Surgical approaches to epilepsy

Chakraborty, Aabir; Rutka, James T.

doi:10.2217/thy.10.59

Cited by 2 publications

(3 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is an excellent choice for covering large cortical area to record inter ictal and ictal epileptogenic activity. Cortical stimulation and grid mapping are valuable to delineate the functional area and epileptogenic zone [52]. The most common complications are subdural hematoma, up to 16%, cerebral edema, (2-14%), CSF leakages (19-33%), brain edema, 2-14%, hemiparesis, 1.5% [52].…”

Section: Implantation Of Strip Grid and Depth Electrodesmentioning

confidence: 99%

“…Most patients with extratemporal resections will have invasive electrode recordings because the epileptogenic zone is often not as well defined as in temporal-lobe epilepsy. The outcome for extra temporal-lobe resections is in the region of 60% [52]. Predictors of success include a greater extent of surgical resection, structural pathology on MRI, and concordant structural and electrophysiological imaging.…”

Section: Resective Surgery In Extra-temporal Lobe Epilepsymentioning

confidence: 99%

“…Frontal lobe resections account for up to 30% of cases and carry a 1-year seizure remission rate of approximately 45% (range 21-61%) and less durable long-term outcomes [59]. The EZ frequently extends beyond MRI-defined lesions, and the resection may need to be tailored according to invasive EEG findings [52]. The best postoperative outcome is associated with type 2B focal cortical dysplasia, a focal seizure onset, and total resection of the EZ.…”

Section: Resective Surgery In Extra-temporal Lobe Epilepsymentioning

confidence: 99%

See 2 more Smart Citations

Recent Advances in Epilepsy Surgery

Tamimi¹,

Juweid²,

Tamimi³

2023

Advances in Electroencephalography and Brain Connectome

View full text Add to dashboard Cite

The modern practice of epilepsy surgery requires multiple modalities of presurgical investigations such as video-EEG, intracranial EEG, high-resolution imaging, advanced functional imaging, and clinical analysis. A multidisciplinary approach is essential, including close collaboration between neurosurgeons, neurologists, neurophysiologists, neuropsychologists, neuropsychiatrists, and neuroradiologists. Candidates for epilepsy surgery require a history of seizures that are refractory to appropriate medical therapy. A meticulous selection of candidates will lead to a better chance of freedom from seizure. Epilepsy surgery includes a variety of surgical procedures including resective surgery for focal refractory seizure, which offers a significant chance of seizure freedom in temporal and extratemporal lobe epilepsy. Palliative treatment for patients who are not candidates for resective surgery, such as vagal nerve stimulation, deep stimulation, and callosotomy, offers further options. We reviewed and analyzed the recent scientific literature and forthcoming advances that will impact on the future of epilepsy surgery. This chapter on recent advances in epilepsy surgery emphasizes improved methods of assessment, a better understanding of seizures, the development of new surgical techniques, and the outcome of epilepsy surgery.

show abstract

Section: Implantation Of Strip Grid and Depth Electrodesmentioning

confidence: 99%

Section: Resective Surgery In Extra-temporal Lobe Epilepsymentioning

confidence: 99%