Neuronavigational epilepsy focus mapping.
The localization of a seizure focus for resective surgery often requires invasive monitoring for precise localization of the target as well as structures to avoid. We report on the use of intra-operative surgical navigation to precisely localize and co-register subdural electrodes to regions of know radiographic pathology. Additionally, the navigation system was used to develop intra-operative electrode maps. These maps were subsequently used in the sub-acute recording phase to assign electrographic pathology and function (e.g. speech) to a specific cortical surface anatomy. This permitted for more precise planning of surgery and better assessment of potential risk, based on functional as well as anatomical criterion.
Abbasi
H R
HR
Department of Neurosurgery, Stanford University Medical Center, USA.
Hariri
S
S
Martin
D
D
Risinger
M
M
Heit
G
G
D001185:Artificial Intelligence; D001931:Brain Mapping / Q000295:instrumentation*; D002540:Cerebral Cortex / Q000503:physiopathology / Q000601:surgery; D004567:Electrodes, Implanted; D004569:Electroencephalography / Q000295:instrumentation; D004827:Epilepsy / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000295:instrumentation; D008279:Magnetic Resonance Imaging / Q000295:instrumentation; D012371:Robotics / Q000295:instrumentation*; D013238:Stereotaxic Techniques / Q000295:instrumentation*; D014584:User-Computer Interface