Limited resection of focal cortical dysplasia and associated epileptogenic cortex may lead to positive surgical outcome

Abstract A drug-resistant epilepsy patient with premotor type IIb focal cortical dysplasia is described with a positive postoperative outcome following partial resection of the lesion and epileptogenic zone. Presurgical fMRI of the sensorimotor areas showed haemodynamic responses over the posterior...
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Gespeichert in:

Autor*in:	Garganis, Kyriakos [verfasserIn] Kokkinos, Vasileios Zountsas, Basilios

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2011

Schlagwörter:	epilepsy surgery intracranial EEG EEG-fMRI fMRI cortical electrical stimulation

Anmerkung:	© John Libbey Eurotext and Springer 2011

Übergeordnetes Werk:	Enthalten in: Epileptic disorders - Oxford [u.a.] : Wiley-Blackwell, 1999, 13(2011), 4 vom: Dez., Seite 422-429
Übergeordnetes Werk:	volume:13 ; year:2011 ; number:4 ; month:12 ; pages:422-429

Links:	Volltext

DOI / URN:	10.1684/epd.2011.0474

Katalog-ID:	SPR031315577

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allfields	10.1684/epd.2011.0474 doi (DE-627)SPR031315577 (SPR)epd.2011.0474-e DE-627 ger DE-627 rakwb eng Garganis, Kyriakos verfasserin aut Limited resection of focal cortical dysplasia and associated epileptogenic cortex may lead to positive surgical outcome 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © John Libbey Eurotext and Springer 2011 Abstract A drug-resistant epilepsy patient with premotor type IIb focal cortical dysplasia is described with a positive postoperative outcome following partial resection of the lesion and epileptogenic zone. Presurgical fMRI of the sensorimotor areas showed haemodynamic responses over the posterior border of the lesion and ictal EEG-fMRI revealed activation of both the primary sensorimotor strip and premotor lesion area. Almost continuous 1–2 Hz interictal spiking was recorded during a chronic ECoG study over the primary sensorimotor cortex. Following partial resection of the lesion, an acute ECoG revealed marked reduction of epileptic activity over the sensorimotor area. Post-operatively, seizure control was significantly improved (class IV ILAE outcome). Although partial FCD resections predict a worse postoperative outcome, individual patients may still respond favourably. The type of lesion, resected portion, and histopathology may be included among factors related to successful outcome. epilepsy surgery (dpeaa)DE-He213 intracranial EEG (dpeaa)DE-He213 EEG-fMRI (dpeaa)DE-He213 fMRI (dpeaa)DE-He213 cortical electrical stimulation (dpeaa)DE-He213 Kokkinos, Vasileios aut Zountsas, Basilios aut Enthalten in Epileptic disorders Oxford [u.a.] : Wiley-Blackwell, 1999 13(2011), 4 vom: Dez., Seite 422-429 (DE-627)368911993 (DE-600)2118181-0 1950-6945 nnns volume:13 year:2011 number:4 month:12 pages:422-429 https://dx.doi.org/10.1684/epd.2011.0474 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_2021 GBV_ILN_2037 GBV_ILN_2064 GBV_ILN_2108 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2011 4 12 422-429
spelling	10.1684/epd.2011.0474 doi (DE-627)SPR031315577 (SPR)epd.2011.0474-e DE-627 ger DE-627 rakwb eng Garganis, Kyriakos verfasserin aut Limited resection of focal cortical dysplasia and associated epileptogenic cortex may lead to positive surgical outcome 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © John Libbey Eurotext and Springer 2011 Abstract A drug-resistant epilepsy patient with premotor type IIb focal cortical dysplasia is described with a positive postoperative outcome following partial resection of the lesion and epileptogenic zone. Presurgical fMRI of the sensorimotor areas showed haemodynamic responses over the posterior border of the lesion and ictal EEG-fMRI revealed activation of both the primary sensorimotor strip and premotor lesion area. Almost continuous 1–2 Hz interictal spiking was recorded during a chronic ECoG study over the primary sensorimotor cortex. Following partial resection of the lesion, an acute ECoG revealed marked reduction of epileptic activity over the sensorimotor area. Post-operatively, seizure control was