Epilepsias de las áreas elocuentes: su abordaje quirúrgico. Aporte de la neuroimagen moderna.
DOI:
https://doi.org/10.47924/neurotarget2017163Palabras clave:
Fusión de imagen, Tractografía, Neurofisiología intraoperatoria, Neuronavegación, Electrodos intracraneanosResumen
El abordaje quirúrgico de las epilepsias que asientan en las áreas elocuentes, en especial las que comprometían al área central, se remontan al siglo XIX. Las primeras cirugías de esta área son llevadas a cabo por los neurocirujanos Macewen y Horsley.
Los avances tecnológicos, en particular relacionados a la Neurofisiología y, más recientemente, a la Neuroimagen, han dado herramientas que al permitir un mejor conocimiento de las los límites estructurales, así como las funciones corticales y una clara referencia respecto a la relación de las eventuales lesiones con la anatomía de la región en cuestión, han facilitado abordajes quirúrgicos más seguros para la integridad funcional cerebral de los pacientes, evitando en lo posible secuelas de mayor o menor gravedad.
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Derechos de autor 2017 Hugo B. Pomata, Fernando Contreras, Gabriela De Pino, Yamila Slame, Paulina Yáñez, Federico Sánchez González, Gabriela Ugarnes, Juan Pociecha
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Este artículo se distribuye bajo la licencia Creative Commons Attribution 4.0 License. A menos que se indique lo contrario, el material publicado asociado se distribuye bajo la misma licencia.
