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Hemispheric surgery in children: perisylvian technique. 儿童半球手术：耳周技术。
Neurosurgical focus: Video Pub Date : 2024-07-01 DOI: 10.3171/2024.4.FOCVID2451
Helio Rubens Machado, Marcelo Volpon Santos
{"title":"Hemispheric surgery in children: perisylvian technique.","authors":"Helio Rubens Machado, Marcelo Volpon Santos","doi":"10.3171/2024.4.FOCVID2451","DOIUrl":"10.3171/2024.4.FOCVID2451","url":null,"abstract":"<p><p>Hemispheric epilepsy is quite frequent in children, compared with adults, and encompasses pathological substrates as diverse as hemimegalencephaly, Rasmussen encephalitis, Sturge-Weber syndrome, and porencephaly, among others. These patients most often become pharmacoresistant and thus require surgical management. Although anatomical hemispherectomy is a possibility, the technique that is favored by most epilepsy surgery centers worldwide is functional hemispherotomy, which results in equivalent outcomes with fewer postoperative complications. Therefore, it is essential that pediatric epilepsy neurosurgeons become familiar with these techniques. The present video describes in detail all surgical aspects of the perisylvian hemispherotomy.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"11 1","pages":"V12"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Robot-assisted laser interstitial thermal therapy for drug-resistant epilepsy in hypothalamic hamartoma. 机器人辅助激光间质热疗治疗下丘脑火腿肠瘤耐药性癫痫。
Neurosurgical focus: Video Pub Date : 2024-07-01 DOI: 10.3171/2024.4.FOCVID2415
James Bridges, Michael Folse, Danielle Terrell, Jehan Bista, Jamie Toms
{"title":"Robot-assisted laser interstitial thermal therapy for drug-resistant epilepsy in hypothalamic hamartoma.","authors":"James Bridges, Michael Folse, Danielle Terrell, Jehan Bista, Jamie Toms","doi":"10.3171/2024.4.FOCVID2415","DOIUrl":"10.3171/2024.4.FOCVID2415","url":null,"abstract":"<p><p>Hypothalamic hamartomas are congenital lesions of the hypothalamus, with a range of symptoms defined by lesion location. Common presenting symptoms include gelastic seizures and precocious puberty. When hamartoma-related seizures become resistant to medications, laser interstitial thermal therapy (LITT) has been shown to be an effective treatment. The authors present a case of robot-assisted LITT for a patient with an 11-year history of epilepsy due to hypothalamic hamartoma. In addition, they demonstrate the use of a stereotactic biopsy needle implemented during the procedure for possible biopsy of deep cranial lesions. The video can be found here: https://stream.cadmore.media/r10.3171/2024.4.FOCVID2415.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"11 1","pages":"V16"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stereo-electro-encephalography (SEEG) methodology: technical nuances and insights into image-guided robot-assisted electrode implantation. 立体脑电图（SEEG）方法：图像引导机器人辅助电极植入的技术细节和启示。
Neurosurgical focus: Video Pub Date : 2024-07-01 DOI: 10.3171/2024.4.FOCVID2427
Piergiorgio d'Orio, Pedro Monteiro, José I Otayza, Alessandra Rocca, Martina Revay, Laura Castana, Francesco Cardinale
{"title":"Stereo-electro-encephalography (SEEG) methodology: technical nuances and insights into image-guided robot-assisted electrode implantation.","authors":"Piergiorgio d'Orio, Pedro Monteiro, José I Otayza, Alessandra Rocca, Martina Revay, Laura Castana, Francesco Cardinale","doi":"10.3171/2024.4.FOCVID2427","DOIUrl":"10.3171/2024.4.FOCVID2427","url":null,"abstract":"<p><p>An accurate definition of the epileptogenic zone is critical to the success of epilepsy surgery. When noninvasive presurgical studies are insufficient, stereoelectroencephalography (SEEG) becomes indispensable. This study illustrates a systematic approach using an illustrative case of centroparietal epilepsy, detailing the stepwise workup, planning, and image-guided robot-assisted frameless stereotactic implantation of intracerebral electrodes. The video provides insights into technical aspects and a single-center experience. Demonstrating efficacy, safety, and feasibility, SEEG emerges as a valuable procedure for studying drug-resistant focal epilepsy. The video can be found here: https://stream.cadmore.media/r10.3171/2024.4.FOCVID2427.