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BMC Neurology

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Open Access 01-12-2017 | Research article

Usefulness of intraoperative insular electrocorticography in modified functional hemispherectomy

Authors: Gun-Ha Kim, Joo Hee Seo, James E. Baumgartner, Fatima Ajmal, Ki Hyeong Lee

Published in: BMC Neurology | Issue 1/2017

Abstract

Background

The insular cortex is not routinely removed in modified functional hemispherectomy due to the risk of injury to the main arteries and to deep structures. Our study evaluates the safety and usefulness of applying intraoperative electrocorticography (ECoG) on the insular during the hemispherectomy.

Methods

We included all patients who underwent insular ECoG during a modified functional hemispherectomy from 2012 to 2015. After the surgery, the decision for further resection of the insular cortex was made based on the presence of electrographic seizures on ECoG.

Results

The study included 19 patients (age, 6.4 ± 4.7 years, mean ± standard deviation). Electrographic seizures were identified in 5 patients (26.3%). Sixteen of the 19 patients (84.2%) became seizure-free with a follow-up duration of 3.1 ± 0.6 years and no vascular complication occurred.

Conclusions

Intraoperative insular ECoG monitoring can be performed safely while providing a tailored approach for insular resection during modified hemispherectomy.

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Title: Usefulness of intraoperative insular electrocorticography in modified functional hemispherectomy
Authors: Gun-Ha Kim
Joo Hee Seo
James E. Baumgartner
Fatima Ajmal
Ki Hyeong Lee
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: BMC Neurology / Issue 1/2017
Electronic ISSN: 1471-2377
DOI: https://doi.org/10.1186/s12883-017-0940-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Usefulness of intraoperative insular electrocorticography in modified functional hemispherectomy

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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