Investigation of extra-temporal epilepsy.
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.
Roberts
D W
DW
Section of Neurosurgery, Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756-0001, USA. david.w.roberts@hitchcock.org
Jobst
B C
BC
Siegel
A M
AM
Lewis
P J
PJ
Darcey
T M
TM
Thadani
V M
VM
Williamson
P D
PD
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