2021
DOI: 10.1093/ons/opab182
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Hybrid Fluoroscopic and Neurophysiological Targeting of Responsive Neurostimulation of the Rolandic Cortex

Abstract: BACKGROUND Precise targeting of cortical surface electrodes to epileptogenic regions defined by anatomic and electrophysiological guideposts remains a surgical challenge during implantation of responsive neurostimulation (RNS) devices. OBJECTIVE To describe a hybrid fluoroscopic and neurophysiological technique for targeting of subdural cortical surface electrodes to anatomic regions with limited direct visualization, such as… Show more

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“…A total of 27 patients (mean age 23.6 years, 7 pediatric patients) from 6 studies (plus one institutional case, yielding a total of 28 patients) underwent RNS for central lobule epilepsy. 47,51,52,58,59 Lesional MRI was observed in 3 patients (of 8 patients with available data). The precentral and postcentral gyri were stimulated in 26 (92.8%) and 8 (29%) patients, correspondingly.…”
Section: Electrical Stimulation Proceduresmentioning
confidence: 99%
“…A total of 27 patients (mean age 23.6 years, 7 pediatric patients) from 6 studies (plus one institutional case, yielding a total of 28 patients) underwent RNS for central lobule epilepsy. 47,51,52,58,59 Lesional MRI was observed in 3 patients (of 8 patients with available data). The precentral and postcentral gyri were stimulated in 26 (92.8%) and 8 (29%) patients, correspondingly.…”
Section: Electrical Stimulation Proceduresmentioning
confidence: 99%