[Stereotactic implantation of depth electrodes by magnetic resonance image in epilepsy surgery].
We present the case of a 40-year-old woman with refractory epilepsy since aged 18, who was submitted to video-EEG monitoring with intracerebral depth electrodes. The clinical history and examination, magnetic resonance image (MRI), video-EEG and neuropsychological study did not allow the determination of the cerebral onset of epileptic seizures. Depth electrodes inserted by MRI-guided stereotaxis allowed the recording of the epileptic activity and thus showed quite accurately the area of the brain to be surgically resected. She underwent a right anterior temporal lobectomy with amygdalohippocampectomy. The immediate postoperative period was uneventful and she is without epileptic seizures after three months of follow-up. The average pre-operative free-seizure period was two weeks. To our knowledge, this is the first stereotactic surgery for insertion of depth intracerebral electrodes in epilepsy in Brazil.
Meneses
M S
MS
Unidade de Cirurgia de Epilepsia, Hospital das Nações de Curitiba, Brasil.
Follador
F R
FR
Arruda
W O
WO
Santos
H L
HL
Yonesawa
D
D
Hunhevicz
S C
SC
D000328:Adult; D004567:Electrodes, Implanted; D004569:Electroencephalography / Q000295:instrumentation*; D004827:Epilepsy / Q000601:surgery*; D005260:Female; D006801:Humans; D013238:Stereotaxic Techniques; D014057:Tomography, X-Ray Computed