The intraoperative SEEG and 18FDG-PET tailored temporal lobe resection (iSP-TR) for the tissue-spearing surgical treatment of drug-resistant mesial temporal lobe epilepsy: how we do it

被引：0

作者：

Battista, Francesca ^{[1
]}

Carrai, Riccardo ^{[2
]}

Grippo, Antonello ^{[2
]}

Della Puppa, Alessandro ^{[3
]}

机构：

[1] Careggi Univ Hosp, Dept Neurosurg, Florence, Italy

[2] Univ Florence, Careggi Hosp, Neuromuscular Skeletal Dept, Neurophysiopathol Unit, Florence, Italy

[3] Univ Florence, Careggi Univ Hosp, Dept Neurosurg, Dept Neurosci Drug Area & Child Hlth NEUROFARBA,Ps, Florence, Italy

来源：

ACTA NEUROCHIRURGICA | 2025年 / 167卷 / 01期

关键词：

Meningiomas; iSEEG; Epilepsy; Epilepsy surgery; FDG-PET; Temporal lobe epilepsy;

D O I：

10.1007/s00701-025-06491-x

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

BackgroundFor drug-resistant mesial temporal lobe epilepsy (MTLE), surgery is recommended. There is no evidence of a seizure outcome advantage of temporal lobectomy over other strategies despite the high risks of this surgical procedure.MethodsWe describe a Temporal Resection guided by intraoperative stereo-electroencephalography (iSEEG) and the 18FluoroDeoxyGlucose PET (18FDG PET) (iSP-TR) to treat lesional MTLE. We avoided functional cortical areas using navigated Transcranial Magnetic Stimulation (nTMS).ConclusioniSP-TR allows for a spare brain parenchyma compared to temporal lobectomy without compromising seizure outcomes.

引用

页数：6

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