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The Stereo-Electroencephalography: The Epileptogenic Zone.

Jorge A Gonzalez-Martinez1

  • 1Department of Neurosurgery and Epilepsy Center, Neurological Institute, Cleveland Clinic, Cleveland, OH, U.S.A.

Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society
|December 6, 2016
PubMed
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Stereo-electroencephalography (SEEG) offers a 3D view of epilepsy networks, aiding in precise surgical planning. This established technique enhances the correlation between brain activity and clinical symptoms for effective treatment.

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Area of Science:

  • Neurology
  • Neurosurgery
  • Epileptology

Background:

  • Stereo-electroencephalography (SEEG) is a long-established European technique for epilepsy diagnosis.
  • It provides detailed 3D insights into neuronal networks and their relation to clinical symptoms.

Purpose of the Study:

  • To review the technical and methodological aspects of SEEG.
  • To discuss SEEG-guided surgical interventions for epilepsy.

Main Methods:

  • Detailed planning of SEEG electrode implantation.
  • Analysis of technical nuances in SEEG procedures.
  • Conceptualization and definition of the epileptogenic zone.

Main Results:

  • SEEG demonstrates efficacy and safety over 55 years of use.
  • Optimal spatio-temporal correlation between SEEG data and clinical semiology.
  • Facilitates precise identification of the epileptogenic network.

Conclusions:

  • SEEG is a valuable tool for understanding epilepsy networks.
  • SEEG-guided resections and ablations offer targeted surgical treatment options.
  • The manuscript provides a comprehensive overview of SEEG methodology and its surgical applications.