Intraoperative high-field magnetic resonance imaging, multimodal neuronavigation, and intraoperative electrophysiological monitoring-guided surgery for treating supratentorial cavernomas

Objective: To determine the beneficial effects of intraoperative high-field magnetic resonance imaging (MRI), multimodal neuronavigation, and intraoperative electrophysiological monitoring-guided surgery for treating supratentorial cavernomas. Methods: Twelve patients with 13 supratentorial cavernom...

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Autores principales:	Fang-ye Li, Xiao-lei Chen, Bai-nan Xu
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2016
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/d5b032de9d224cb19e30f44c97447627
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spelling	oai:doaj.org-article:d5b032de9d224cb19e30f44c974476272021-12-02T13:40:05ZIntraoperative high-field magnetic resonance imaging, multimodal neuronavigation, and intraoperative electrophysiological monitoring-guided surgery for treating supratentorial cavernomas2095-882X10.1016/j.cdtm.2016.11.003https://doaj.org/article/d5b032de9d224cb19e30f44c974476272016-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095882X16301013https://doaj.org/toc/2095-882XObjective: To determine the beneficial effects of intraoperative high-field magnetic resonance imaging (MRI), multimodal neuronavigation, and intraoperative electrophysiological monitoring-guided surgery for treating supratentorial cavernomas. Methods: Twelve patients with 13 supratentorial cavernomas were prospectively enrolled and operated while using a 1.5 T intraoperative MRI, multimodal neuronavigation, and intraoperative electrophysiological monitoring. All cavernomas were deeply located in subcortical areas or involved critical areas. Intraoperative high-field MRIs were obtained for the intraoperative âvisualizationâ of surrounding eloquent structures, âbrain shiftâ corrections, and navigational plan updates. Results: All cavernomas were successfully resected with guidance from intraoperative MRI, multimodal neuronavigation, and intraoperative electrophysiological monitoring. In 5 cases with supratentorial cavernomas, intraoperative âbrain shiftâ severely deterred locating of the lesions; however, intraoperative MRI facilitated precise locating of these lesions. During long-term (>3 months) follow-up, some or all presenting signs and symptoms improved or resolved in 4 cases, but were unchanged in 7 patients. Conclusions: Intraoperative high-field MRI, multimodal neuronavigation, and intraoperative electrophysiological monitoring are helpful in surgeries for the treatment of small deeply seated subcortical cavernomas. Keywords: Cavernoma, Intraoperative electrophysiological monitoring, Intraoperative magnetic resonance imaging, Multimodal neuronavigationFang-ye LiXiao-lei ChenBai-nan XuKeAi Communications Co., Ltd.articleMedicine (General)R5-920ENChronic Diseases and Translational Medicine, Vol 2, Iss 3, Pp 181-188 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Fang-ye Li Xiao-lei Chen Bai-nan Xu Intraoperative high-field magnetic resonance imaging, multimodal neuronavigation, and intraoperative electrophysiological monitoring-guided surgery for treating supratentorial cavernomas
description	Objective: To determine the beneficial effects of intraoperative high-field magnetic resonance imaging (MRI), multimodal neuronavigation, and intraoperative electrophysiological monitoring-guided surgery for treating supratentorial cavernomas. Methods: Twelve patients with 13 supratentorial cavernomas were prospectively enrolled and operated while using a 1.5 T intraoperative MRI, multimodal neuronavigation, and intraoperative electrophysiological monitoring. All cavernomas were deeply located in subcortical areas or involved critical areas. Intraoperative high-field MRIs were obtained for the intraoperative âvisualizationâ of surrounding eloquent structures, âbrain shiftâ corrections, and navigational plan updates. Results: All cavernomas were successfully resected with guidance from intraoperative MRI, multimodal neuronavigation, and intraoperative electrophysiological monitoring. In 5 cases with supratentorial cavernomas, intraoperative âbrain shiftâ severely deterred locating of the lesions; however, intraoperative MRI facilitated precise locating of these lesions. During long-term (>3 months) follow-up, some or all presenting signs and symptoms improved or resolved in 4 cases, but were unchanged in 7 patients. Conclusions: Intraoperative high-field MRI, multimodal neuronavigation, and intraoperative electrophysiological monitoring are helpful in surgeries for the treatment of small deeply seated subcortical cavernomas. Keywords: Cavernoma, Intraoperative electrophysiological monitoring, Intraoperative magnetic resonance imaging, Multimodal neuronavigation
format	article
author	Fang-ye Li Xiao-lei Chen Bai-nan Xu
author_facet	Fang-ye Li Xiao-lei Chen Bai-nan Xu
author_sort	Fang-ye Li
title	Intraoperative high-field magnetic resonance imaging, multimodal neuronavigation, and intraoperative electrophysiological monitoring-guided surgery for treating supratentorial cavernomas
title_short	Intraoperative high-field magnetic resonance imaging, multimodal neuronavigation, and intraoperative electrophysiological monitoring-guided surgery for treating supratentorial cavernomas
title_full	Intraoperative high-field magnetic resonance imaging, multimodal neuronavigation, and intraoperative electrophysiological monitoring-guided surgery for treating supratentorial cavernomas
title_fullStr	Intraoperative high-field magnetic resonance imaging, multimodal neuronavigation, and intraoperative electrophysiological monitoring-guided surgery for treating supratentorial cavernomas
title_full_unstemmed	Intraoperative high-field magnetic resonance imaging, multimodal neuronavigation, and intraoperative electrophysiological monitoring-guided surgery for treating supratentorial cavernomas
title_sort	intraoperative high-field magnetic resonance imaging, multimodal neuronavigation, and intraoperative electrophysiological monitoring-guided surgery for treating supratentorial cavernomas
publisher	KeAi Communications Co., Ltd.
publishDate	2016
url	https://doaj.org/article/d5b032de9d224cb19e30f44c97447627
work_keys_str_mv	AT fangyeli intraoperativehighfieldmagneticresonanceimagingmultimodalneuronavigationandintraoperativeelectrophysiologicalmonitoringguidedsurgeryfortreatingsupratentorialcavernomas AT xiaoleichen intraoperativehighfieldmagneticresonanceimagingmultimodalneuronavigationandintraoperativeelectrophysiologicalmonitoringguidedsurgeryfortreatingsupratentorialcavernomas AT bainanxu intraoperativehighfieldmagneticresonanceimagingmultimodalneuronavigationandintraoperativeelectrophysiologicalmonitoringguidedsurgeryfortreatingsupratentorialcavernomas
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Intraoperative high-field magnetic resonance imaging, multimodal neuronavigation, and intraoperative electrophysiological monitoring-guided surgery for treating supratentorial cavernomas

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