Insular epilepsy surgery under neuronavigation guidance using depth electrode

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Neuronavigation and epilepsy surgery

Resective epilepsy surgery is an elective therapy indicated in focal epilepsy patients who are resistant to pharmacotherapy. Every effort should be undertaken to perform the procedures as safe and less traumatic as possible. Neuronavigation could represent a suitable tool to reduce surgical morbidity and increase surgical radicality. Here, we present a series of 41 patients who were operated on...

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The hybrid operculo-insular electrode: a new electrode for intracranial investigation of perisylvian/insular refractory epilepsy.

BACKGROUND Precise localization of an epileptic focus in the perisylvian/insular area is a major challenge. The difficult access and the high density of blood vessels within the sylvian fissure have lead to poor coverage of intrasylvian (opercular and insular) cortex by available electrodes. OBJECTIVE To report the creation of a novel electrode designed to record epileptic activity from both ...

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Insular Cortex and Insular Epilepsy

Insular cortex epilepsy is an under-recognized, localization-related syndrome. The presence of this condition could account for the surgery treatment failure seen in a portion of patients with temporal epilepsy, as well as a portion of those with frontal and parietal lobe epilepsy. Most cases of intractable temporal epilepsy are associated with insular cortex involvement. In this review, we wil...

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Magnetoencephalography-guided surgery in frontal lobe epilepsy using neuronavigation and intraoperative MR imaging

BACKGROUND Especially in hidden lesions causing drug-resistant frontal lobe epilepsy (FLE), the localization of the epileptic zone EZ can be a challenge. Magnetoencephalography (MEG) can raise the chances for localization of the (EZ) in combination with electroencephalography (EEG). We investigated the impact of MEG-guided epilepsy surgery with the aid of neuronavigation and intraoperative MR i...

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MR findings after depth electrode implantation for medically refractory epilepsy.

PURPOSE To evaluate using MR imaging chronic changes in the brain parenchyma after electroencephalography depth electrode placement in patients with medically refractory epilepsy. METHODS A retrospective review of MR scans in 57 patients who underwent stereotactic placement of 210 depth electrodes was performed. Scans were evaluated for evidence of gliosis, hemorrhage, or infection along the ...

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ژورنال

عنوان ژورنال: Child's Nervous System

سال: 2009

ISSN: 0256-7040,1433-0350

DOI: 10.1007/s00381-008-0764-8