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Resection planning in extratemporal epilepsy surgery using 3D multimodality imaging and intraoperative MRI

Research output: Contribution to journalComment/debate

Mark Nowell, Rachel Sparks, Gergely Zombori, Anna Miserocchi, Roman Rodionov, Beate Diehl, Tim Wehner, Mark White, Sebastien Ourselin, Andrew McEvoy, John Duncan

Original languageEnglish
Pages (from-to)468-470
Number of pages3
JournalBritish Journal of Neurosurgery
Volume31
Issue number4
Early online date8 Dec 2016
DOIs
Publication statusPublished - 4 Jul 2017

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Abstract

Surgical resection in non-lesional, extratemporal epilepsy, informed by stereoEEG recordings, is challenging. There are no clear borders of resection, and the surgeon is often operating in deep areas of the brain that are difficult to access. We present a technical note where 3D multimodality image integration in EpiNavTM is used to build a planned resection model, based on a previous intracranial EEG evaluation. Intraoperative MRI is then used to ensure a complete resection of the planned model. As stereoEEG becomes more common in the presurgical evaluation of epilepsy, these tools will become increasingly important to facilitate targeted cortical resections.

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