictis A, Marasi A, Rossi-Espagnet MC, et al. Vertical hemispherotomy: contribution of advanced three-dimensional modeling for presurgical planning and training. J Clin Med. 2023;12(11):3779. |
| معلومات مُعتمدة: | n.a. Ministero della Salute; 1553 11.10.2022 Ministero dell’Istruzione, dell’Università e della Ricerca |
| تواريخ الأحداث: | Date Created: 20240705 Latest Revision: 20240705 |
| رمز التحديث: | 20240705 |
| DOI: | 10.1227/ons.0000000000001261 |
| PMID: | 38967453 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2332-4260 |
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| DOI: | 10.1227/ons.0000000000001261 |