イセキ　ヒロシ   Iseki Hiroshi   伊関　洋    所属   医学研究科 医学研究科 (医学部医学科をご参照ください)    職種   特任顧問
論文種別	原著
言語種別	英語
査読の有無	査読なし
表題	Preoperative mapping for patients with supplementary motor area epilepsy: multimodality brain mapping
掲載誌名	正式名：Psychiatry Clin Neurosci ISSNコード：13231316
掲載区分	国内
巻・号・頁	58(3),pp.S16-S21
著者・共著者	YAMANE Fumitaka, MURAGAKI Yoshihiro, MARUYAMA Takashi, OKADA Yoshikazu, ISEKI Hiroshi, IKEDA Akio, HOMMA Ikuo, HORI Tomokatsu
発行年月	2004/06
概要	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
文献番号	15149310