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Abstracts

ASSUTA MEDICAL REPORT

Innovations in Neurosurgery Nurit Helena Bedussa, MD The Neurosurgery Center, Assuta Medical Centers, Tel Aviv, Israel Neurosurgery isone of themost complex, challenging and rewardingsurgical disciplines.What isbetter than “to peek into someone’s brain and fix it”? The early neurosurgeon was a clinician-neurologist whowoulddiagnose and localizebrain lesionsbased on clinical history and neurological examination. The advent of neuroimaging, computer software and advanced computer processing capabilities, have led to the development of neuronavigation systems, which together with computed tomography (CT) or magnetic resonance imaging (MRI), create three dimensional models of the brain. Such models may be coupled with augmented reality technologies so that surgeonsand their patients can take avirtual tour through thebrain in the comfort of thedoctor’soffice. New technologies in surgery optics help to discriminate tumor cells from normal brain tissue

and even view the direction and speed of blood flow, improving the safetyof complexsurgeries. Fiber optics technology and digital imaging endoscopy enable surgeons to operatewith three-dimensional imaging at a resolution of 4K. Tumors can even be taken out of the patient’s nose without leaving visible scars. In the functional neurosurgery field advances in imaging technology and novel treatmentmodalities have led to newsurgical treatments usingminimally invasive and precise techniques for conditions such as Parkinson’s disease, essential tremor, epilepsy, and psychiatric disorders. All of these advancements would not have been possiblewithout collaborationswithother disciplines such as anesthesia and neurophysiology. Keywords: Neurosurgery, neuroimaging, neuronavigation, functional neurosurgery

Editor-in-Chief: Dr. Ifat Abadi-Korek, PhD

Head of Editorial Board: Dr. Dvora Pikkel, PhD, DMD Editorial Coordinator: Tali Gavra Reporters Coordinator: Vered Bassat Actual Editor: Esther Katan Scientific Editing: Dr. Sharon Furman Assaf Design: Studio Hadad Editorial Board Members: Dr. Dvora Pikkel, Dr. Royi Barnea, Prof. Yossi Weiss, Dr. Amir Szold, Dr. Sergio Susmallian Publisher: Assuta Medical Center Ltd, 20 Habarzel St. Ramat hachayal, Tel Aviv 69710 Israel. Email: amr@assuta.com Design & production: Medic publishing house Ltd, 14 Allenby Tel Aviv. Tel: 0773219970

An integrative model for preoperative evaluation in epilepsy patients Maya Weinstein, PhD 1,2 , Nir Getter, PhD 1,3,4 , Yehuda Sepkuty, MD 1,5 , Yehudit Lockman, MD 6,7 ,

degree 11 , Simon Levy, academic degree 11 Bashir Muhammad, academic degree 11 , Sheri Nagar, M.A, academic degree 1 , Zohar Nitzan, B.Sc, Inbal Mahat B.Sc 8 , Hagai Baruch, B.Sc 8 , Yitzhak Fried, MD PhD 1,12,13 , Eran Segal, MD 14 , Michal Guindi, MD 8 , Michael Levy MD PhD 1

Moti Lorberbaum, MD 8,9 , Eli Heiman, MD 10 , Marina Margolis, academic degree 11 , Alexai Mirson, academic degree 11 , Ahmad Khilani, academic degree 11 , Marina Kukian, academic

1 Israeli Center for Functional Neurosurgery, Assuta Medical Centers, Tel Aviv, Israel 2 Department of Psychology, Bar-Ilan University, Ramat Gan, Israel 3 Department of Brain and Cognition, Ben-Gurion University of the Negev, Beer Sheva, Israel 4 Department of Psychology, Open University, Raanana, Israel 5 Department of Neurology, John Hopkins University, Baltimore, MD, USA 6 Neuroradiological Center, Assuta Medical Centers, Tel Aviv, Israel 7 Magnetic Resonance Imaging Unit, Rabin Medical Center, Petah Tikva, Israel 8 Imaging Unit, Assuta Medical Centers, Tel Aviv, Israel 9 Department of Nuclear Medicine, Shamir Medical Center, Beer Yaakov, Israel 10 Pediatric Neurology Unit, Shamir Medical Center, Beer Yaakov, Israel 11 Epilepsy Unit, Israeli Center for Functional Neurosurgery, Assuta Medical Centers, Tel Aviv, Israel 12 Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel 13 Department of Neurosurgery, UCLA Medical Center, Los Angeles, CA, USA 14 Anesthesia, Intensive Care and Pain Management Unit, Assuta Medical Centers, Tel Aviv, Israel

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Vol 10, Issue 1

Introduction: About 1% of the Israeli population has epilepsy. Although the primary treatment for this disease is pharmacological, about one-third of

patients have drug-resistant epilepsy. Those with focal epilepsy, can be treated by brain surgery in the epileptic focus. To examine the possibility of surgical

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