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Cited 20 times in

Insular epilepsy surgery under neuronavigation guidance using depth electrode

DC FieldValueLanguage
dc.contributor.author이윤진-
dc.contributor.author이윤호-
dc.contributor.author이준수-
dc.contributor.author김동석-
dc.contributor.author김흥동-
dc.contributor.author박영석-
dc.contributor.author심규원-
dc.date.accessioned2015-04-24T16:48:06Z-
dc.date.available2015-04-24T16:48:06Z-
dc.date.issued2009-
dc.identifier.issn0256-7040-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/104197-
dc.description.abstractOBJECTIVES: The unfavorable surgical results that have been reported with insular epilepsy surgery may be related to inadequate monitoring. Insular epilepsy surgery requires the precise monitoring and tailored removal of the epileptic zone. The purposes of this study were to precisely monitor the hidden cortex and determine the effectiveness of using different monitoring methods, including subpial depth electrodes. MATERIALS AND METHODS: This is a study of a single center series of six patients (three men, three women) who underwent insular surgery between May 2006 and December 2007. All patients had experienced medically intractable seizures without any evidence of a tumorous condition based on previous examination. We used strip electrode implantation in one patient and stereotactic depth electrode insertion in two patients, which resulted in partial removal of the insular. The other three patients underwent open direct subpial depth electrode insertion, which resulted in total removal of the insular cortex. RESULTS: There were no surgery-related complications with the insulectomy after insertion of the subpial depth electrodes, regardless of the monitoring method or extent of removal. All patients except for one showed considerable improvement in epilepsy (83.3% Engle class I, 16.5% Engle class II). In the three patients who had open direct subpial depth electrodes inserted, we achieved total insulectomy without increasing the surgical morbidity, while in the other three patients, the insular removal was only partial. CONCLUSION: We demonstrate that image-guided insular surgery with safe and accurate depth electrode guidance results in an optimal outcome and complete resection of the insular cortex.-
dc.description.statementOfResponsibilityopen-
dc.format.extent591~597-
dc.relation.isPartOfCHILDS NERVOUS SYSTEM-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHCerebral Cortex/physiopathology-
dc.subject.MESHCerebral Cortex/surgery*-
dc.subject.MESHChild-
dc.subject.MESHChild, Preschool-
dc.subject.MESHElectrodes, Implanted*-
dc.subject.MESHElectroencephalography-
dc.subject.MESHEpilepsy/pathology-
dc.subject.MESHEpilepsy/physiopathology-
dc.subject.MESHEpilepsy/surgery*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHInfant-
dc.subject.MESHMale-
dc.subject.MESHMonitoring, Intraoperative/methods*-
dc.subject.MESHNeuronavigation/instrumentation-
dc.subject.MESHNeuronavigation/methods*-
dc.subject.MESHNeurosurgical Procedures/methods-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHTreatment Outcome-
dc.titleInsular epilepsy surgery under neuronavigation guidance using depth electrode-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Pediatrics (소아과학)-
dc.contributor.googleauthorYoung Seok Park-
dc.contributor.googleauthorYun Ho Lee-
dc.contributor.googleauthorKyu Won Shim-
dc.contributor.googleauthorYoon Jin Lee-
dc.contributor.googleauthorHeung Dong Kim-
dc.contributor.googleauthorJoon-Soo Lee-
dc.contributor.googleauthorDong-Seok Kim-
dc.identifier.doi10.1007/s00381-008-0764-8-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA03026-
dc.contributor.localIdA03030-
dc.contributor.localIdA03177-
dc.contributor.localIdA00402-
dc.contributor.localIdA01208-
dc.contributor.localIdA01568-
dc.contributor.localIdA02187-
dc.relation.journalcodeJ00525-
dc.identifier.eissn1433-0350-
dc.identifier.pmid19139907-
dc.identifier.urlhttp://link.springer.com/article/10.1007%2Fs00381-008-0764-8-
dc.subject.keywordDepth electrode-
dc.subject.keywordEpilepsy-
dc.subject.keywordInsular-
dc.subject.keywordIntractable epilepsy-
dc.subject.keywordSurgery-
dc.contributor.alternativeNameLee, Yun Jin-
dc.contributor.alternativeNameLee, Yun Ho-
dc.contributor.alternativeNameLee, Joon Soo-
dc.contributor.alternativeNameKim, Dong Seok-
dc.contributor.alternativeNameKim, Heung Dong-
dc.contributor.alternativeNamePark, Young Seok-
dc.contributor.alternativeNameShim, Kyu Won-
dc.contributor.affiliatedAuthorLee, Yun Jin-
dc.contributor.affiliatedAuthorLee, Yun Ho-
dc.contributor.affiliatedAuthorLee, Joon Soo-
dc.contributor.affiliatedAuthorKim, Dong Seok-
dc.contributor.affiliatedAuthorKim, Heung Dong-
dc.contributor.affiliatedAuthorPark, Young Seok-
dc.contributor.affiliatedAuthorShim, Kyu Won-
dc.citation.volume25-
dc.citation.number5-
dc.citation.startPage591-
dc.citation.endPage597-
dc.identifier.bibliographicCitationCHILDS NERVOUS SYSTEM, Vol.25(5) : 591-597, 2009-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers

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