Journal of Shandong University (Health Sciences) ›› 2020, Vol. 58 ›› Issue (12): 60-64.doi: 10.6040/j.issn.1671-7554.0.2020.0822

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Application of ultrasound-guided electrocorticography monitoring in the microsurgical treatment of epilepsy secondary to cerebral arteriovenous malformation

SUN Yongfeng1, LIU Huizhao2, LI Yuhuan1, SHI Lei1, YUAN Jun1, ZHONG Jianwei1   

  1. 1. Department of Military Medicine and Special Disciplines;
    2. Department of Medical Imaging, Beijing Crops Hospital of Chinese Peoples Armed Police Forces, Beijing 100027, China
  • Published:2020-12-08

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Abstract: Objective To explore the role and value of ultrasound-guided electrocorticography(ECoG)monitoring in the microsurgery of epilepsy secondary to cerebral arteriovenous malformations(cAVM). Methods The clinical data of 18 patients with epilepsy secondary to cAVM treated with microsurgery were retrospectively analyzed. During operation, the complete resection of cAVM and epileptogenic zone was under ultrasound guidance and ECoG monitoring. Results Intraoperative ultrasound could clearly show the position, boundary, feeding artery and drainage veins of cAVM; it could identify the surgical remnants so as to guide complete resection of cAVM vascular mass. ECoG could monitor the epileptic discharges and thus reduce injury on brain function. During the follow-up of more than 2 years, no neurological dysfunction or seizure occurred. The efficacy reached Engel I in all cases. Conclusion Intraoperative ultrasound guidance can accurately locate cAVM and determine its feeding artery and residual conditions, guide complete resection; ECoG monitoring determines epileptogenic zone, and further guides the scope of resection. Intraoperative ultrasound guidance combined with ECoG monitoring can effectively reduce complications and brain injury, and significantly improve the therapeutic effects.

Key words: Intraoperative ultrasound, Electrocorticography monitoring, Cerebral arteriovenous malformation, Epilepsy

CLC Number: 

  • R742.1
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