Stereo-electroencephalography (SEEG) in children surgically cured of their epilepsy

Taussig, Delphine; Lebas, Axel; Chipaux, Mathilde; Jan, Maryvonne; Fohlen, Martine; Bulteau, Christine; Dorison, Nathalie; Ferrand-Sorbets, Sarah; Delalande, Olivier; Dorfmüller, Georg

doi:10.1016/j.neucli.2015.12.001

Cited by 22 publications

(19 citation statements)

References 16 publications

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“…SEEG is a valuable, invasive tool for the assessment and anatomical definition of the EZ in adults and children. 17,18,36 In our series, SEEG demonstrated a main role for the premotor and precentral cortices, variably extending to the prefrontal cortex and the parietal cortex. This information, along with other clinical and imaging data, allowed disconnection of the EZ to be performed according to the specific pattern in each case, sparing temporal, occipital, and some frontal functional areas.…”

Section: Discussionmentioning

confidence: 49%

Tailored suprainsular partial hemispherotomy: a new functional disconnection technique for stroke-induced refractory epilepsy

Scavarda¹,

Cavalcante²,

Trébuchon

et al. 2018

Journal of Neurosurgery: Pediatrics

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OBJECTIVEHemispherotomy is currently the most frequently performed surgical option for refractory epilepsy associated with large perinatal or childhood ischemic events. Such an approach may lead to good seizure control, but it has inherent functional consequences linked to the disconnection of functional cortices. The authors report on 6 consecutive patients who presented with severe epilepsy associated with hemiplegia due to stroke and who benefitted from a new, stereoelectroencephalography-guided partial disconnection technique.METHODSThe authors developed a new disconnection technique termed “tailored suprainsular partial hemispherotomy” (TSIPH). Disconnection always included premotor and motor cortex with variable anterior and posterior extent.RESULTSAt a mean follow-up of 28 months, there were no deaths and no patient had hydrocephalus. Motor degradation was observed in all patients in the 2 weeks after surgery, but all patients completely recovered. The 6 patients were seizure free (Engel class IA) at the last follow-up. No neuropsychological aggravation was observed.CONCLUSIONSTSIPH appears to be a conservative alternative to classic hemispherotomy, leading to favorable outcome in this series.

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Section: Discussionmentioning

confidence: 49%

Tailored suprainsular partial hemispherotomy: a new functional disconnection technique for stroke-induced refractory epilepsy

Scavarda¹,

Cavalcante²,

Trébuchon

et al. 2018

Journal of Neurosurgery: Pediatrics

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show abstract

“…published an accuracy of 2.8 ± 1.2 mm using a CT‐based referencing in frameless conditions for the implantation of probes in a specially designed agarose model . Our colleges in Paris published a large series of robot‐guided sEEG implantations in children . The head is fixed in a Mayfield skull clamp for referencing.…”

Section: Discussionmentioning

confidence: 99%

“…Stereotactic electroencephalography (sEEG) is an established invasive method of diagnosing epilepsy. It was founded by Talairach and primarily elaborated by French and Italian groups, whereas most epilepsy schools followed the diagnostic method of using subdural grid electrodes . However, it has been shown that the perioperative morbidity and mortality were significantly lower in sEEG .…”

Section: Introductionmentioning

confidence: 99%

“…However, it has been shown that the perioperative morbidity and mortality were significantly lower in sEEG . Particularly in temporal lobe epilepsy, sEEG has shown its efficacy against craniotomy for subdural grid electrodes . In general, temporal sEEG is implanted over small, 2.1 mm boreholes.…”

Section: Introductionmentioning

confidence: 99%

“…It was our aim to shorten the procedure time by introducing the ROSA robot (Robotic Surgical Assistant, Medtech/Zimmer‐Biomet‐Robotics, Montpellier, France) with the co‐foundation of our epilepsy centre. Nevertheless, most centres using ROSA use a thin‐layer CT scan with the patient's head fixed in the stereotactic frame either for referencing it or for a laser scan of the face . Thereafter the CT scans are merged with the MR images.…”

Section: Introductionmentioning

confidence: 99%

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Robot‐guided stereoelectroencephalography without a computed tomography scan for referencing: Analysis of accuracy

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Magnetic resonance-guided laser interstitial thermal therapy for the treatment of non-lesional insular epilepsy in pediatric patients: thermal dynamic and volumetric factors influencing seizure outcomes

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Stereo-electroencephalography (SEEG) in children surgically cured of their epilepsy

Cited by 22 publications

References 16 publications

Tailored suprainsular partial hemispherotomy: a new functional disconnection technique for stroke-induced refractory epilepsy

Tailored suprainsular partial hemispherotomy: a new functional disconnection technique for stroke-induced refractory epilepsy

Robot‐guided stereoelectroencephalography without a computed tomography scan for referencing: Analysis of accuracy

Magnetic resonance-guided laser interstitial thermal therapy for the treatment of non-lesional insular epilepsy in pediatric patients: thermal dynamic and volumetric factors influencing seizure outcomes

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