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International recommendation for a comprehensive neuropathologic workup of epilepsy surgery brain tissue: A consensus Task Force report from the ILAE Commission on Diagnostic Methods
I. Blümcke, E. Aronica, H. Miyata, HB. Sarnat, M. Thom, K. Roessler, B. Rydenhag, L. Jehi, P. Krsek, S. Wiebe, R. Spreafico,
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, práce podpořená grantem
NLK
Free Medical Journals
od 1997 do Před 1 rokem
Wiley Free Content
od 1997 do Před 4 lety
PubMed
26839983
DOI
10.1111/epi.13319
Knihovny.cz E-zdroje
- MeSH
- epilepsie diagnóza epidemiologie chirurgie MeSH
- hemisferektomie metody normy MeSH
- hipokampus patologie MeSH
- internacionalita * MeSH
- konsensus * MeSH
- lidé MeSH
- malformace mozkové kůry diagnóza epidemiologie chirurgie MeSH
- mozek patologie chirurgie MeSH
- poradní výbory normy MeSH
- psychochirurgie metody normy MeSH
- směrnice pro lékařskou praxi jako téma normy MeSH
- spánkový lalok patologie MeSH
- stereotaktické techniky normy MeSH
- výzkumná zpráva normy MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
Epilepsy surgery is an effective treatment in many patients with drug-resistant focal epilepsies. An early decision for surgical therapy is facilitated by a magnetic resonance imaging (MRI)-visible brain lesion congruent with the electrophysiologically abnormal brain region. Recent advances in the pathologic diagnosis and classification of epileptogenic brain lesions are helpful for clinical correlation, outcome stratification, and patient management. However, application of international consensus classification systems to common epileptic pathologies (e.g., focal cortical dysplasia [FCD] and hippocampal sclerosis [HS]) necessitates standardized protocols for neuropathologic workup of epilepsy surgery specimens. To this end, the Task Force of Neuropathology from the International League Against Epilepsy (ILAE) Commission on Diagnostic Methods developed a consensus standard operational procedure for tissue inspection, distribution, and processing. The aims are to provide a systematic framework for histopathologic workup, meeting minimal standards and maximizing current and future opportunities for morphofunctional correlations and molecular studies for both clinical care and research. Whenever feasible, anatomically intact surgical specimens are desirable to enable systematic analysis in selective hippocampectomies, temporal lobe resections, and lesional or nonlesional neocortical samples. Correct orientation of sample and the sample's relation to neurophysiologically aberrant sites requires good communication between pathology and neurosurgical teams. Systematic tissue sampling of 5-mm slabs along a defined anatomic axis and application of a limited immunohistochemical panel will ensure a reliable differential diagnosis of main pathologies encountered in epilepsy surgery.
2nd Faculty of Medicine Motol University Hospital Charles University Prague Prague Czech Republic
Department of Neuropathology Institute of Neurology University College London London United Kingdom
Department of Neuropathology Research Institute for Brain and Blood Vessels Akita Akita Japan
Department of Neurosurgery University Hospital Erlangen Erlangen Germany
Epilepsy Center Cleveland Clinic Foundation Cleveland Ohio U S A
Citace poskytuje Crossref.org
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