Navigated transcranial magnetic stimulation in preoperative planning for the treatment of motor area cavernous angiomas

Wellingson Silva Paiva,1 Erich Talamoni Fonoff,1 Marco Antonio Marcolin,2 Edson Bor-Seng-Shu,1 Eberval Gadelha Figueiredo,1 Manoel Jacobsen Teixeira11Division of Neurosurgery, Department of Neurology, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil; 2Transcranial Magnetic Stimulation...

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Autores principales:	Paiva WS, Fonoff ET, Marcolin MA, Bor-Seng-Shu E, Figueiredo EG, Teixeira MJ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/754b972fb8944fda93c22a15b32a70b4
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spelling	oai:doaj.org-article:754b972fb8944fda93c22a15b32a70b42021-12-02T08:26:11ZNavigated transcranial magnetic stimulation in preoperative planning for the treatment of motor area cavernous angiomas1176-63281178-2021https://doaj.org/article/754b972fb8944fda93c22a15b32a70b42013-12-01T00:00:00Zhttp://www.dovepress.com/navigated-transcranial-magnetic-stimulation-in-preoperative-planning-f-a15236https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Wellingson Silva Paiva,1 Erich Talamoni Fonoff,1 Marco Antonio Marcolin,2 Edson Bor-Seng-Shu,1 Eberval Gadelha Figueiredo,1 Manoel Jacobsen Teixeira11Division of Neurosurgery, Department of Neurology, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil; 2Transcranial Magnetic Stimulation Laboratory, Institute of Psychiatry, School of Medicine, University of Sao Paulo, Sao Paulo, BrazilAbstract: Since the introduction of microscopic techniques, radical surgery for cavernous angiomas has become a recommended treatment option. However, the treatment of motor area cavernous angioma represents a great challenge for the surgical team. Here, we describe an approach guided by frameless neuronavigation and preoperative functional mapping with transcranial magnetic stimulation (TMS), for surgical planning. We used TMS to map the motor cortex and its relationship with the angioma. We achieved complete resection of the lesions in the surgeries, while avoiding areas of motor response identified during the preoperative mapping. We verified the complete control of seizures (Engel class 1A) in the patients with previous refractory epilepsy. Postsurgery, one patient was seizure-free without medication, and two patients required only one medication for seizure control. Thus, navigated TMS appears to be a useful tool, in preoperative planning for cavernous angiomas of the motor area.Keywords: neurosurgical procedures, brain mapping, neuronavigationPaiva WSFonoff ETMarcolin MABor-Seng-Shu EFigueiredo EGTeixeira MJDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2013, Iss default, Pp 1885-1888 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Paiva WS Fonoff ET Marcolin MA Bor-Seng-Shu E Figueiredo EG Teixeira MJ Navigated transcranial magnetic stimulation in preoperative planning for the treatment of motor area cavernous angiomas
description	Wellingson Silva Paiva,1 Erich Talamoni Fonoff,1 Marco Antonio Marcolin,2 Edson Bor-Seng-Shu,1 Eberval Gadelha Figueiredo,1 Manoel Jacobsen Teixeira11Division of Neurosurgery, Department of Neurology, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil; 2Transcranial Magnetic Stimulation Laboratory, Institute of Psychiatry, School of Medicine, University of Sao Paulo, Sao Paulo, BrazilAbstract: Since the introduction of microscopic techniques, radical surgery for cavernous angiomas has become a recommended treatment option. However, the treatment of motor area cavernous angioma represents a great challenge for the surgical team. Here, we describe an approach guided by frameless neuronavigation and preoperative functional mapping with transcranial magnetic stimulation (TMS), for surgical planning. We used TMS to map the motor cortex and its relationship with the angioma. We achieved complete resection of the lesions in the surgeries, while avoiding areas of motor response identified during the preoperative mapping. We verified the complete control of seizures (Engel class 1A) in the patients with previous refractory epilepsy. Postsurgery, one patient was seizure-free without medication, and two patients required only one medication for seizure control. Thus, navigated TMS appears to be a useful tool, in preoperative planning for cavernous angiomas of the motor area.Keywords: neurosurgical procedures, brain mapping, neuronavigation
format	article
author	Paiva WS Fonoff ET Marcolin MA Bor-Seng-Shu E Figueiredo EG Teixeira MJ
author_facet	Paiva WS Fonoff ET Marcolin MA Bor-Seng-Shu E Figueiredo EG Teixeira MJ
author_sort	Paiva WS
title	Navigated transcranial magnetic stimulation in preoperative planning for the treatment of motor area cavernous angiomas
title_short	Navigated transcranial magnetic stimulation in preoperative planning for the treatment of motor area cavernous angiomas
title_full	Navigated transcranial magnetic stimulation in preoperative planning for the treatment of motor area cavernous angiomas
title_fullStr	Navigated transcranial magnetic stimulation in preoperative planning for the treatment of motor area cavernous angiomas
title_full_unstemmed	Navigated transcranial magnetic stimulation in preoperative planning for the treatment of motor area cavernous angiomas
title_sort	navigated transcranial magnetic stimulation in preoperative planning for the treatment of motor area cavernous angiomas
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/754b972fb8944fda93c22a15b32a70b4
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Navigated transcranial magnetic stimulation in preoperative planning for the treatment of motor area cavernous angiomas

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