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"11 1","pages":"V4"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Minipterional craniotomy for resection of epileptogenic cavernous malformation. 为切除致痫海绵状畸形而进行的微型开颅手术。
Neurosurgical focus: Video Pub Date : 2024-07-01 DOI: 10.3171/2024.4.FOCVID2441
Alexander Chartrain, Carli Bullis, Nicholas Sader, Peter A Chiarelli, Madeline Kahan, Brittany Jordan, Latanya Agurs, Michele Van Hirtum-Das, Asri Yuliati, Sucheta Joshi, Jason Chu
{"title":"Minipterional craniotomy for resection of epileptogenic cavernous malformation.","authors":"Alexander Chartrain, Carli Bullis, Nicholas Sader, Peter A Chiarelli, Madeline Kahan, Brittany Jordan, Latanya Agurs, Michele Van Hirtum-Das, Asri Yuliati, Sucheta Joshi, Jason Chu","doi":"10.3171/2024.4.FOCVID2441","DOIUrl":"10.3171/2024.4.FOCVID2441","url":null,"abstract":"<p><p>Epilepsy is a common symptom of pediatric cavernous malformations. In medically refractory patients, surgery can achieve high seizure freedom rates with low morbidity. This video depicts the use of a minipterional craniotomy and transsulcal resection of a frontal opercular cavernous malformation in a 13-year-old female with medically intractable epilepsy. At 1-year follow-up, she was evaluated as Engel class I with a significant improvement in her quality of life. Principles of cavernous malformation resection for the treatment of epilepsy are also reviewed. The video can be found here: https://stream.cadmore.media/r10.3171/2024.4.FOCVID2441.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"11 1","pages":"V3"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Robot-assisted stereotactic electroencephalography using 3-dimensional intraoperative imaging and frameless registration tool. 使用三维术中成像和无框架注册工具的机器人辅助立体定向脑电图。
Neurosurgical focus: Video Pub Date : 2024-07-01 DOI: 10.3171/2024.4.FOCVID2419
Luca Paun, Alessandro Moiraghi, Giorgia Antonia Simboli, Johan Pallud, Marc Zanello
{"title":"Robot-assisted stereotactic electroencephalography using 3-dimensional intraoperative imaging and frameless registration tool.","authors":"Luca Paun, Alessandro Moiraghi, Giorgia Antonia Simboli, Johan Pallud, Marc Zanello","doi":"10.3171/2024.4.FOCVID2419","DOIUrl":"10.3171/2024.4.FOCVID2419","url":null,"abstract":"<p><p>Stereoelectroencephalography (SEEG) is the gold standard to investigate the epileptic network in cases of drug-resistant epilepsy. Robot-assisted SEEG is increasingly being used; however, its installation process in the operating room is more difficult than that of the stereotactic frame procedure. New robotic tools and 3D intraoperative imaging ease the setup while achieving the same mechanical precision and a lower complication rate. In this video, the authors illustrate the surgical technique and step-by-step workflow using a robotic arm (neuromate) guided by a frameless registration system (neurolocate), registered with an intraoperative flat-panel CT scanner (O-arm). The video can be found here: https://stream.cadmore.media/r10.3171/2024.4.FOCVID2419.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"11 1","pages":"V5"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endoscopic trans-orbital approach for the tumor-related epilepsy at the temporal tip. 经眶内镜手术治疗颞顶部肿瘤相关性癫痫。
