Depth Electrodes in Pediatric Epilepsy Surgery
| Autor: | Matt Wheatley, Janani Kassiri, Thomas Snyder, D. Barry Sinclair, Jeff Pugh, Sharon Carline, Laura Jurasek |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Population Electric Stimulation Therapy Electroencephalography Pediatrics Stereoelectroencephalography Epilepsy medicine Humans Ictal Epilepsy surgery Child education Retrospective Studies Cerebral Cortex education.field_of_study medicine.diagnostic_test business.industry Videotape Recording Magnetic resonance imaging Retrospective cohort study General Medicine medicine.disease Magnetic Resonance Imaging Electrodes Implanted Surgery Treatment Outcome Neurology Child Preschool Female Neurology (clinical) business |
| Zdroj: | Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques. 40:48-55 |
| ISSN: | 2057-0155 0317-1671 |
| DOI: | 10.1017/s0317167100012944 |
| Popis: | Background:The surgical removal of the epileptogenic zone in medically intractable seizures depends on accurate localization to minimize the neurological sequelae and prevent future seizures. To date, few studies have demonstrated the use of depth electrodes in a pediatric epilepsy population. Here, we report our study of pediatric epilepsy patients at our epilepsy center who were successfully operated for medically intractable seizures following the use of intracranial depth electrodes. In addition, we detail three individuals with distinct clinical scenarios in which depth electrodes were helpful and describe our technical approach to implantation and surgery.Methods:We retrospectively reviewed 18 pediatric epilepsy patients requiring depth electrode studies who presented at the University of Alberta Comprehensive Epilepsy Program between 1999 and 2010 with medically intractable epilepsy. Patients underwent cortical resection following depth electrode placement according to the Comprehensive Epilepsy Program surgical protocols after failure of surface electroencephalogram and magnetic resonance imaging to localize ictal onset zone.Result:The ictal onset zone was successfully identified in all 18 patients. Treatment of all surgical patients resulted in successful seizure freedom (Engel class I) without neurological complications.Conclusion:Intracranial depth electrode use is safe and able to provide sufficient information for the identification of the epileptogenic zone in pediatric epilepsy patients previously not considered for epilepsy surgery. |
| Databáze: | OpenAIRE |
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