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Stereo-Electro-Encephalo-Graphy SEEG With Robotic Assistance in the Presurgical Evaluation of Medical Refractory Epilepsy: A Technical Note
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Stereoelectroencephalography: Interpretation.

Juan C Bulacio1, Patrick Chauvel, Aileen McGonigal

  • 1*Epilepsy Center, Neurological Institute, Cleveland Clinic, Cleveland, Ohio, U.S.A.; †Service de Neurophysiologie Clinique, APHM, Hôpital de la Timone, Marseille, France; ‡INSERM UMR 1106, INS, Marseille, France; and §Faculté de Médecine, Aix Marseille Université, Marseille, France.

Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society
|December 6, 2016
PubMed
Summary
This summary is machine-generated.

Stereoelectroencephalography (SEEG) offers benefits for localizing the epileptogenic zone in difficult epilepsy cases. However, varied interpretation methods may impact surgical outcomes, highlighting the need for standardized guidelines.

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Area of Science:

  • Neurosurgery
  • Epileptology
  • Neurophysiology

Background:

  • Intracranial EEG, including stereoelectroencephalography (SEEG), is crucial for presurgical evaluation of intractable focal epilepsy.
  • The use of SEEG has grown significantly, particularly for complex, MRI-negative epilepsy cases.
  • Some epilepsy centers are transitioning to SEEG as their primary exploration method due to potential benefits in localizing the epileptogenic zone.

Purpose of the Study:

  • To explore the benefits and challenges of SEEG in epilepsy surgery.
  • To address the heterogeneity in SEEG interpretation across different centers.
  • To emphasize the need for standardized guidelines and biomarkers for optimal SEEG utilization.

Main Methods:

  • Review of SEEG application in presurgical evaluation of medically intractable focal epilepsy.
  • Analysis of factors contributing to variability in SEEG interpretation.
  • Discussion of the role of SEEG in understanding human cerebral networks.

Main Results:

  • SEEG may offer advantages in accurately localizing the epileptogenic zone.
  • Heterogeneity in SEEG interpretation due to differing conceptual bases and expertise can lead to erroneous conclusions and unfavorable surgical outcomes.
  • There is a current lack of standardized guidelines for optimal SEEG use.

Conclusions:

  • Standardized SEEG interpretation and clear biomarkers are essential for improving surgical outcomes in epilepsy.
  • SEEG is a valuable tool for investigating distributed human cerebral networks.
  • Further development of guidelines for SEEG use is necessary to ensure its optimal application in epilepsy surgery.