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Clinics and Practice
Volume 7
Issue 4
10.4081/cp.2017.992
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

The Application of Preoperative Computed Tomography Angiogram for Hemispherectomy

by
Jiqing Qiu
1,
Yu Cui
2,
Bin Qi
1,
Lichao Sun
3 and
Zhanpeng Zhu
1,*
1
Department of Neurosurgery, The First Hospital of Jilin University, Changchun, China
2
Department of Otolaryngology, The First Hospital of Jilin University, Changchun, China
3
Department of Emergency, The First Hospital of Jilin University, Changchun, China
*
Author to whom correspondence should be addressed.
Clin. Pract. 2017, 7(4), 992; https://doi.org/10.4081/cp.2017.992
Submission received: 18 June 2017 / Revised: 24 August 2017 / Accepted: 15 September 2017 / Published: 26 October 2017

Abstract

Hemispherectomy is an established neurosurgical procedure for unilateral refractory epilepsy . Even though the surgical approach has evolved greatly, prevention of catastrophic intraoperative bleeding is a challenge. It is important that surgeons know the abnormal blood vessel before surgery. Herein, we report our experience with two patients in whom computed tomographic angiography (CTA) was used in the preoperative evaluation for hemispherectomy. CTA allowed for precise anatomical delineation of the hemispheric vascular abnormalities. Preoperative CTA showed that the specific cerebral arteries and their branches ipsilateral to the lesion were slender. Elaborate preoperative planning for the surgical approach helped prevent catastrophic intraoperative bleeding. Favorable outcomes were achieved in both children. CTA appears to confer a considerable advantage in the preoperative vascular and anatomical delineation in patients scheduled for hemispherectomy. To our knowledge, this is the first report about the application of CTA for hemispherectomy preoperative planning.
Keywords: epilepsy; hemispherectomy; computed tomographic angiography; abnormal blood vessel; preoperative evaluation epilepsy; hemispherectomy; computed tomographic angiography; abnormal blood vessel; preoperative evaluation

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MDPI and ACS Style

Qiu, J.; Cui, Y.; Qi, B.; Sun, L.; Zhu, Z. The Application of Preoperative Computed Tomography Angiogram for Hemispherectomy. Clin. Pract. 2017, 7, 992. https://doi.org/10.4081/cp.2017.992

AMA Style

Qiu J, Cui Y, Qi B, Sun L, Zhu Z. The Application of Preoperative Computed Tomography Angiogram for Hemispherectomy. Clinics and Practice. 2017; 7(4):992. https://doi.org/10.4081/cp.2017.992

Chicago/Turabian Style

Qiu, Jiqing, Yu Cui, Bin Qi, Lichao Sun, and Zhanpeng Zhu. 2017. "The Application of Preoperative Computed Tomography Angiogram for Hemispherectomy" Clinics and Practice 7, no. 4: 992. https://doi.org/10.4081/cp.2017.992

APA Style

Qiu, J., Cui, Y., Qi, B., Sun, L., & Zhu, Z. (2017). The Application of Preoperative Computed Tomography Angiogram for Hemispherectomy. Clinics and Practice, 7(4), 992. https://doi.org/10.4081/cp.2017.992

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