significantly improved (class IV ILAE outcome). Although partial FCD resections predict a worse postoperative outcome, individual patients may still respond favourably. The type of lesion, resected portion, and histopathology may be included among factors related to successful outcome. epilepsy surgery (dpeaa)DE-He213 intracranial EEG (dpeaa)DE-He213 EEG-fMRI (dpeaa)DE-He213 fMRI (dpeaa)DE-He213 cortical electrical stimulation (dpeaa)DE-He213 Kokkinos, Vasileios aut Zountsas, Basilios aut Enthalten in Epileptic disorders Oxford [u.a.] : Wiley-Blackwell, 1999 13(2011), 4 vom: Dez., Seite 422-429 (DE-627)368911993 (DE-600)2118181-0 1950-6945 nnns volume:13 year:2011 number:4 month:12 pages:422-429 https://dx.doi.org/10.1684/epd.2011.0474 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_2021 GBV_ILN_2037 GBV_ILN_2064 GBV_ILN_2108 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2011 4 12 422-429
allfields_unstemmed	10.1684/epd.2011.0474 doi (DE-627)SPR031315577 (SPR)epd.2011.0474-e DE-627 ger DE-627 rakwb eng Garganis, Kyriakos verfasserin aut Limited resection of focal cortical dysplasia and associated epileptogenic cortex may lead to positive surgical outcome 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © John Libbey Eurotext and Springer 2011 Abstract A drug-resistant epilepsy patient with premotor type IIb focal cortical dysplasia is described with a positive postoperative outcome following partial resection of the lesion and epileptogenic zone. Presurgical fMRI of the sensorimotor areas showed haemodynamic responses over the posterior border of the lesion and ictal EEG-fMRI revealed activation of both the primary sensorimotor strip and premotor lesion area. Almost continuous 1–2 Hz interictal spiking was recorded during a chronic ECoG study over the primary sensorimotor cortex. Following partial resection of the lesion, an acute ECoG revealed marked reduction of epileptic activity over the sensorimotor area. Post-operatively, seizure control was significantly improved (class IV ILAE outcome). Although partial FCD resections predict a worse postoperative outcome, individual patients may still respond favourably. The type of lesion, resected portion, and histopathology may be included among factors related to successful outcome. epilepsy surgery (dpeaa)DE-He213 intracranial EEG (dpeaa)DE-He213 EEG-fMRI (dpeaa)DE-He213 fMRI (dpeaa)DE-He213 cortical electrical stimulation (dpeaa)DE-He213 Kokkinos, Vasileios aut Zountsas, Basilios aut Enthalten in Epileptic disorders Oxford [u.a.] : Wiley-Blackwell, 1999 13(2011), 4 vom: Dez., Seite 422-429 (DE-627)368911993 (DE-600)2118181-0 1950-6945 nnns volume:13 year:2011 number:4 month:12 pages:422-429 https://dx.doi.org/10.1684/epd.2011.0474 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_2021 GBV_ILN_2037 GBV_ILN_2064 GBV_ILN_2108 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2011 4 12 422-429
allfieldsGer	10.1684/epd.2011.0474 doi (DE-627)SPR031315577 (SPR)epd.2011.0474-e DE-627 ger DE-627 rakwb eng Garganis, Kyriakos verfasserin aut Limited resection of focal cortical dysplasia and associated epileptogenic cortex may lead to positive surgical outcome 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © John Libbey Eurotext and Springer 2011 Abstract A drug-resistant epilepsy patient with premotor type IIb focal cortical dysplasia is described with a positive postoperative outcome following partial resection of the lesion and epileptogenic zone. Presurgical fMRI of the sensorimotor areas showed haemodynamic responses over the posterior border of the lesion and ictal EEG-fMRI revealed activation of both the primary sensorimotor strip and premotor lesion area. Almost continuous 1–2 Hz interictal spiking was recorded during a chronic ECoG study over the primary sensorimotor cortex. Following partial resection of the lesion, an acute ECoG revealed marked reduction of epileptic activity over the sensorimotor area. Post-operatively, seizure control was significantly improved (class IV ILAE outcome). Although partial FCD resections predict a worse postoperative outcome, individual patients may still respond favourably. The type of lesion, resected portion, and