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The Stereo-Electroencephalography Methodology.

Soha Alomar1, Jaes Jones1, Andres Maldonado1

  • 1Department of Neurosurgery, Epilepsy Center, Neurological Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

Neurosurgery Clinics of North America
|November 29, 2015
PubMed
Summary

Stereo-electroencephalography (SEEG) offers a proven, safe method to study epilepsy networks in 3D. Future research aims to refine patient selection for invasive monitoring to improve long-term seizure-free outcomes.

Keywords:
Epilepsy surgeryMorbiditySeizure outcomeStereo-electroencephalographyStereotaxy

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Area of Science:

  • Neurology
  • Neurosurgery
  • Epileptology

Background:

  • Stereo-electroencephalography (SEEG) is a well-established invasive monitoring technique developed in Europe approximately 60 years ago.
  • The efficacy and safety of SEEG have been extensively demonstrated in clinical practice.

Purpose of the Study:

  • To highlight the advantages of SEEG in studying the dynamic, three-dimensional epileptogenic neuronal network.
  • To discuss the ongoing clinical challenge of optimizing selection criteria for various invasive monitoring methods.

Main Methods:

  • Utilizes stereo-electroencephalography (SEEG) for detailed neurophysiological assessment.
  • Correlates electrophysiological data with clinical semiology and seizure presentation.

Main Results:

  • SEEG provides optimal time and space correlation for studying the epileptogenic network.
  • The technique allows for a comprehensive dynamic and 3D understanding of seizure generation.

Conclusions:

  • SEEG is a validated and safe method for invasive epilepsy monitoring.
  • Further refinement of patient selection criteria for invasive monitoring is crucial for comparing and validating outcomes, aiming for long-term seizure freedom.