用机器人辅助激光同时热消融多个皮质管，治疗一名 17 岁结节性硬化症复合体患者的耐药性癫痫。

IF 1.9 4区医学 Q3 CLINICAL NEUROLOGY

World neurosurgery Pub Date : 2024-09-16 DOI:10.1016/j.wneu.2024.09.055

Nicola Onorini,Giuseppe Mirone,Domenico Cicala,Pietro Spennato,Alfonso Rubino,Pia Bernardo,Carmela Russo,Claudio Ruggiero,Eugenio Covelli,Giuseppe Cinalli

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引用次数: 0

摘要

磁共振引导下激光间质热疗（MRgLITT）是治疗结节性硬化综合征（TSC）相关儿童癫痫的一种新型微创疗法。本视频描述了一例在机器人辅助下采用 MRgLITT 治疗 TSC 相关耐药癫痫的 17 岁女孩的病例。在我们的病例中，MRgLITT 在一次手术中同时靶向多个癫痫管，既安全又有效，从而显著降低了癫痫发作频率。由于TSC具有进展性，对于一生中可能需要多次手术的儿童来说，MRgLITT可能是一种前景广阔、更具吸引力的治疗方案。

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Simultaneous robotic-assisted laser thermal ablation of multiple cortical tubers for drug-resistant epilepsy in a 17-year-old patient with Tuberous Sclerosis Complex.

Magnetic resonance guided laser interstitial thermal therapy (MRgLITT) is a new minimally invasive treatment for Tuberous Sclerosis Complex (TSC) associated epilepsy in children. This video describes a case of a 17-year-old girl with TSC-associated drug resistant epilepsy treated with robotic-assisted MRgLITT. In our case, MRgLITT was safe and effective in simultaneous targeting multiple epileptic tubers in one single procedure, leading to a marked decrease in seizure frequency. MRgLITT could be a promising and more appealing treatment option for children who may need multiple surgeries over their lifetime due to the progressive nature of TSC.

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来源期刊

World neurosurgery CLINICAL NEUROLOGY-SURGERY

CiteScore

3.90

自引率

15.00%

发文量

1765

审稿时长

47 days

期刊介绍： World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal''s mission is to: -To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care. -To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide. -To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients. Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS