DOI QR코드

DOI QR Code

Stereoelectroencephalography in Pediatric Epilepsy Surgery

  • Tomlinson, Samuel B. (Division of Neurosurgery, Children's Hospital of Philadelphia) ;
  • Buch, Vivek P. (Department of Neurosurgery, Hospital of the University of Pennsylvania) ;
  • Armstrong, Dallas (Division of Child Neurology, Children's Hospital of Philadelphia) ;
  • Kennedy, Benjamin C. (Division of Neurosurgery, Children's Hospital of Philadelphia)
  • 투고 : 2019.01.08
  • 심사 : 2019.02.05
  • 발행 : 2019.05.01

초록

Stereoelectroencephalography (SEEG) is an invasive technique used during the surgical management of medically refractory epilepsy. The utility of SEEG rests in its ability to survey the three-dimensional organization of the epileptogenic zone as well as nearby eloquent cortices. Once concentrated to specialized centers in Europe and Canada, the SEEG methodology has gained worldwide popularity due to its favorable morbidity profile, superior coverage of deep structures, and ability to perform multi-lobar explorations without the need for craniotomy. This rapid shift in practice represents both a challenge and an opportunity for pediatric neurosurgeons familiar with the subdural grid approach. The purpose of this review is to discuss the indications, technique, and safety of long-term SEEG monitoring in children. In addition to reviewing the conceptual and technical points of the diagnostic evaluation, attention will also be given to SEEG-based interventions (e.g., radiofrequency thermo-coagulation).

키워드

참고문헌

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피인용 문헌

  1. Accuracy and Safety of Customized Stereotactic Fixtures for Stereoelectroencephalography in Pediatric Patients vol.99, pp.1, 2019, https://doi.org/10.1159/000510063
  2. The UK experience of stereoelectroencephalography in children: An analysis of factors predicting the identification of a seizure‐onset zone and subsequent seizure freedom vol.62, pp.8, 2019, https://doi.org/10.1111/epi.16954
  3. Delayed hemorrhage after pediatric stereo-electroencephalography: delayed occurrence or delayed diagnosis? vol.37, pp.12, 2019, https://doi.org/10.1007/s00381-021-05297-3