Neurosurgical focus: Video Pub Date : 2024-07-01 DOI: 10.3171/2024.4.FOCVID2414
Yuta Tanoue, Takehiro Uda, Toshiyuki Kawashima, Vich Yindeedej, Takeo Goto
{"title":"Endoscopic trans-orbital approach for the tumor-related epilepsy at the temporal tip.","authors":"Yuta Tanoue, Takehiro Uda, Toshiyuki Kawashima, Vich Yindeedej, Takeo Goto","doi":"10.3171/2024.4.FOCVID2414","DOIUrl":"10.3171/2024.4.FOCVID2414","url":null,"abstract":"<p><p>Minimally invasive surgery is gaining increasing interest in epilepsy surgery. In this video, the authors present the endoscopic transorbital approach for an epileptogenic lesion located at the temporal tip. The patient was a man in his 40s who has had intractable focal impaired awareness seizures and focal to bilateral tonic-clonic seizures since he was 31 years of age. According to the preoperative examination, including stereotactic electroencephalography, a cavernous angioma located at the tip of the right temporal lobe was diagnosed as an epileptogenic lesion. Lesionectomy for this lesion was performed using the endoscopic transorbital approach as minimally invasive surgery and a favorable outcome was achieved. The video can be found here: https://stream.cadmore.media/r10.3171/2024.4.FOCVID2414.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"11 1","pages":"V9"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Robot-assisted deep brain stimulation of the centromedian nucleus of the thalamus for generalized epilepsy: targeting and operative video. 机器人辅助丘脑中央核深部脑刺激治疗全身性癫痫：定位和手术视频。
Neurosurgical focus: Video Pub Date : 2024-07-01 DOI: 10.3171/2024.4.FOCVID245
Jason A Chen, Aaron E L Warren, John D Rolston
{"title":"Robot-assisted deep brain stimulation of the centromedian nucleus of the thalamus for generalized epilepsy: targeting and operative video.","authors":"Jason A Chen, Aaron E L Warren, John D Rolston","doi":"10.3171/2024.4.FOCVID245","DOIUrl":"10.3171/2024.4.FOCVID245","url":null,"abstract":"<p><p>The centromedian (CM) nucleus of the thalamus is a promising target for a range of brain diseases including drug-resistant generalized and multifocal epilepsy. CM is highly connected to cortical and subcortical regions including frontoparietal/sensorimotor cortex, striatum, brainstem, and cerebellum, which are involved in some generalized epilepsy syndromes like Lennox-Gastaut syndrome (LGS). In this video, the authors describe their methodology for targeting CM for deep brain stimulation (DBS). Delineation of an optimal and consistent target will expand the efficacy of neuromodulation of CM in intractable epilepsy. The video can be found here: https://stream.cadmore.media/r10.3171/2024.4.FOCVID245.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"11 1","pages":"V18"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Robot-assisted, CT-guided placement of responsive neurostimulator system with bilateral centromedian thalamus depth electrodes for multifocal intractable epilepsy. 在机器人辅助下，在 CT 引导下放置带有双侧丘脑中央深度电极的响应式神经刺激器系统，治疗多灶性顽固性癫痫。
Neurosurgical focus: Video Pub Date : 2024-07-01 DOI: 10.3171/2024.4.FOCVID243
Hael Abdulrazeq, Josh Feler, Anna R Kimata, Wael F Asaad, Athar N Malik
{"title":"Robot-assisted, CT-guided placement of responsive neurostimulator system with bilateral centromedian thalamus depth electrodes for multifocal intractable epilepsy.","authors":"Hael Abdulrazeq, Josh Feler, Anna R Kimata, Wael F Asaad, Athar N Malik","doi":"10.3171/2024.4.FOCVID243","DOIUrl":"10.3171/2024.4.FOCVID243","url":null,"abstract":"<p><p>The responsive neurostimulator system has become increasingly popular in the surgical management of refractory epilepsy, with targeting of various thalamic nuclei showing promising results in select patients. A 42-year-old female presented for evaluation of refractory epilepsy consisting of generalized tonic-clonic and focal seizures with preserved awareness. Phase I and II monitoring suggested multifocal bilateral epilepsy with bilateral frontal onset, and the patient underwent robot-guided bilateral centromedian thalamic placement of the RNS System. In this operative video, the authors share their institutional experience and protocol utilizing the ExcelsiusGPS robot in the placement of the RNS System in the thalamus. The video can be found here: https://stream.cadmore.media/r10.3171/2024.4.FOCVID243.