📇 Rhumatologue · Salarié
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Praticien-chercheur
8 articles scientifiques publiés — formation continue solide
✨ Génération du profil synthétique IA en cours…
Secteur de conventionnement non disponible (médecin hospitalier ou non présent dans l'Annuaire santé CNAM des libéraux conventionnés).
Données ANS publiques (Licence Ouverte 2.0) · Enrichissements MonRhumato 100 % opt-in · Toute personne référencée peut demander la suppression ou la rectification.
Lien Doctolib = recherche Google site:doctolib.fr (le 1er résultat est presque toujours le profil correct s'il existe).
Neurosurgery · 2005
Abstract OBJECTIVE: To evaluate, regardless of the clinical results, the contribution of combining functional magnetic resonance imaging (fMRI) with intraoperative cortical brain mapping (iCM) as functional targeting methods for epidural chronic motor cortex stimulation (MCS) in refractory neuropathic pain. METHODS: Eighteen neuropathic pain patients (central stroke in six; trigeminal neuropathy in six; syrinx or amputation in six) who underwent operations for epidural MCS were studied with preoperative fMRI and iCM. fMRI investigated motor tasks of hands (as well as foot and tongue, when painful). fMRI data were analyzed with Statistical Parametric Mapping99 software (University College London, London, England; initial analysis threshold corresponding to P < 0.001), registered in a neuronavigation system, and correlated during surgery with iCM. The primary aim of this study was to improve the topographical precision of MCS. Matching of fMRI and iCM specifically was examined. RESULTS: Correspondence between the contour of the fMRI activation area and iCM in precentral gyrus (mean distance, 3.8 mm) was found in 17 (94%) of 18 patients. Eleven of them showed correspondence for more restrictive values of the analysis threshold (P < 0.0001); in six patients, the quality of the iCM was reduced by somatosensory wave attenuation and general anesthesia. In this group of six patients, a combination of both techniques was used for the final targeting. Correspondence was not found in one patient as the result of image distortion and residual motion artifact. At follow-up (4–60 mo), MCS induced significant pain relief in a total of 11 patients (61%). CONCLUSION: This study confirms the functional accuracy of fMRI guidance in neuropathic pain and illustrates the usefulness of combining fMRI guidance with iCM to improve the functional targeting in MCS. Because appropriate targeting is crucial to obtaining pain relief, this combination may increase the analgesic efficacy of MCS.
Neuroradiology · 2008
Source PubMed · Recherche par auteur (homonymes possibles, vérifier l'affiliation).
Neuroradiology · 2008 · Journal Article
Lubicz B, Neugroschl C, Collignon L, François O, et al.
AJNR. American journal of neuroradiology · 2005 · Comparative Study
Pirotte B, Neugroschl C, Metens T, Wikler D, et al.
European radiology · 2004 · Journal Article
Balériaux DL, Neugroschl C
Neurosurgery · 2008 · Journal Article
Pirotte B, Voordecker P, Neugroschl C, Baleriaux D, et al.
Neurosurgery · 2005 · Journal Article
Pirotte B, Voordecker P, Neugroschl C, Baleriaux D, et al.
Skeletal radiology · 2020 · Journal Article
Madani A, Katz R, Muylem AV, Neugroschl C, et al.
Journal of the Belgian Society of Radiology · 2024 · Journal Article
Dell'Aria A, Tack D, Saddiki N, Makdoud S, et al.
Clinical neurology and neurosurgery · 2009 · Case Reports
D'Haene N, Coen N, Neugroschl C, Balériaux D, et al.