Intracranial electrode monitoring for seizure localization: indications, methods and the prevention of complications.
Surgery is a successful method of treatment for certain epilepsies. Patient evaluation is directed towards seizure classification and localization. In most cases patients are able to progress from a noninvasive evaluation utilizing extracranial electrodes directly to resective surgery. In a few complex situations patient evaluation requires the placement of intracranial electrodes for accurate localization of the epileptogenic focus. The placement of intracranial electrodes is a surgical procedure which carries significant risk. Meticulous multidisciplinary care is required to achieve a safe and successful surgical outcome. Astute nursing care is pivotal to the success of intracranial monitoring and essential to the prevention of complications.
Dewar
S
S
Seizure Disorder Center, University of California Los Angeles, USA.
Passaro
E
E
Fried
I
I
Engel
J
J
D000328:Adult; D001931:Brain Mapping / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D008991:Monitoring, Physiologic / Q000009:adverse effects / Q000451:nursing; D011300:Preoperative Care; D012640:Seizures / Q000145:classification / Q000175:diagnosis* / Q000601:surgery