Extratemporal Nonlesional Epilepsy Surgery

Jul 11, 2016 by in NEUROSURGERY Comments Off on Extratemporal Nonlesional Epilepsy Surgery

61 Extratemporal Nonlesional Epilepsy SurgerySean J. Nagel and William E. Bingaman Indications Chronic, pharmacoresistent partial epilepsy Nonlesional magnetic resonance imaging (MRI) study Video electroencephalography (EEG) suggesting focal onset (by definition…

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Superficial Frameless Stereotactic Biopsy

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55 Superficial Frameless Stereotactic BiopsyMichael Lim ♦ Preoperative Imaging Magnetic resonance imaging (MRI): Pay particular attention to the optimal sequence and communicate the information to the radiologist (otherwise radiology will…

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Stereotactic Placement of Temporal Depth Electrodes

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59 Stereotactic Placement of Temporal Depth ElectrodesDimitris G. Placantonakis and Theodore H. Schwartz Indications Invasive epilepsy monitoring of mesial temporal lobe Mesial versus neocortical origin of temporal lobe epilepsy based…

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Temporal Lobectomy and Selective Amygdalohippocampectomy

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57 Temporal Lobectomy and Selective AmygdalohippocampectomyDevin K. Binder and Johannes Schramm Indications Medically intractable epilepsy localized to the temporal lobe or temporomesial structures The majority of cases of temporal lobe…

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Subdural Grid Placement

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58 Subdural Grid PlacementRobert R. Goodman Indications Localization of ictal and interictal epileptiform activity from surface of the brain Medically intractable complex partial seizures with onset lateralized, but not felt…

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Metastatic Tumor Resection

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54 Metastatic Tumor ResectionGanesh Rao, Khan Li, and Raymond Sawaya Indications Surgically accessible metastatic tumors Surgically accessible lesions causing neurologic deficit Solitary lesions (diagnosis based on magnetic resonance imaging [MRI])…

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Pineal Region Tumors

Jul 11, 2016 by in NEUROSURGERY Comments Off on Pineal Region Tumors

51 Pineal Region TumorsAndrew T. Parsa and Isaac Yang Indications Pineal region tumors account for only 0.5 to 1% of all intracranial neoplasms in adults Commonly present with: Parinaud’s syndrome…

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Esthesioneuroblastomas

Jul 11, 2016 by in NEUROSURGERY Comments Off on Esthesioneuroblastomas

53 EsthesioneuroblastomasJames E. Conway and Gary L. Gallia Indications Craniofacial resection for biopsy proven esthesioneuroblastoma with periorbital or anterior cranial fossa extension En bloc, gross total resection should be attempted…

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Colloid Cysts

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52 Colloid CystsEdward S. Ahn Indications Symptomatic hydrocephalus Asymptomatic ventricular enlargement Large cysts that pose theoretical risk of classically described “sudden death” if not treated ♦ Preoperative Imaging Computed tomography:…

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Craniopharyngiomas

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50 CraniopharyngiomasGeorge Jallo ♦ Preoperative Imaging Magnetic resonance imaging: ± contrast mandatory, variable T1 signal, heterogeneous T2 signal of solid tumor component, fluid attenuated inversion recovery (FLAIR) sequence is useful…

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