Stereo-electroencephalography (SEEG) in children surgically cured of their epilepsy

Neurophysiologie clinique = Clinical neurophysiology
Delphine TaussigGeorg Dorfmüller

Abstract

SEEG in children has a low morbidity and leads to a good surgical outcome, in particular in younger patients. We analysed, in detail, the SEEG data of patients that were subsequently cured by surgery. We selected the 48 children explored between 2009 and 2013 in our centre and surgically cured after SEEG-based resections with at least one-year follow-up. We retrospectively studied demographic and surgical data and paid particular attention to the data acquired during the invasive recording. Moreover, we compared the children younger than 5 years of age (group 1: 17 children) to those older than 5 years of age at the time of exploration (group 2: 31 patients). SEEG was well tolerated. Only one patient had slight intracerebral bleeding seen on the post-operative CT-scan without any clinical consequence and which did not prevent the recording. SEEG explored at least four lobes in 59% of patients, either because of a suspected very widespread epileptogenic zone or because of the lack of a precise hypothesis. Auras were recorded only in group 2 (32% of patients, P=0.0009). Despite these difficulties, SEEG led to tailored resections including multilobar resections in 14% and infralobar resections in 69% of patients. The electrical pa...Continue Reading

References

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Mar 3, 2012·Journal of Neurosurgery. Pediatrics·Massimo CossuGiorgio Lo Russo
Feb 11, 2014·Seizure : the Journal of the British Epilepsy Association·S DylgjeriG Dorfmüller
Feb 12, 2014·Epilepsia·Prasanna JayakarUNKNOWN Task Force for Paediatric Epilepsy Surgery, Commission for Paediatrics, and the Diagnostic Commission of the International L
Sep 13, 2014·Epilepsy Research·Sabine de la VaissièreFabrice Bartolomei

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Citations

Aug 25, 2018·Journal of Neurosurgery. Pediatrics·Didier ScavardaFabrice Bartolomei
Jan 11, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Hepzibha AlexanderChima O Oluigbo
Jan 2, 2020·Surgical Neurology International·Nisha GadgilSandi K Lam
May 16, 2019·Journal of Korean Neurosurgical Society·Samuel B TomlinsonBenjamin C Kennedy
Jan 10, 2018·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Andrea SpyrantisThomas M Freiman
Dec 23, 2019·Seizure : the Journal of the British Epilepsy Association·Sarah Ferrand-SorbetsGeorg Dorfmüller
Dec 7, 2018·Seizure : the Journal of the British Epilepsy Association·Delphine TaussigGeorg Dorfmüller
Sep 4, 2021·Journal of Neurosurgery. Pediatrics·Jacob R LepardJeffrey Blount

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