Surgical outcomes related to invasive EEG monitoring with subdural grids or depth electrodes in adults: A systematic review and meta-analysis
| Autor: | Márton Tóth, Diána Kuperczkó, Noémi Gede, Kornélia Farkas, Sándor Kovács, Tamás Dóczi, Csilla Gyimesi, Jean Isnard, Koichi Hagiwara, József Janszky, Kata Szilvia Papp |
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| Rok vydání: | 2019 |
| Předmět: |
Drug Resistant Epilepsy
medicine.medical_specialty Neurosurgical Procedures Stereoelectroencephalography 03 medical and health sciences Epilepsy 0302 clinical medicine Seizures medicine Humans Epilepsy surgery business.industry Outcome measures General Medicine Resective surgery medicine.disease Neurophysiological Monitoring Electrodes Implanted Surgery Treatment Outcome Neurology Meta-analysis Electrocorticography Neurology (clinical) Subdural electrodes business 030217 neurology & neurosurgery |
| Zdroj: | Seizure. 70:12-19 |
| ISSN: | 1059-1311 |
| DOI: | 10.1016/j.seizure.2019.06.022 |
| Popis: | Purpose Resective epilepsy surgery based on an invasive EEG-monitors performed with subdural grids (SDG) or depth electrodes (stereo-electroencephalography, SEEG) is considered to be the best option towards achieving seizure-free state in drug-resistant epilepsy. The authors present a meta-analysis, due to the lack of such a study focusing on surgical outcomes originating from SDG- or SEEG-monitors. Method English-language studies published until May 2018, highlighting surgical outcomes were reviewed. Outcome measures including total number of SDG- or SEEG-monitors and resective surgeries; consecutively followed surgical cases; surgical outcomes classified by Engel in overall, temporal/extratemporal and lesional/nonlesional subgroups were analyzed. Results 19 articles containing 1025 SDG-interventions and 16 publications comprising 974 SEEG-monitors were researched. The rate of resective surgery deriving from SDG-monitoring hovered at 88.8% (95%CI:83.3–92.6%) (I2 = 77.0%;p Conclusions SEEG-interventions were associated, at least, non-inferiorly, with seizure-freedom compared with SDG-monitors in temporal, lesional and overall subgroups. |
| Databáze: | OpenAIRE |
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