Ayşe SERDAROĞLU, Erhan ILGIT, Aysima AKTÜRK, Ebru ARHAN, Şebnem SOYSAL, Baran ÖNAL, Erhan BİLİR, Bilgin KOÇER

Our experience with the intracarotid methohexital procedure

Amaç: Bu çalısına da son üç yılda intrakarotid metohexital testi yapılan hastalarla ilgili deneyimlerimizi retrospeklif olarak gözden geçirdik. Gereç ve Yöntem: l'pilepsi cerrahisi adayı olan 52 hastaya cerrahi öncesi değerlendirme için inlrakarolid melhoheksital testi uygulandı. Bulgular: Lisan lateral i/iisyonıı söyle idi: I1V.'-.ıN84.S) sol. 5("iıl5.2) sağ hemisfer idi. Wada testini basarı ile geçen hiç bir hastada cerrahi sonrası hafıza ile ilgili bozuk I uk yoklu. İVİP te^ıi esnasında hiç bir damarsal anomali saptanmadı. Sonuç: Mu çalışma, serebra! lisan dominansının belirlenmesi, cerrahi sonrası amnezinin tahmininde IMP testinin klinik kullanımını ıırgulaınakta e Türkiye gibi gelişmekle olan ülkelerde temporal loheklonıi adaylarında nöbet odağının tahmininde kullanılabilirliğini desteklemektedir.

Intrakarotid metoheksital ile deneyimlerimiz

Purpose: In llıis retrospective study we report our 3 veins o I' experience of the inlracaroiid mcihohcxiial lesi. Materials and Methods: I'ifiy-two candidates lor epilepsy surgery underwent the inir;ie;iroiid nietliohexiial procedure (IMP: also known as the Wada test) lor presurgical evaluaiion. Results: Language laterali/alion was distributed as follows: 19 ) lell and 2 (l(i.5"-n) right hemisphere speech. In the left temporal lobe epilepsy group, the corresponding values were 2X (84.S'>) lell and 5 (15.2%I right hemisphere speech. None of the patients who sueeessfulh passed the Wada memory test had any significant pu.ilsurgical memory deficits. No vascular anomalies were determined during the IMI'. Conclusion: Our study highlights the clinical use ofthe IMP in determining cerebral speech dominance and in predicting post-surgical amnesia, and supports its usefulness in predicting the laleralily ol'sci/urc locus in candidales for temporal loheclomy in developing countries like Turkey.

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