histopathology may be included among factors related to successful outcome. epilepsy surgery (dpeaa)DE-He213 intracranial EEG (dpeaa)DE-He213 EEG-fMRI (dpeaa)DE-He213 fMRI (dpeaa)DE-He213 cortical electrical stimulation (dpeaa)DE-He213 Kokkinos, Vasileios aut Zountsas, Basilios aut Enthalten in Epileptic disorders Oxford [u.a.] : Wiley-Blackwell, 1999 13(2011), 4 vom: Dez., Seite 422-429 (DE-627)368911993 (DE-600)2118181-0 1950-6945 nnns volume:13 year:2011 number:4 month:12 pages:422-429 https://dx.doi.org/10.1684/epd.2011.0474 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_2021 GBV_ILN_2037 GBV_ILN_2064 GBV_ILN_2108 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2011 4 12 422-429
allfieldsSound	10.1684/epd.2011.0474 doi (DE-627)SPR031315577 (SPR)epd.2011.0474-e DE-627 ger DE-627 rakwb eng Garganis, Kyriakos verfasserin aut Limited resection of focal cortical dysplasia and associated epileptogenic cortex may lead to positive surgical outcome 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © John Libbey Eurotext and Springer 2011 Abstract A drug-resistant epilepsy patient with premotor type IIb focal cortical dysplasia is described with a positive postoperative outcome following partial resection of the lesion and epileptogenic zone. Presurgical fMRI of the sensorimotor areas showed haemodynamic responses over the posterior border of the lesion and ictal EEG-fMRI revealed activation of both the primary sensorimotor strip and premotor lesion area. Almost continuous 1–2 Hz interictal spiking was recorded during a chronic ECoG study over the primary sensorimotor cortex. Following partial resection of the lesion, an acute ECoG revealed marked reduction of epileptic activity over the sensorimotor area. Post-operatively, seizure control was significantly improved (class IV ILAE outcome). Although partial FCD resections predict a worse postoperative outcome, individual patients may still respond favourably. The type of lesion, resected portion, and histopathology may be included among factors related to successful outcome. epilepsy surgery (dpeaa)DE-He213 intracranial EEG (dpeaa)DE-He213 EEG-fMRI (dpeaa)DE-He213 fMRI (dpeaa)DE-He213 cortical electrical stimulation (dpeaa)DE-He213 Kokkinos, Vasileios aut Zountsas, Basilios aut Enthalten in Epileptic disorders Oxford [u.a.] : Wiley-Blackwell, 1999 13(2011), 4 vom: Dez., Seite 422-429 (DE-627)368911993 (DE-600)2118181-0 1950-6945 nnns volume:13 year:2011 number:4 month:12 pages:422-429 https://dx.doi.org/10.1684/epd.2011.0474 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_2021 GBV_ILN_2037 GBV_ILN_2064 GBV_ILN_2108 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2011 4 12 422-429
language	English
source	Enthalten in Epileptic disorders 13(2011), 4 vom: Dez., Seite 422-429 volume:13 year:2011 number:4 month:12 pages:422-429
sourceStr	Enthalten in Epileptic disorders 13(2011), 4 vom: Dez., Seite 422-429 volume:13 year:2011 number:4 month:12 pages:422-429
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topic_facet	epilepsy surgery intracranial EEG EEG-fMRI fMRI cortical electrical stimulation
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container_title	Epileptic disorders
authorswithroles_txt_mv	Garganis, Kyriakos @@aut@@ Kokkinos, Vasileios @@aut@@ Zountsas, Basilios @@aut@@
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author	Garganis, Kyriakos
spellingShingle	Garganis, Kyriakos misc epilepsy surgery misc intracranial EEG misc EEG-fMRI misc fMRI misc cortical electrical stimulation Limited resection of focal cortical dysplasia and associated epileptogenic cortex may lead to positive surgical outcome
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topic_title	Limited resection of focal cortical dysplasia and associated epileptogenic cortex may lead to positive surgical outcome epilepsy surgery (dpeaa)DE-He213 intracranial EEG (dpeaa)DE-He213 EEG-fMRI (dpeaa)DE-He213 fMRI (dpeaa)DE-He213 cortical electrical stimulation (dpeaa)DE-He213
topic	misc epilepsy surgery misc intracranial EEG misc EEG-fMRI misc fMRI misc cortical electrical stimulation
