Document Detail

Multiple subpial transections for partial seizures in sensorimotor cortex.
MedLine Citation:
PMID:  8584153     Owner:  NLM     Status:  MEDLINE    
We report six patients with complex partial seizures arising from the primary sensorimotor cortex who underwent invasive long-term ictal electroencephalogram/video monitoring and brain mapping and then multiple subpial transections. Although four patients demonstrated no abnormalities on magnetic resonance imaging, each patient showed moderate to marked gliosis in cortex biopsied from the site of ictal onset. Extensive preoperative and postoperative neuropsychological tests demonstrated no functional deficits resulting from surgery. Only one patient failed to derive significant postoperative seizure improvement, and he subsequently underwent additional subpial sectioning without further significant improvement. We propose a modification for this surgical technique and hypothesize that these patients may represent a syndrome of central cortical epilepsy.
A R Wyler; R J Wilkus; S W Rostad; D G Vossler
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  37     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1995 Dec 
Date Detail:
Created Date:  1996-03-21     Completed Date:  1996-03-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1122-7; discussion 1127-8     Citation Subset:  IM    
Epilepsy Center, Swedish Medical Center, Seattle, Washington, USA.
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MeSH Terms
Brain Mapping / instrumentation
Child, Preschool
Electroencephalography / instrumentation
Epilepsy, Complex Partial / pathology,  physiopathology,  surgery*
Follow-Up Studies
Gliosis / pathology,  physiopathology,  surgery
Middle Aged
Motor Cortex / pathology,  physiopathology,  surgery*
Pia Mater / pathology,  physiopathology,  surgery*
Postoperative Complications / pathology,  physiopathology,  surgery
Signal Processing, Computer-Assisted
Somatosensory Cortex / pathology,  physiopathology,  surgery*
Treatment Outcome
Video Recording / instrumentation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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