دورية أكاديمية
Intracranial video-EEG monitoring in presurgical evaluation of patients with refractory epilepsy
| العنوان: | Intracranial video-EEG monitoring in presurgical evaluation of patients with refractory epilepsy |
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| المؤلفون: | Hupalo, Marlena, Wojcik, Rafal, Jaskolski, Dariusz J. |
| المصدر: | Neurologia i Neurochirurgia Polska; Vol 51, No 3 (2017); 201-207 |
| بيانات النشر: | Via Medica |
| سنة النشر: | 1970 |
| المجموعة: | Via Medica Journals |
| مصطلحات موضوعية: | Refractory epilepsy, Presurgical evaluation, Depth electrodes, Streoelectroencephalography, Electrocorticography |
| الوصف: | Objective Reviewing our experience in intracranial video-EEG monitoring in the presurgical evaluation of patients with refractory epilepsy. Methods We report on 62 out of 202 (31%) patients with refractory epilepsy, who underwent a long term video-EEG monitoring (LTM). The epileptogenic zone (EZ) was localised either based on the results of LTM or after intracranial EEG recordings from depth, subdural or foramen ovale electrodes. The decision on the location of the electrodes was based upon semiology of the seizures, EEG findings and the lesions visualised in MRI brain scan. Intraoperative corticography was carried out before and right after the resection of the seizure onset zone. Results The video-EEG monitoring could localise EZ in 43 (69%) cases based. The remaining patients underwent invasive diagnostics: 10 (53%) had intracerebral depth electrodes, 6 (31%) depth and subdural and 3 (16%) foramen ovale electrodes. Intracranial video EEG recordings showed seizure focus in all the patients. Ten of them had EZ in mesial temporal structures, 4 in accessory motor area, 3 at the base of the frontal lobe and 2 in parietal lobe. There was one case of an asymptomatic intracerebral haematoma at the electrode. All patients were subsequently operated on. In 15 (79%) cases the seizures subsided (follow-up from 2 to 5 years), in 4 (21%) they decreased. Conclusions The intracranial EEG is required in all patients with normal MRI (so-called nonlesional cases) in whom EZ is suspected to be located in the hippocampus, insula or in the basal parts of the frontal lobe. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| العلاقة: | https://journals.viamedica.pl/neurologia_neurochirurgia_polska/article/view/61234Test |
| DOI: | 10.1016/j.pjnns.2017.02.002 |
| الإتاحة: | https://doi.org/10.1016/j.pjnns.2017.02.002Test https://journals.viamedica.pl/neurologia_neurochirurgia_polska/article/view/61234Test |
| حقوق: | Completion of the online submission form electronically (Author's Statement) is tantamount to automatically transferring of the copyright for publishing and distribution of the submitted material (in all known now and developed in the future forms and fields of exploitation) to the Copyright Owner, i.e. The Polish Society of Neurology, under condition that these materials are accepted for publication. The authors agree not to publish any data or figures presented in their work anywhere and in any language without the prior written consent of the Publisher. |
| رقم الانضمام: | edsbas.B0BF1F4B |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.pjnns.2017.02.002 |
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