The Place of Stereotactic Depth Electrode Recording in Epilepsy

1985 ◽  
Vol 48 (1-6) ◽  
pp. 395-399 ◽  
Author(s):  
André Olivier ◽  
Peter Gloor ◽  
L. Frederick Andermann ◽  
Felipe Quesney
2021 ◽  
Vol 12 ◽  
pp. 379
Author(s):  
Nobutaka Mukae ◽  
Daisuke Kuga ◽  
Daisuke Murakami ◽  
Noritaka Komune ◽  
Yusuke Miyamoto ◽  
...  

Background: Temporal lobe epilepsy (TLE) associated with temporal lobe encephalocele is rare, and the precise epileptogenic mechanisms and surgical strategies for such cases are still unknown. Although the previous studies have reported good seizure outcomes following chronic subdural electrode recording through invasive craniotomy, only few studies have reported successful epilepsy surgery through endoscopic endonasal lesionectomy. Case Description: An 18-year-old man developed generalized convulsions at the age of 15 years. Despite treatment with optimal doses of antiepileptic drugs, episodes of speech and reading difficulties were observed 2–3 times per week. Long-term video electroencephalogram (EEG) revealed ictal activities starting from the left anterior temporal region. Magnetic resonance imaging revealed a temporal lobe encephalocele in the left lateral fossa of the sphenoidal sinus (sphenoidal encephalocele). Through the endoscopic endonasal approach, the tip of the encephalocele was exposed. A depth electrode was inserted into the encephalocele, which showed frequent spikes superimposed with high-frequency oscillations (HFOs) suggesting intrinsic epileptogenicity. The encephalocele was resected 8 mm from the tip. Twelve months postoperatively, the patient had no recurrence of seizures on tapering of the medication. Conclusion: TLE associated with sphenoidal encephalocele could be controlled with endoscopic endonasal lesionectomy, after confirming the high epileptogenicity with analysis of HFOs of intraoperative EEG recorded using an intralesional depth electrode.


1983 ◽  
Vol 46 (1-4) ◽  
pp. 33-36 ◽  
Author(s):  
André Olivier ◽  
Peter Gloor ◽  
Felipe Quesney ◽  
Frederick Andermann

NeuroImage ◽  
2005 ◽  
Vol 26 (4) ◽  
pp. 1174-1183 ◽  
Author(s):  
M. Guye ◽  
J.P. Ranjeva ◽  
Y. Le Fur ◽  
F. Bartolomei ◽  
S. Confort-Gouny ◽  
...  

1983 ◽  
Vol 46 (1-4) ◽  
pp. 52-56 ◽  
Author(s):  
G. Bouvier ◽  
C. Mercier ◽  
J.M. St. Hilaire ◽  
N. Giard ◽  
R. Labrecque ◽  
...  

2018 ◽  
Vol 48 ◽  
pp. 191-195 ◽  
Author(s):  
Dorothea Miller ◽  
Patrick Carney ◽  
John S. Archer ◽  
Gregory J. Fitt ◽  
Graeme D. Jackson ◽  
...  

2021 ◽  
Author(s):  
Mauricio Mandel ◽  
Layton Lamsam ◽  
Pue Farooque ◽  
Dennis Spencer ◽  
Eyiyemisi Damisah

Abstract The insula is well established as an epileptogenic area.1 Insular epilepsy surgery demands precise anatomic knowledge2-4 and tailored removal of the epileptic zone with careful neuromonitoring.5 We present an operative video illustrating an intracranial electroencephalogram (EEG) depth electrode guided anterior insulectomy.  We report a 17-yr-old right-handed woman with a 4-yr history of medically refractory epilepsy. The patient reported daily nocturnal ictal vocalization preceded by an indescribable feeling. Preoperative evaluation was suggestive of a right frontal-temporal onset, but the noninvasive results were discordant. She underwent a combined intracranial EEG study with a frontal-parietal grid, with strips and depth electrodes covering the entire right hemisphere. Epileptiform activity was observed in contact 6 of the anterior insula electrode. The patient consented to the procedure and to the publication of her images.  A right anterior insulectomy was performed. First, a portion of the frontal operculum was resected and neuronavigation was used for the initial insula localization. However, due to unreliable neuronavigation (ie, brain shift), the medial and anterior borders of the insular resection were guided by the depth electrode reference. The patient was discharged 3 d after surgery with no neurological deficits and remains seizure free.  We demonstrate that depth electrode guided insular surgery is a safe and precise technique, leading to an optimal outcome.


2008 ◽  
Vol 1218 ◽  
pp. 54-69 ◽  
Author(s):  
Markus Kessler ◽  
Bryant Kiliman ◽  
Carrie Humes ◽  
Amy C. Arai

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