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http://dx.doi.org/10.3340/jkns.2019.0015

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)
Publication Information
Journal of Korean Neurosurgical Society / v.62, no.3, 2019 , pp. 302-312 More about this Journal
Abstract
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).
Keywords
Stereoelectroencephalography; Invasive monitoring; Epilepsy surgery; Pediatrics;
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