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"11 1","pages":"V17"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Robotic-guided radiofrequency ablative disconnection of hypothalamic hamartoma. 机器人引导下下丘脑火腿肠瘤射频消融断裂术。
Neurosurgical focus: Video Pub Date : 2024-07-01 DOI: 10.3171/2024.4.FOCVID2450
Ramesh Sharanappa Doddamani, Poodipedi Sarat Chandra, Ravichandra Kota, Nihal Ahemad, Manjari Tripathi
{"title":"Robotic-guided radiofrequency ablative disconnection of hypothalamic hamartoma.","authors":"Ramesh Sharanappa Doddamani, Poodipedi Sarat Chandra, Ravichandra Kota, Nihal Ahemad, Manjari Tripathi","doi":"10.3171/2024.4.FOCVID2450","DOIUrl":"10.3171/2024.4.FOCVID2450","url":null,"abstract":"<p><p>Hypothalamic hamartomas (HHs) are benign masses, often associated with drug-refractory epilepsy (DRE). Open surgery as well as the endoscopic disconnection techniques are fraught with a high risk of morbidity and failure rates. The authors have been performing robotic-guided radiofrequency (RF) ablation for all types of HH presenting with DRE as a standard procedure at their institution. The authors have operated on 25 patients with HH using this technique over the last 8 years. This is a safe, effective, and minimally invasive technique. In this video article, the authors intend to demonstrate their technique of RF ablative disconnection under robotic guidance.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"11 1","pages":"V19"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Laser interstitial thermal therapy of a single nodule in a complex epileptic network with multiple periventricular nodular heterotopias. 对伴有多个脑室周围结节性异灶的复杂癫痫网络中的单个结节进行激光间质热疗。
Neurosurgical focus: Video Pub Date : 2024-07-01 DOI: 10.3171/2024.4.FOCVID2417
Sami Obaid, Albert Guillemette, Samuel Lapalme-Remis, Joseph Yuan-Mou Yang, Alexander G Weil, Alain Bouthillier
{"title":"Laser interstitial thermal therapy of a single nodule in a complex epileptic network with multiple periventricular nodular heterotopias.","authors":"Sami Obaid, Albert Guillemette, Samuel Lapalme-Remis, Joseph Yuan-Mou Yang, Alexander G Weil, Alain Bouthillier","doi":"10.3171/2024.4.FOCVID2417","DOIUrl":"10.3171/2024.4.FOCVID2417","url":null,"abstract":"<p><p>Surgical management of drug-resistant epilepsy (DRE) in patients with multiple periventricular nodular heterotopias (PVNHs) is challenging. Identifying the location of seizure onset within these complex epileptic networks is difficult, and open resection carries risks of injury to surrounding functional white matter tracts such as optic radiations (ORs). The authors demonstrate tractography-assisted laser ablation of a single nodule in a patient with DRE and multiple PVNHs. Following surgery, visual fields were intact, highlighting the benefits of OR tractographic reconstruction. At 12 months postoperatively, the patient remained seizure free, suggesting the potential efficacy of targeting a single heterotopia within complex networks in well-selected cases. The video can be found here: https://stream.cadmore.media/r10.3171/2024.4.FOCVID2417.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"11 1","pages":"V15"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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