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Child's Nervous System
Published in: Child's Nervous System 6/2012

01-06-2012 | Technical Note

Utilisation of intra-operative Doppler in the localisation of pericallosal artery during functional hemispherotomies for epilepsy: technical note

Authors: Senthil K. Selvanathan, Paul Chumas

Published in: Child's Nervous System | Issue 6/2012

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Abstract

Functional hemispherotomy is an established technique for treating epilepsy secondary to hemispheric pathology. Corpus callosotomy and frontobasal disconnection are integral parts of this operation. To perform this, localisation of the pericallosal artery through the medial ventricular wall and subpial exposure of the A2 and A1 are required. Here, the authors present how intra-operative Doppler can be useful in helping to localise these arteries in the setting of abnormal neuroanatomy and significant brain shift.
Literature
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Limbrick DD, Narayan P, Powers AK, Ojemann JG, Park TS, Bertrand M, Smyth MD (2009) Hemispherotomy: efficacy and analysis of seizure recurrence. J Neurosurg Pediatr 4(4):323–32PubMedCrossRef
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Fuentes JM, Benezech J, Cesari JB, Vongsouthi C, Prince P, Billet M (1988) Technic of the pre-operative use of Doppler in neurosurgery. J Mal Vasc 13(2):154–8PubMed
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Furtado SV, Thakar S, Hegde AS (2012) The use of image guidance in avoiding vascular injury during trans-sphenoidal access and decompression of recurrent pituitary adenomas. J Craniomaxillofac Surg. doi:10.​1016/​j.​jcms.​2011.​12.​002
4.
González-Martínez JA, Gupta A, Kotagal P, Lachhwani D, Wyllie E, Lüders HO, Bingaman WE (2005) Hemispherectomy for catastrophic epilepsy in infants. Epilepsia 46(9):1518–25PubMedCrossRef
Metadata
Title
Utilisation of intra-operative Doppler in the localisation of pericallosal artery during functional hemispherotomies for epilepsy: technical note
Authors
Senthil K. Selvanathan
Paul Chumas
Publication date
01-06-2012
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 6/2012
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-012-1736-6

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