Objective To explore the methods of surgical treatment of low-grade glioma with secondary epilepsy. Methods Video-EEG, magnetoencephalography (MEG) were performed to localizate the epileptogenic zone and domain in 13 ...Objective To explore the methods of surgical treatment of low-grade glioma with secondary epilepsy. Methods Video-EEG, magnetoencephalography (MEG) were performed to localizate the epileptogenic zone and domain in 13 patients,and stereotactic technology ,ultrasoumd,electrocorticogram (EcoG) were combined展开更多
Background Cerebral sparganosis represents the most severe manifestation of sparganosis,with a relatively low global incidence.For cases of secondary epileptic seizures caused by sparganosis infection in the functiona...Background Cerebral sparganosis represents the most severe manifestation of sparganosis,with a relatively low global incidence.For cases of secondary epileptic seizures caused by sparganosis infection in the functional areas of the brain,what advanced neurosurgical techniques should be employed to precisely identify and excise the epi-leptic lesions in the deep functional areas of the brain,aiming to achieve maximal removal while minimising the risk of neurological deficits?This remains a current challenge for epilepsy surgeons.Case presentation A 24-year-old Chinese male was admitted to our hospital,presenting with a history of left limb twitching persisting for over a year.His main clinical symptoms presented twitching and numbness of his left limb without loss of consciousness.Under the premise of inappropriate anti-seizure treatment,recurrent epilepsy attacked persist.The patient’s diagnosis was considered as“space-occupying lesions in the several lobes of brain,secondary epilepsy”after comprehensive assessment and discussion.And experts considered that the patient’s space-occupying lesions in the right frontal and parietal lobes were highly suspected to be infected by parasites.This report delved into the application of neurosurgery robot-assisted frameless stereotaxic technology and intraopera-tive stereotactic electroencephalography(SEEG)monitoring technology to accurately locate and optimize removal of parasite-related epileptic lesions situated in functional areas of the brain.As a result,the patient had achieved seizure freedom,leaving no symptoms of neurological deficit.Conclusions With the highly integrated development of imaging technology,mechanical technology,computer control technology,and artificial intelligence,surgical robots are poised to play a larger role across various neurosur-gical specialties in the future.Considering benefits for patients and the promising application of this technology,its utilization holds significant value.展开更多
文摘Objective To explore the methods of surgical treatment of low-grade glioma with secondary epilepsy. Methods Video-EEG, magnetoencephalography (MEG) were performed to localizate the epileptogenic zone and domain in 13 patients,and stereotactic technology ,ultrasoumd,electrocorticogram (EcoG) were combined
基金supported by Joint key project[grant numbers 2019LH01]Department of Science and Technology of Sichuan Province[grant numbers 22CXRC0178]+5 种基金Medical Innovation Project[grant numbers 21WQ040]Southwest Jiaotong University Medical and industrial Combination training special project[grant numbers 2682021ZTPY024]National Natural Science Foundation of China[grant numbers 81701283]Hospital Management Project of Western Command General Hospital[grant numbers 2021-XZYG-B22]Hospital Management Project of Western Command General Hospital[grant numbers 2021-XZYG-B21]Department of Science and Technology of Sichuan Province[grant numbers 2019YJ0274].
文摘Background Cerebral sparganosis represents the most severe manifestation of sparganosis,with a relatively low global incidence.For cases of secondary epileptic seizures caused by sparganosis infection in the functional areas of the brain,what advanced neurosurgical techniques should be employed to precisely identify and excise the epi-leptic lesions in the deep functional areas of the brain,aiming to achieve maximal removal while minimising the risk of neurological deficits?This remains a current challenge for epilepsy surgeons.Case presentation A 24-year-old Chinese male was admitted to our hospital,presenting with a history of left limb twitching persisting for over a year.His main clinical symptoms presented twitching and numbness of his left limb without loss of consciousness.Under the premise of inappropriate anti-seizure treatment,recurrent epilepsy attacked persist.The patient’s diagnosis was considered as“space-occupying lesions in the several lobes of brain,secondary epilepsy”after comprehensive assessment and discussion.And experts considered that the patient’s space-occupying lesions in the right frontal and parietal lobes were highly suspected to be infected by parasites.This report delved into the application of neurosurgery robot-assisted frameless stereotaxic technology and intraopera-tive stereotactic electroencephalography(SEEG)monitoring technology to accurately locate and optimize removal of parasite-related epileptic lesions situated in functional areas of the brain.As a result,the patient had achieved seizure freedom,leaving no symptoms of neurological deficit.Conclusions With the highly integrated development of imaging technology,mechanical technology,computer control technology,and artificial intelligence,surgical robots are poised to play a larger role across various neurosur-gical specialties in the future.Considering benefits for patients and the promising application of this technology,its utilization holds significant value.