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title	Limited resection of focal cortical dysplasia and associated epileptogenic cortex may lead to positive surgical outcome
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title_full	Limited resection of focal cortical dysplasia and associated epileptogenic cortex may lead to positive surgical outcome
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title_sort	limited resection of focal cortical dysplasia and associated epileptogenic cortex may lead to positive surgical outcome
title_auth	Limited resection of focal cortical dysplasia and associated epileptogenic cortex may lead to positive surgical outcome
abstract	Abstract A drug-resistant epilepsy patient with premotor type IIb focal cortical dysplasia is described with a positive postoperative outcome following partial resection of the lesion and epileptogenic zone. Presurgical fMRI of the sensorimotor areas showed haemodynamic responses over the posterior border of the lesion and ictal EEG-fMRI revealed activation of both the primary sensorimotor strip and premotor lesion area. Almost continuous 1–2 Hz interictal spiking was recorded during a chronic ECoG study over the primary sensorimotor cortex. Following partial resection of the lesion, an acute ECoG revealed marked reduction of epileptic activity over the sensorimotor area. Post-operatively, seizure control was significantly improved (class IV ILAE outcome). Although partial FCD resections predict a worse postoperative outcome, individual patients may still respond favourably. The type of lesion, resected portion, and histopathology may be included among factors related to successful outcome. © John Libbey Eurotext and Springer 2011
abstractGer	Abstract A drug-resistant epilepsy patient with premotor type IIb focal cortical dysplasia is described with a positive postoperative outcome following partial resection of the lesion and epileptogenic zone. Presurgical fMRI of the sensorimotor areas showed haemodynamic responses over the posterior border of the lesion and ictal EEG-fMRI revealed activation of both the primary sensorimotor strip and premotor lesion area. Almost continuous 1–2 Hz interictal spiking was recorded during a chronic ECoG study over the primary sensorimotor cortex. Following partial resection of the lesion, an acute ECoG revealed marked reduction of epileptic activity over the sensorimotor area. Post-operatively, seizure control was significantly improved (class IV ILAE outcome). Although partial FCD resections predict a worse postoperative outcome, individual patients may still respond favourably. The type of lesion, resected portion, and histopathology may be included among factors related to successful outcome. © John Libbey Eurotext and Springer 2011
abstract_unstemmed	Abstract A drug-resistant epilepsy patient with premotor type IIb focal cortical dysplasia is described with a positive postoperative outcome following partial resection of the lesion and epileptogenic zone. Presurgical fMRI of the sensorimotor areas showed haemodynamic responses over the posterior border of the lesion and ictal EEG-fMRI revealed activation of both the primary sensorimotor strip and premotor lesion area. Almost continuous 1–2 Hz interictal spiking was recorded during a chronic ECoG study over the primary sensorimotor cortex. Following partial resection of the lesion, an acute ECoG revealed marked reduction of epileptic activity over the sensorimotor area. Post-operatively, seizure control was significantly improved (class IV ILAE outcome). Although partial FCD resections predict a worse postoperative outcome, individual patients may still respond favourably. The type of lesion, resected portion, and histopathology may be included among factors related to successful outcome. © John Libbey Eurotext and Springer 2011
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title_short	Limited resection of focal cortical dysplasia and associated epileptogenic cortex may lead to positive surgical outcome
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Limited resection of focal cortical dysplasia and associated epileptogenic cortex may lead to positive surgical outcome

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