Early outcomes of stereoelectroencephalography followed by MR-guided laser interstitial thermal therapy: a paradigm for minimally invasive epilepsy surgery

Neurosurgical Focus
Kelsey CobournChima O Oluigbo

Abstract

OBJECTIVE Stereoelectroencephalography (sEEG) and MR-guided laser interstitial thermal therapy (MRgLITT) have both emerged as minimally invasive alternatives to open surgery for the localization and treatment of medically refractory lesional epilepsy. Although some data are available about the use of these procedures individually, reports are almost nonexistent on their use in conjunction. The authors' aim was to report early outcomes regarding efficacy and safety of sEEG followed by MRgLITT for localization and ablation of seizure foci in the pediatric population with medically refractory lesional epilepsy. METHODS A single-center retrospective review of pediatric patients who underwent sEEG followed by MRgLITT procedures was performed. Demographic, intraoperative, and outcome data were compiled and analyzed. RESULTS Four pediatric patients with 9 total lesions underwent sEEG followed by MRgLITT procedures between January and September 2017. The mean age at surgery was 10.75 (range 2-21) years. Two patients had tuberous sclerosis and 2 had focal cortical dysplasia. Methods of stereotaxy consisted of BrainLab VarioGuide and ROSA robotic guidance, with successful localization of seizure foci in all cases. The sEEG procedure leng...Continue Reading

References

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Citations

Feb 27, 2019·Current Neurology and Neuroscience Reports·Sean T HwangSimona V Proteasa
Apr 11, 2019·Journal of Neurosurgery. Pediatrics·Jarod Roland, Matthew Smyth
Sep 14, 2019·Journal of Neurosurgery·Nardin Samuel, Mitchel Berger
Jun 19, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Michael A StellonChima O Oluigbo
Jan 11, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Hepzibha AlexanderChima O Oluigbo
May 16, 2019·Journal of Korean Neurosurgical Society·Samuel B TomlinsonBenjamin C Kennedy
May 16, 2019·Journal of Korean Neurosurgical Society·Ji Hoon Phi, Byung-Kyu Cho
Apr 10, 2021·Expert Review of Neurotherapeutics·Renzo Guerrini, Carmen Barba
Jun 9, 2021·CNS Neuroscience & Therapeutics·Wei ShanQun Wang
Jul 4, 2021·Neurologic Clinics·Elaine S Seto, Rohini Coorg
May 6, 2021·Neurology·Emma Macdonald-LaursA Simon Harvey
Aug 30, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·H AlexanderC O Oluigbo

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Software Mentioned

Visualase
MRgLITT
BrainLab
ROSA

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