Functional Stereotaxic Exploration of Epilepsy

Talairach, J; Bancaud, J; Bonis, A; Szikla, G; Tournoux, P

doi:10.1159/000104378

Cited by 205 publications

(172 citation statements)

References 0 publications

Supporting

Mentioning

140

Contrasting

Unclassified

Order By: Relevance

“…Liu et al 30 also found that adult patients with left mesial TLE have significantly reduced regional efficiency in multiple regions in the temporal, frontal, and parietal lobes. We have found more regions of reduced nodal efficiency in the FLE than in the TLE subgroup, which may be due to the rapid spread of seizure activity as a result of the extensive network of connections of the frontal lobe and more frequent seizures in FLE [31][32][33] or, alternatively, an inherently more extensive abnormal regional efficiency from an underlying etiology that predispose to FLE. The more extensive impaired regional networks may be associated with poorer seizure-free surgical outcome in patients with FLE relative to those with TLE.…”

Section: Discussionmentioning

confidence: 76%

“…There were more subnetworks expressing reduced structural connectivity in FLE than in TLE, probably related to the rapid spread of seizure activity and more frequent seizures in FLE. [31][32][33] In both subgroups, the reduced structural connectivity predominantly involved the mesial temporal and frontal basal structures compared with controls. The spread of seizures from the frontal to temporal lobes in FLE and from the temporal to frontal lobes in TLE may have contributed to reduce structural connectivity between the frontal and temporal lobes.…”

Section: Discussionmentioning

confidence: 94%

See 1 more Smart Citation

Disrupted Global and Regional Structural Networks and Subnetworks in Children with Localization-Related Epilepsy

Widjaja¹,

Zamyadi²,

Raybaud³

et al. 2015

American Journal of Neuroradiology

View full text Add to dashboard Cite

BACKGROUND AND PURPOSE:Structural connectivity has been thought to be a less sensitive measure of network changes relative to functional connectivity in children with localization-related epilepsy. The aims of this study were to investigate the structural networks in children with localization-related epilepsy and to assess the relation among structural connectivity, intelligence quotient, and clinical parameters.

show abstract

Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 94%

Disrupted Global and Regional Structural Networks and Subnetworks in Children with Localization-Related Epilepsy

Widjaja¹,

Zamyadi²,

Raybaud³

et al. 2015

American Journal of Neuroradiology

View full text Add to dashboard Cite

show abstract

“…5. 65 Moreover, a detailed description of additional puncture sites for exploratory brain aspiration was outlined in 1904 by Neisser and Pollack (using Kocher's craniometer, as discussed below); the latter also recognized the associated risk for injury to important arterial and venous vessels with these procedures (Fig. 6).…”

Section: 35mentioning

confidence: 99%

“…4,60 In close succession, further innovations were soon conceived by other eminent pioneers in the field of stereotaxy, including Jean Talairach, Jean Bancaud, Hirotaro Narabayashi, and Lars Leksell, among others. 2,19,37,38,64,65,68 In this way, the modern era of framebased and frameless stereotaxy was explosively propelled into the 21st century. 16,23,58 Early craniometric techniques stemming from physical anthropology and phrenology laid the groundwork for subsequent developments in craniocerebral localization techniques.…”

Section: 45mentioning

confidence: 99%

Early craniometric tools as a predecessor to neurosurgical stereotaxis

Serletis¹,

Pait²

2016

JNS

View full text Add to dashboard Cite

Early methods were thus developed to empirically observe, examine, and describe the human skull, such that the shape and external anatomical landmarks of the cranium could be used to infer localization of brain function. This In this paper the authors trace the history of early craniometry, referring to the technique of obtaining cranial measurements for the accurate correlation of external skull landmarks to specific brain regions. Largely drawing on methods from the newly emerging fields of physical anthropology and phrenology in the late 19th and early 20th centuries, basic mathematical concepts were combined with simplistic (yet at the time, innovative) mechanical tools, leading to the first known attempts at craniocerebral topography. It is important to acknowledge the pioneers of this pre-imaging epoch, who applied creativity and ingenuity to tackle the challenge of reproducibly and reliably accessing a specific target in the brain. In particular, with the emergence of Broca's theory of cortical localization, in vivo craniometric tools, and the introduction of 3D coordinate systems, several innovative devices were conceived that subsequently paved the way for modern-day stereotactic techniques. In this context, the authors present a comprehensive and systematic review of the most popular craniometric tools developed during this time period (prior to the stereotactic era) for the purposes of craniocerebral measurement and target localization.

