Delayed intracranial hematoma following stereoelectroencephalography for intractable epilepsy

Derrey, Stéphane; Lebas, Axel; Parain, D.; Baray, Marie Gilles; Marguet, Christophe; Fréger, P.; Proust, F.

doi:10.3171/2012.8.peds12114

Cited by 22 publications

(9 citation statements)

References 19 publications

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“…• After subdural grid failure permanent morbidity after evaluation with surface electrodes (3-6%) compared with the use of SEEG electrodes (0-3%) because of the need for craniotomy and invasive grid placement in both adult and pediatric patients (34)(35)(36)(37)42); however, comparisons of surface electrodes and SEEG as well as complication rates have been limited because of differing study indications, methodology, and techniques. Larger studies of SEEG monitoring in pediatric patients have reported that efficacy of seizure foci identification and safety are similar to those reported in studies of adults (22,41,43,44).…”

Section: Stereotactic Electroencephalography (Seeg)mentioning

confidence: 99%

Emerging surgical therapies in the treatment of pediatric epilepsy

Karsy¹,

Guan²,

Ducis³

et al. 2016

Transl. Pediatr.

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Abstract:In the approximately 1% of children affected by epilepsy, pharmacoresistance and early age of seizure onset are strongly correlated with poor cognitive outcomes, depression, anxiety, developmental delay, and impaired activities of daily living. These children often require multiple surgical procedures, including invasive diagnostic procedures with intracranial electrodes to identify the seizure-onset zone. The recent development of minimally invasive surgical techniques, including stereotactic electroencephalography (SEEG) and MRI-guided laser interstitial thermal therapy (MRgLITT), and new applications of neurostimulation, such as responsive neurostimulation (RNS), are quickly changing the landscape of the surgical management of pediatric epilepsy. In this review, the authors discuss these various technologies, their current applications, and limitations in the treatment of pediatric drug-resistant epilepsy, as well as areas for future research. The development of minimally invasive diagnostic and ablative surgical techniques together with new paradigms in neurostimulation hold vast potential to improve the efficacy and reduce the morbidity of the surgical management of children with drug-resistant epilepsy.

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Section: Stereotactic Electroencephalography (Seeg)mentioning

confidence: 99%

Emerging surgical therapies in the treatment of pediatric epilepsy

Karsy¹,

Guan²,

Ducis³

et al. 2016

Transl. Pediatr.

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“…Only Cossu et al (2012) specifically addressed SEEG in children younger than 45 months. Fatal complications are only occasionally observed and have been reported both in younger and older children (Cossu et al, 2012;Derrey et al, 2012). A minimum bone thickness is required in order to anchor the hollow pegs for the electrode insertion and attachment which is completed at 2 years of age and confirmed by a CT scan performed before the invasive investigation.…”

mentioning

confidence: 99%

Stereo‐electroencephalography (SEEG) in 65 children: an effective and safe diagnostic method for pre‐surgical diagnosis, independent of age

Taussig

Chipaux

Lebas

et al. 2014

Epileptic Disorders

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Aim. We report our experience of stereoelectroencephalography (SEEG) in 65 children with drug‐resistant seizures, with a particular emphasis on young children. Methods. We retrospectively studied all SEEG performed between 2009 and 2011 in our centre. As SEEG can have several indications, the patients were classified into three categories, according to the probability of surgery. The contribution of SEEG to the final decision regarding surgery was evaluated for each category separately. We also compared the main demographic and surgical data of children younger than 5 years of age (Group 1; 21 children) with those older than five years of age at the time of investigation (Group 2; 44 patients). Results. MRI was not contributory in 20% of patients (9.5% in group 1; 25% in group 2). Electrical stimulations localised the motor area in all patients when performed (49% of patients), even in group 1 (62% of patients). SEEG led to surgery in 78% of patients (90.5% in group 1; 73% in group 2), after a second invasive investigation in 9.2 % of patients. The resection involved more than one lobe in 25% of patients (37% in group 1; 19% in group 2). Ultimately, 78% of patients with a low probability of having surgery before SEEG received surgery (88% in group 1). The surgical outcome of Engel class 1 was reported for 67% of patients (79% of patients in group 1 and 59% in group 2). No complications occurred. Conclusion. SEEG in children is safe and useful, and the surgical outcome in younger children is as good as, or sometimes even better than, that in older children. As a result of lower rates of complication and morbidity, SEEG appears to be more appropriate, in comparison to subdural grids, in situations where it is unclear if patients will have surgery after an invasive investigation.

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“…In a meta-analysis of over 2500 SEEG explorations, mostly in adults, only five fatalities were reported (0.2%) : two attributed to ICH, two associated with complications from ventriculography, and one related to massive cerebral edema [73]. In children, only a few peri-procedural fatalities have been reported [12,25,29].…”

Section: Safety Accuracy and Efficacymentioning

confidence: 99%

Stereoelectroencephalography in Pediatric Epilepsy Surgery

Tomlinson

Buch

Armstrong

et al. 2019

J Korean Neurosurg Soc

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Stereoelectroencephalography (SEEG) is an invasive technique used during the surgical management of medically refractory epilepsy. The utility of SEEG rests in its ability to survey the three-dimensional organization of the epileptogenic zone as well as nearby eloquent cortices. Once concentrated to specialized centers in Europe and Canada, the SEEG methodology has gained worldwide popularity due to its favorable morbidity profile, superior coverage of deep structures, and ability to perform multilobar explorations without the need for craniotomy. This rapid shift in practice represents both a challenge and an opportunity for pediatric neurosurgeons familiar with the subdural grid approach. The purpose of this review is to discuss the indications, technique, and safety of long-term SEEG monitoring in children. In addition to reviewing the conceptual and technical points of the diagnostic evaluation, attention will also be given to SEEG-based interventions (e.g., radiofrequency thermo-coagulation).

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Delayed intracranial hematoma following stereoelectroencephalography for intractable epilepsy

Cited by 22 publications

References 19 publications

Emerging surgical therapies in the treatment of pediatric epilepsy

Emerging surgical therapies in the treatment of pediatric epilepsy

Stereo‐electroencephalography (SEEG) in 65 children: an effective and safe diagnostic method for pre‐surgical diagnosis, independent of age

Stereoelectroencephalography in Pediatric Epilepsy Surgery

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