Document Detail


Visualization of subdural electrodes with fusion CT scan/MRI during neuronavigation-guided epilepsy surgery.
MedLine Citation:
PMID:  20122830     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Neuronavigation in epilepsy surgery enables surgeons to accurately resect deep targets inside the brain, especially lesions that are unable to be visually differentiated from adjacent normal brain. The usefulness of visualizing subdural electrodes with postimplantation fusion CT/MRI was investigated. The use of platinum subdural electrodes made it possible to obtain postimplantation MRI. The postimplantation MRI and CT scans were fused on the surgical navigation system workstation to form three-dimensional (3D) images, and the epileptogenic regions were marked using the visualized electrodes. Immediately after a craniotomy was performed, the subdural electrodes were removed and the epileptogenic region was successfully resected using the neuronavigation guide. During neuronavigation-guided surgery to target deep brain epileptogenic lesions adjacent to eloquent areas, which are often invisible, we found visualization of the subdural electrodes with postimplantation fusion CT/MRI very useful.
Authors:
Tohru Kamida; Mitsuo Anan; Kazunori Shimotaka; Tatsuya Abe; Minoru Fujiki; Hidenori Kobayashi
Publication Detail:
Type:  Case Reports; Clinical Trial; Journal Article     Date:  2010-02-01
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  17     ISSN:  1532-2653     ISO Abbreviation:  J Clin Neurosci     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-08     Completed Date:  2010-06-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  511-3     Citation Subset:  IM    
Copyright Information:
(c) 2009 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Neurosurgery, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama-machi, Oita 879 5593, Japan. kamida@med.oita-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Electrodes, Implanted
Epilepsy / surgery*
Female
Humans
Magnetic Resonance Imaging / methods*
Neuronavigation / instrumentation,  methods*
Subdural Space / surgery
Tomography, X-Ray Computed / methods*

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