Future aspects of the presurgical evaluation in epilepsy.

摘要: Epilepsy surgery is a successful therapeutic approach in patients with medically intractable epilepsy. The presurgical evaluation aims to detect the epileptogenic brain area by use of different diagnostic techniques. In this review article current procedures applied for purpose are described. armamentarium can be divided conceptually into three groups: assessment function/dysfunction, structural/morphologic imaging methods and functional neuroimaging Properties, power limits all tools used discussed. addition, future perspectives value new technologies mentioned. Some increasingly gaining acceptance routine preoperative procedure like MR volumetry or spectroscopy hippocampus temporal lobe Some, on other hand, MEG 11C-flumazenil PET, still remain experimental as they technically demanding cost intensive. Besides refinement established techniques, co-registration modalities spike-triggered MRI will play an important role non-invasive detection epileptic seizure focus may change regimen work up epilepsy future.