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Neuronavigation in the Identification and Presurgical Planning of Cortical Focal Dysplasia

Neuronavigation in the Identification and Presurgical Planning of Cortical Focal Dysplasia LETTERS Neuronavigation in the Identification and Presurgical Planning of Cortical Focal Dysplasia have read with great interest the article by Bartolini et al that high precision, and by means of a right parietal quadrantectomy Iappears in the previous issue of this journal. with disconnection of the splenium, the entire lesion was resected The authors highlight the high sensitivity of 7T T2*-weighted (Figure). MR imaging in the identification and anatomic delimitation of Pathology confirmed CFD type IIb. At 18 months after the cortical focal dysplasia (CFD) type IIb, specifying that this study operation, the patient remained free of seizures (Engel I), with a will help more precise surgical planning, as well as explain the sequential homonymous left hemianopia. cases of failure in epilepsy operations. While it is true that 7T MR Neuronavigation proved to be an instrument of remarkable imaging has these advantages, it is also true that not all centers utility in the identification, delimitation, and complete resec- where epilepsy surgery is performed have the possibility of having tion of this voluminous cortical dysplasia. The advantage of such a team. the neuronavigation is that it allows a volumetric location of Probably more affordable is the availability of a neuronaviga- http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Neuroradiology American Journal of Neuroradiology

Neuronavigation in the Identification and Presurgical Planning of Cortical Focal Dysplasia

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References (2)

Publisher
American Journal of Neuroradiology
Copyright
© 2020 by American Journal of Neuroradiology
ISSN
0195-6108
eISSN
1936-959X
DOI
10.3174/ajnr.A6417
Publisher site
See Article on Publisher Site

Abstract

LETTERS Neuronavigation in the Identification and Presurgical Planning of Cortical Focal Dysplasia have read with great interest the article by Bartolini et al that high precision, and by means of a right parietal quadrantectomy Iappears in the previous issue of this journal. with disconnection of the splenium, the entire lesion was resected The authors highlight the high sensitivity of 7T T2*-weighted (Figure). MR imaging in the identification and anatomic delimitation of Pathology confirmed CFD type IIb. At 18 months after the cortical focal dysplasia (CFD) type IIb, specifying that this study operation, the patient remained free of seizures (Engel I), with a will help more precise surgical planning, as well as explain the sequential homonymous left hemianopia. cases of failure in epilepsy operations. While it is true that 7T MR Neuronavigation proved to be an instrument of remarkable imaging has these advantages, it is also true that not all centers utility in the identification, delimitation, and complete resec- where epilepsy surgery is performed have the possibility of having tion of this voluminous cortical dysplasia. The advantage of such a team. the neuronavigation is that it allows a volumetric location of Probably more affordable is the availability of a neuronaviga-

Journal

American Journal of Neuroradiology – American Journal of Neuroradiology

Published: Mar 1, 2020

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