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SEEG-guided radiofrequency thermocoagulation.

Pierre Bourdillon¹, Bertrand Devaux², Anne-Sophie Job-Chapron³

¹Department of Neurosurgery, Hospital for Neurology and Neurosurgery Pierre Wertheimer, hospices civils de Lyon, 59, boulevard Pinel, 69003 Lyon, France; Université de Lyon, université Claude-Bernard, 69003 Lyon, France; Brain and Spine Institute, Inserm U1127, CNRS 7225, 75013 Paris, France; Sorbonne University, Pierre and Marie Curie University , 75005 Paris, France.

Neurophysiologie Clinique = Clinical Neurophysiology

|December 24, 2017

Summary

This summary is machine-generated.

Stereoelectroencephalography (SEEG)-guided radiofrequency thermocoagulation (RF-TC) offers an alternative when epilepsy surgery is not feasible. This technique uses SEEG electrodes for targeted lesioning, aiding in diagnosis and treatment.

Keywords:

Epilepsy surgery Radiofrequency SEEG guided RF-TC Stereoencephalography Thermo-SEEG Thermocoagulation

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Area of Science:

Neurosurgery
Epileptology
Neurology

Background:

Stereoelectroencephalography (SEEG) is a crucial tool for localizing the ictal onset zone in epilepsy.
Radiofrequency thermocoagulation (RF-TC) is a minimally invasive ablative technique.
Combining SEEG with RF-TC offers a novel approach for epilepsy management.

Purpose of the Study:

To provide expert recommendations for SEEG-guided RF-TC based on a comprehensive literature review.
To establish indications and technical guidelines for performing SEEG-guided RF-TC.
To evaluate the diagnostic and therapeutic value of SEEG-guided RF-TC.

Main Methods:

Exhaustive literature review on SEEG-guided RF-TC.
Analysis of SEEG-guided RF-TC indications, targeting, and procedural parameters.
Review of outcomes and feasibility of subsequent surgical interventions.

Main Results:

SEEG-guided RF-TC is indicated when conventional resection of the ictal onset zone is not possible.
The technique can serve as a diagnostic tool with high positive predictive value for surgical outcomes.
Target selection is primarily based on ictal activity, with exceptions for specific focal cortical dysplasia types.

Conclusions:

SEEG-guided RF-TC provides a valuable therapeutic and diagnostic option in epilepsy surgery.
Recommendations cover target definition, lesioning technique, and patient monitoring.
The procedure can be repeated or followed by conventional surgery, offering flexibility in epilepsy management.