{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T13:35:25Z","timestamp":1751549725395},"reference-count":18,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nDuring epilepsy surgery, the gold standard to identify irritative zones (IZ) is electrocorticography (ECoG); however, new techniques are being developed to detect IZ in epilepsy surgery and in neurosurgery in general, such as infrared thermography mapping (ITM), and the use of thermosensitive\/thermochromic materials.<\/jats:p>\n<\/jats:sec>\n\nMethods: <\/jats:title>\nIn a cohort study of consecutive patients with focal drug-resistant epilepsy of the temporal lobe treated with surgery, we evaluated possible adverse effects to the transient placement of a thermochromic\/thermosensitive silicone (TTS) on the cerebral cortex and their postoperative evolution. Furthermore, we compared the precision of TTS for detecting cortical IZ against the gold standard ECoG and with ITM, as proof of concept.<\/jats:p>\n<\/jats:sec>\n\nResults: <\/jats:title>\nWe included 10 consecutive patients, 6 women (60%) and 4 men (40%). Age ranges from 15 to 56 years, mean 33.2 years. All were treated with unilateral temporal functional lobectomy. The mean hospital stay was 4 days. There were no immediate or late complications associated with the use of any of the modalities described. In the 10 patients, we obtained consistency in locating the IZ with ECoG, ITM, and the TTS.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nThe TTS demonstrated biosecurity in this series. The accuracy of the TTS to locate IZ was similar to that of ECoG and ITM in this study. More extensive studies are required to determine its sensitivity and specificity.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_1169_2021","type":"journal-article","created":{"date-parts":[[2022,1,12]],"date-time":"2022-01-12T09:06:17Z","timestamp":1641978377000},"page":"14","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Localization of irritative zones in epilepsy with thermochromic silicone"],"prefix":"10.25259","volume":"13","author":[{"given":"Enrique","family":"de Font-R\u00e9aulx","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Epilepsy Clinic, Neurological Center, ABC Medical Center, Mexico City, Mexico."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier","family":"Terrazo-Lluch","sequence":"additional","affiliation":[{"name":"Departament of Pediatric Neurosurgery, Epilepsy Clinic, Neurological Center, ABC Medical Center, Mexico City, Mexico."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis Guillermo","family":"D\u00edaz-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Department of Neuroanesthesiology, National Institute of Neurology and Neurosurgery, Mexico City, Mexico."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel \u00c1ngel","family":"Collado-Corona","sequence":"additional","affiliation":[{"name":"Departament of Clinical Neurophysiology, Epilepsy Clinic, Neurological Center, ABC Medical Center, Mexico City, Mexico."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Shkurovich-Bialik","sequence":"additional","affiliation":[{"name":"Departament of Clinical Neurophysiology, Epilepsy Clinic, Neurological Center, ABC Medical Center, Mexico City, Mexico."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adalberto","family":"Gonz\u00e1lez-Astiazar\u00e1n","sequence":"additional","affiliation":[{"name":"Pediatric Neurology, Epilepsy Clinic, Neurological Center, ABC Medical Center, Mexico City, Mexico."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2022,1,12]]},"reference":[{"key":"10.25259\/SNI_1169_2021\/ref-1","doi-asserted-by":"crossref","first-page":"30","DOI":"10.25259\/SNI_549_2019","article-title":"Thermography mapping patterns in temporal lobe epilepsy surgery","volume":"11","author":"de Font-R\u00e9aulx","year":"2020","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_1169_2021\/ref-2","doi-asserted-by":"crossref","first-page":"44","DOI":"10.25259\/SNI_435_2019","article-title":"Infrared thermography mapping plus neuronavigation target location in an eloquent area cavernoma resection","volume":"11","author":"de Font-R\u00e9aulx","year":"2020","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_1169_2021\/ref-3","doi-asserted-by":"crossref","first-page":"188","DOI":"10.4103\/sni.sni_58_18","article-title":"Infrared thermography brain mapping surveillance in vascular neurosurgery for anterior communicating artery aneurysm clipping","volume":"9","author":"de Font-R\u00e9aulx Rojas","year":"2018","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_1169_2021\/ref-4","doi-asserted-by":"crossref","first-page":"1460","DOI":"10.3171\/jns.2002.97.6.1460","article-title":"Vision of the future: Initial experience with intraoperative real-time high-resolution dynamic infrared imaging. 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