|
MARUYAMA Takashi
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position |
|
| Article types | Original article |
| Language | English |
| Peer review | Non peer reviewed |
| Title | Preoperative mapping for patients with supplementary motor area epilepsy: multimodality brain mapping |
| Journal | Formal name：Psychiatry Clin Neurosci ISSN code：13231316 |
| Domestic / Foregin | Domestic |
| Volume, Issue, Page | 58(3),pp.S16-S21 |
| Author and coauthor | YAMANE Fumitaka, MURAGAKI Yoshihiro, MARUYAMA Takashi, OKADA Yoshikazu, ISEKI Hiroshi, IKEDA Akio, HOMMA Ikuo, HORI Tomokatsu |
| Publication date | 2004/06 |
| Summary | Surgical management and strategies for the supplementary motor area (SMA) epilepsy are described. The following is our preoperative evaluations. The steps include functional magnetic resonance imaging (fMRI), interictal dipole tracing (DT), subdural electrodes mapping, measurements of movement-related cortical potential (MRCP), and the use of the intraoperative open MRI under conscious craniotomy. Six patients with SMA epilepsy underwent surgery after the mapping procedures and are now seizure-free. Combinations of preoperative (fMRI, subdural electrodes mapping) and intraoperative mapping allow exact localization and identification of the critical functional areas. Early postoperative deficits in motor and speech function were profound but patients recovered rapidly. It is concluded that the step of mapping procedures plays an important role in the management of SMA epilepsy surgery. |
| DOI | 10.1111/j.1440-1819.2004.01244_5.x |
| Document No. | 15149310 |