NeurosurgeryEpilepsy surgeryChief: Senior Lecture. Kohei KanayaNeurosurgeryNeuroendoscopic SurgeryChief: Senior Lecture. Yu FujiiPlacement of intracranial electrodes (left). The focus of epileptic seizures confirmed by the intracranial EEG (right). Resection of the epileptic focus planned.leadVagal nerve stimulation (VNS)（LivaNova HP） In epilepsy surgery, it is necessary to properly analyze brain functions andelectroencephalogram that are not shown in images. For detailed brainfunction analysis, electroencephalogram is measured directly from the braincortex. The brain function analysis progresses, the time may come wheneven the human mind can be understood. Not only electroencephalogramand brain functions, but also epilepsy is often unknown, and it is a field thatwill develop in clinical practice and research.◆ Research on neuroendoscopic surgery using robotics technology ◆ Study on repair method for CSF leak following endoscopic skull base surgery ◆ Development of new surgical device in endoscopic neurosurgery ・Elucidation of brain function and epilepsy・Surgical treatment for epilepsy・Construction of comprehensive epilepsy treatmentEpilepsy treatment performed by a neurosurgeon can visualize an "epilepsy"that cannot be seen directly and perform surgical treatment. When you cancure epilepsy with surgical treatment, you will be moved and delighted.In the recent trend that less invasiveness is emphasized in the whole medicalcommunity, the scope of minimally invasive neurosendoscopic surgery is alsoenlarged. As further research progresses and the development of endoscopebuilt-in robot, we are confident that in the near future the beginning of roboticneurosurgery era will come.Neuroendoscopic surgery is full of dreams and hope. We believe that byacquiring knowledge and skills through research in the field of neuroendoscopicsurgery which will definitely develop in the future, we will be able to play anactive role in the future. The possibilities after graduation are infinity.Epilepsy is the most common chronic neurological disorder markedby the recurrence of unprovoked seizures and affects approximately1% of the population in any generation. About a third of patients withepilepsy have seizures that are resistant to medication. Patientswith uncontrolled seizures have an increased risk of worsening ofquality ofinjury, or sudden unexpected death in epilepsy(SUDEP). Epilepsy surgery offers the best opportunity for seizurefreedom for patients with drug-resistant epilepsy.life,Research subjectOutlook for researchOutlook for students after graduationConventional microscopic neurosurgery may put a big burden on apatient. To resolve this invasiveness,the endoscopic neurosurgeryrecently has spread rapidly in substitution for a microscope. This less-invasive endoscopic neurosurgery, which is able to treat deep lesions,such as skull base and intraventricular lesions, is epoch-making. TheShinshu NeuroEndoscopic Team (SNET)is engaged in variousresearches on the theme of development of minimally invasive surgeryusing a neuroendoscope that has less burden on patients with variousbrain lesions. Research subjectOutlook for researchOutlook for students after graduationIntracranial electrodes Vagal nervegeneratorDevelopment of the innovative endoscopic neurosurgery command of robotic technology for less invasiveness (image figure)Various surgical devices for endoscopic neurosurgeryIntracranial electroencephalogram Responsive neurostimulation (RNS)（NeuroPace HP） Endoscopic neurosurgery allows manipulation in deep brain region. 25Epilepsy surgery saves the live and life of epilepsy patientsDevelopment of innovative neurosurgery command of neuroendoscope-towards less invasive surgery-信州大学医学部医学科発行年月：２０２４年７月 発行：信州大学医学部
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