The localizing value of depth electroencephalography in 32 patients with refractory epilepsy

作者: Susan S. Spencer , Dennis D. Spencer , Peter D. Williamson , Richard H. Mattson

DOI: 10.1002/ANA.410120306

关键词:

摘要: Clinical seizure manifestations, physical examination, radiological studies, neuropsychological tests, and scalp depth electroencephalographic (EEG) studies were done to localize foci in 32 patients, 23 of whom have undergone surgery with more than one year follow-up. Of 16 patients unlocalized EEGs, EEG detected a consistent focal onset 3. 15 localized revealed multiple 3 inaccurate localization the focus by 4. Therefore, was 10 31 patients. When this used determine surgical resection site, good excellent results obtained 12 13 additional origin, fair or poor all No other localizing criteria predicted success such accuracy. Furthermore, some criteria, including tests abnormalities, falsely at times. presently available appears be most accurate.

参考文章(20)
J. P. Lieb, G. O. Walsh, T. L. Babb, R. D. Walter, P. H. Crandall, C.A. Tassinari, A. Portera, D. Scheffner, A Comparison of EEG Seizure Patterns Recorded with Surface and Depth Electrodes in Patients with Temporal Lobe Epilepsy Epilepsia. ,vol. 17, pp. 137- 160 ,(1976) , 10.1111/J.1528-1157.1976.TB03392.X
J. Talairach, J. Bancaud, A. Bonis, G. Szikla, P. Tournoux, Functional stereotaxic exploration of epilepsy. Stereotactic and Functional Neurosurgery. ,vol. 22, pp. 328- 331 ,(1962) , 10.1159/000104378
John R. Green, Temporal Lobectomy, with Special Reference to Selection of Epileptic Patients* Journal of Neurosurgery. ,vol. 26, pp. 584- 593 ,(1967) , 10.3171/JNS.1967.26.6.0584
Ravi Bhatia, Tormod Kollevold, A. Portera Sanchez, B. Reitter, A Follow‐Up Study of 91 Patients Operated on for Focal Epilepsy Epilepsia. ,vol. 17, pp. 61- 66 ,(1976) , 10.1111/J.1528-1157.1976.TB03383.X
John M. Van Buren, Cosimo Ajmone Marsan, Naomi Mutsuga, Temporal-lobe seizures with additional foci treated by resection. Journal of Neurosurgery. ,vol. 43, pp. 596- 607 ,(1975) , 10.3171/JNS.1975.43.5.0596
Susan Soloway Spencer, Depth electroencephalography in selection of refractory epilepsy for surgery Annals of Neurology. ,vol. 9, pp. 207- 214 ,(1981) , 10.1002/ANA.410090302
Wilder Penfield, Harry Steelman, The Treatment of Focal Epilepsy by Cortical Excision. Annals of Surgery. ,vol. 126, pp. 740- 762 ,(1947) , 10.1097/00000658-194711000-00008
A. R. A. Bengzon, T. Rasmussen, P. Gloor, J. Dussault, M. Stephens, Prognostic factors in the surgical treatment of temporal lobe epileptics. Neurology. ,vol. 18, pp. 717- 731 ,(1968) , 10.1212/WNL.18.8.717
Susan S. Spencer, Dennis D. Spencer, Pétér D. Williamson, Richard H. Mattson, Ictal effects of anticonvulsant medication withdrawal in epileptic patients. Epilepsia. ,vol. 22, pp. 297- 307 ,(1981) , 10.1111/J.1528-1157.1981.TB04113.X