show abstract

“…19 Enquanto isso, na Unidade Neurocirúrgica do Hospital Saint-Anne, em Paris, as investigações estereotáxicas com eletrodos intracranianos em pacientes epiléticos estava inspirada em um novo conceito recentemente elaborado: as crises epiléticas eram consideradas um processo dinâmico com uma organização temporo-espacial, às vezes multidirecional, podendo ser mais bem definida como um arranjo tridimensional. [20][21][22][23] O local de origem e da organização primária deste processo dinâmico em epilepsias focais, cuja remoção cirúrgica resultaria no controle das crises, foi definido como a ZE Com essas premissas, o grupo de Saint-Anne desenvolveu a metodologia da E-EEG, 24,25 que permitia alcançar as complexas exigências de definir no espaço tridimensional e no tempo, a organização das descargas ictais. Esses procedimentos visavam à verificação de uma hipótese coerente e previamente formulada a respeito da ZE, hipótese essa baseada em achados anatômicos e eletroclínicos peculiares a cada caso.…”

unclassified

Estereoeletroencefalografia na era da cirurgia guiada por imagem

Centeno

Yacubian

Caboclo

et al. 2009

J. epilepsy clin. neurophysiol.

View full text Add to dashboard Cite

RESUMOIntrodução: A estereoeletroencefalografia (E-EEG), conforme introduzida na década de 50 por Talairach, é um método invasivo de análise tridimensional da zona epilpeptogênica, baseado na técnica de implantação intracraniana de eletrodos de profundidade (EP). O advento das modernas técnicas de cirurgia guiadas por imagem revolucionaram a técnica de implantação dos EP. Objetivo: O objetivo deste artigo é discutir os princípios da E-EEG e sua evolução, desde a era Talairach até a era atual, da cirurgia guiada por imagem, e suas perspectivas futuras. Conclusões: Embora os princípios gerais da E-EEG tenham permanecidos intactos ao longo dos anos, a implantação de EP, que é a técnica cirúrgica que viabiliza este método, sofreu uma tremenda evolução ao longo das últimas três décadas devido ao advento das modernas técnicas de imagem, de sistemas de computação e das novas técnicas estereotáxicas. O uso de sistemas robotizados, a evolução constante das técnicas de imagem e computação e a utilização de EP com sondas para micro diálise associados a si, abre no futuro uma enorme perspectiva para a aplicação dos EP e da E-EEG, tanto para uso investigativo como terapêutico. A descoberta de novos alvos, em localizações profundas e a fabricação de eletrodos "inteligentes", poderá incrementar, num futuro próximo, a necessidade do uso deste método.Unitermos: Epilepsia, estereoeletroencefalografia, eletrodo profundo, cirurgia guiada por imagem. ABSTRACT Stereoelectroencephalography in the era of imaging guide surgeryIntroduction: The stereoelectroencephalography (SEEG), introduced by Talairach in 50', is an invasive method of tridimensional analysis of epileptogenic zone based on the intracranial placement of depth electrodes (DE). The advent of modern imaging guided surgery had a tremendous impact in DE implantation techniques. Objective: The aim of this article is to discuss the main principles of SEEG and its evolution along the years since Talairach era until the imaging guide surgery era, with its new perspectives. Conclusions: Although the main principles of SEEG have remained intact, the placement of depth electrodes (DE) which is the surgical technique that supports this method has suffered a tremendous evolution along the last three decades due the advent of the modern imaging, the computer systems and the new stereotactic techniques. The use of robotic, the new imaging and computed systems and the use of probes of micro dialise adaptated to EP opened a tremendous perspective to DE and SEEG application as an investigative and therapeutical method. The discovery of new targets in deep brain localization and the manufacturing of "smart" DE, can increment, in a near future, the number of indications to this method.

show abstract

Functional Stereotaxic Exploration of Epilepsy

Cited by 205 publications

References 0 publications

Disrupted Global and Regional Structural Networks and Subnetworks in Children with Localization-Related Epilepsy

Disrupted Global and Regional Structural Networks and Subnetworks in Children with Localization-Related Epilepsy

Early craniometric tools as a predecessor to neurosurgical stereotaxis

Estereoeletroencefalografia na era da cirurgia guiada por imagem

Contact Info

Product

Resources

About