Evidence map›Paper›PMID 32257556›Full record

ArticleSurgical neurology international2020

Thermography mapping patterns in temporal lobe epilepsy surgery.

Enrique de Font-Réaulx, Javier Terrazo Lluch, Ramón López López, Paul Shkurovich Bialik, Miguel Ángel Collado Corona, Luis Guillermo Díaz López, Emilio Arch Tirado, Ernesto Ramírez Navarrete, Adalberto González Astiazarán

Abstract read
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Article in Surgical neurology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Enrique de Font-RéaulxDepartments of Neurosurgery, ABC Medical Center, Mexico.
Javier Terrazo LluchDepartments of Neurosurgery, ABC Medical Center, Mexico.
Ramón López LópezDepartment of Neurorsurgery, La Raza UMAE, Social Security Mexican Institute, Mexico.
Paul Shkurovich BialikDepartments of Neurophysiology, ABC Medical Center, Mexico.
Miguel Ángel Collado CoronaDepartments of Neurophysiology, ABC Medical Center, Mexico.
Luis Guillermo Díaz LópezDepartment of Neuroanesthesiology, National Institute of Neurology and Neurorurgery, Mexico City, Mexico.
Emilio Arch TiradoNeurological Center, ABC Medical Center, Mexico, Cuidad de Mexico.
Ernesto Ramírez NavarretePediatric Neurology, Epilepsy Clinic, ABC Medical Center, Mexico.
Adalberto González AstiazaránPediatric Neurology, Epilepsy Clinic, ABC Medical Center, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn several epilepsy etiologies, the macroscopic appearance of the epileptogenic tissue is identical to the normal, which makes it hard to balance between how much cytoreduction or disconnection and brain tissue preservation must be done. A strategy to tackle this situation is by evaluating brain metabolism during surgery using infrared thermography mapping (IrTM).

methodsIn 12 epilepsy surgery cases that involved the temporal lobe, we correlated the IrTM, electrocorticography, and neuropathology results.

resultsIrritative zones (IZ) had a lower temperature in comparison to the surrounding cortex with normal electric activity (difference in temperature (ΔT) from 1.2 to 7.1, mean 3.40°C standard deviation ± 1.61). The coldest zones correlated exactly with IZ in 9/10 cortical dysplasia (CD) cases. In case 3, the coldest area was at 1 cm away from the IZ. In 10/10 dysplasia cases (cases 1-4, 6-11), there was a radial heating pattern originating from the coldest cortical point. In 2/2 neoplasia cases, the temporal lobe cortical temperature was more homogeneous than in the CD cases, with no radial heating pattern, and there were no IZ detected. In case 8, we found the coldest IrTM recording in the hippocampus, which correlated to the maximal irritative activity recorded by strip electrodes. The ΔT is inversely proportional to epilepsy chronicity.

conclusionIrTM could be useful in detecting hypothermic IZ in CD cases. As the ΔT is inversely proportional to epilepsy chronicity, this variable could affect the metabolic thermic patterns of the human brain.

Indexed as

Cortical dysplasiaElectrocorticographyEpilepsy surgeryFunctional mappingHypothermic irritative zoneInfrared thermography brain mappingRefractory epilepsyThermography patterns

Identifiers

PMID32257556
PMCPMC7110298

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