Stereoelectroencephalography in the presurgical evaluation of focal epilepsy in infancy and early childhood.

摘要: Object The authors report on the use of stereoelectroencephalography (stereo-EEG) in presurgical electroclinical evaluation infants and very young children with focal drug-resistant epilepsy. Methods Fifteen patients (9 girls 6 boys, mean age 34.1 ± 7.3 months, range 21–45 months), potentially candidates to receive surgical treatment for their epilepsy, were evaluated using stereo-EEG recording a detailed definition epileptogenic zone. Stereoelectroencephalography was indicated because neuroradiological (brain MRI) video-EEG data failed adequately localize Stereotactic placement multicontact intracerebral electrodes preceded by acquisition all pertinent anatomical information from structural functional MRI brain angiography, enabling accurate targeting desired structures through avascular trajectories. monitoring attempted record habitual seizures; electrical stimulat...