title: Investigation of extra-temporal epilepsy.
abstract: Medically intractable epilepsy of extra-temporal origin can represent a difficult therapeutic challenge. Our Epilepsy Service has managed these patients using standard investigative methods as well as ictal SPECT and intracranial electrode recording. In the present series of patients, image-guided surgery was used for all electrode implantation and resective surgery. Seizure localization and successful resection were achieved in 70-80% of 42 patients with follow-up of at least one year. Normal MRI and previous failed intracranial investigation were not associated with poorer outcome.
authors.affiliation: Section of Neurosurgery, Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756-0001, USA. david.w.roberts@hitchcock.org
authors.forename: D W
authors.initials: DW
authors.lastname: Roberts
authors.forename: B C
authors.initials: BC
authors.lastname: Jobst
authors.forename: A M
authors.initials: AM
authors.lastname: Siegel
authors.forename: P J
authors.initials: PJ
authors.lastname: Lewis
authors.forename: T M
authors.initials: TM
authors.lastname: Darcey
authors.forename: V M
authors.initials: VM
authors.lastname: Thadani
authors.forename: P D
authors.initials: PD
authors.lastname: Williamson
mesh_terms: D003952:Diagnostic Imaging; D004828:Epilepsies, Partial / Q000601:surgery*; D005625:Frontal Lobe / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D038361:Neuronavigation; D009778:Occipital Lobe / Q000601:surgery; D010296:Parietal Lobe / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome