Systematic review of corpus callosotomy utilizing MRI guided laser interstitial thermal therapy
| Autor: | Benjamin C. Kennedy, Gregory G. Heuer, Clint A. Badger, Alejandro J Lopez |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Drug Resistant Epilepsy medicine.medical_specialty Adolescent Hemispherectomy medicine.medical_treatment Radiography Interventional Corpus Callosum Young Adult 03 medical and health sciences Epilepsy 0302 clinical medicine Laser Interstitial Thermal Therapy Physiology (medical) Seizure control medicine Humans Corpus callosotomy Prospective Studies Child business.industry Infant General Medicine Evidence-based medicine medicine.disease Ablation Magnetic Resonance Imaging Surgery Treatment Outcome Neurology Child Preschool 030220 oncology & carcinogenesis Inclusion and exclusion criteria Female Laser Therapy Neurology (clinical) business 030217 neurology & neurosurgery Mri guided |
| Zdroj: | Journal of Clinical Neuroscience. 76:67-73 |
| ISSN: | 0967-5868 |
| Popis: | Corpus callosotomy is a palliative surgical option for patients with refractory epilepsy and frequent drop attacks, decreasing seizure frequency and severity by disconnecting the cerebral hemispheres. Though often successful, open surgery is not without risk. Corpus callosotomy by MRI-guided laser interstitial thermal therapy (MRgLITT) is a minimally invasive alternative to the standard open procedure. This report aims to present an illustrative case and systematically review the current literature on the surgical technique. A systematic review of the English literature through January 2019 was performed. Articles were searched by title utilizing the following key word combinations: “laser” and “callosotomy”, “callosotomy” and “ablation”, “laser” and “corpus”, “callosotomy” and “thermal”, and “stereotactic” and callosotomy”. The articles recovered were then classified by level of evidence and summarized. Fifteen papers were reviewed, of which 6 met inclusion and exclusion criteria. All included studies were classified as level IV evidence. There was a total of 13 patients ranging from 13 months to 44 years old (mean 23.5 years old). The number of laser fibers utilized ranged from 1 to 3. Engel class I was achieved in 5 patients, II in 4, III in 2, IV in 1. Reported patient follow up was 4–39.7 months (mean 15.43). Corpus callosotomy utilizing MRI-guided laser interstitial thermal therapy results in improvement in seizure frequency and severity with minimal complications. Prospective trials are needed to compare its seizure control and long-term outcomes to that of standard open callosotomy. |
| Databáze: | OpenAIRE |
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