Akademik Veri Yönetim Sistemi
7th Congress of the International Society of Intraoperative Neurophysiology, Vienna, Avusturya, 28 Ekim - 02 Kasım 2019, ss.75-76, (Özet Bildiri)
Epilepsy surgery accompanied by electrocorticography (ECoG) is performed for many years. However, surgery of epileptogenic area which is in or close to motor network requires multimodal intraoperative neuromonitoring (IONM) for tailored cortical resection and protecting motor functions.
Materials and methods: We present our results of a case, an 18 year-old female patient who was admitted to our hospital for drug resistant epilepsy to be evaluated for epilepsy surgery. Her seizure started at 13 despite several AEDs administration. It progressed epilepsia partialis continua (EPC) involving her right facial musculature and right upper limb.
Results: 3T MRI revealed cortical dysplasia and PET demonstrated hypermetabolism in the left sensorimotor cortex. EEG determined ictal epileptiform activity at the left fronto-centroparietal region. Primary sensorimotor cortical resection was decided to remove by guided multimodal IONM. Mapping and monitoring were performed during the surgery. She developed mild right hemiparesis and dysphasia after surgery substantially improved later on. She devolved seizure free since 2018 (for ten months).
Conclusions: Epilepsy surgery is a functional surgery that provides to be seizure-free and increase quality of life of the patients. Multimodal IONM is necessary to minimize motor deficit after surgery for resection of epileptogenic area in or in close proximity motor network.