Stereoelectroencephalography versus Subdural Electrode Implantation to Determine Whether Patients with Drug-resistant Epilepsy Are Candidates for Epilepsy Surgery.
Stereoelectroencephalography versus Subdural Electrode Implantation to Determine Whether Patients with Drug-resistant Epilepsy Are Candidates for Epilepsy Surgery.
复制标题
DOI：
10.2176/nmc.ra.2020-0361
复制
发表时间：
2021-06-15
影响因子：
1.9
通讯作者：
Sarno E
中科院分区：
文献类型：
--
作者：
Fiani B;Jarrah R;Doan T;Shields J;Houston R;Sarno E
Epilepsy is a chronic condition that affects about 50 million individuals worldwide. While its challenges are profound, there are increasing instances where antiepileptic drugs (AEDs) fail to provide relief to epileptic manifestations. For these pharmacoresistant cases, epilepsy surgery often is an effective route for treatment. However, the complexity and challenges associated with presurgical evaluations have prevented more widespread utilization of epilepsy surgery in pharmacoresistant cases. While preliminary work-ups and non-invasive diagnostic imaging have allowed for limited identification of the epileptogenic zone (EZ), there is yet to be an established pre-determined algorithm for surgical evaluation of patients with epilepsy. However, two modalities are currently being used for localization of the EZ and in determining candidates for surgery: stereoelectroencephalography (SEEG) and subdural electrodes (SDEs). SDE has been used in the United States for decades; however, SEEG now provides a less invasive option for mapping brain regions. We seek to address which intracranial monitoring technique is superior. Through a review of the outcomes of various clinical studies, SEEG was found to have greater safety and efficiency benefits than SDE, such as lower morbidity rates, lower prevalence of neurological deficits, and shorter recovery times. Moreover, SEEG was also found to have further functional benefits by allowing for deeper targeting of cerebral tissue along with bilateral hemispheric monitoring. This has led to increased rates of seizure freedom and control among SEEG patients. Nevertheless, further studies on the limitations and advancements of SEEG and SDE are still required to provide a more comprehensive understanding regarding their application.
登录
查看更多内容
影响因子：
2.2
作者：
Choi H;Carlino R;Heiman G;Hauser WA;Gilliam FG
通讯作者：
Gilliam FG
影响因子：
2
作者：
Hejrati, Nader;Spieler, Derek;Surbeck, Werner
通讯作者：
Surbeck, Werner
影响因子：
4.1
作者：
Harar, Maya;Cosgrove, G. Rees
通讯作者：
Cosgrove, G. Rees
影响因子：
2.6
作者：
Liu, Yi-Ou;Zhou, Wen-Jing;Wang, Yue-feng
通讯作者：
Wang, Yue-feng
DOI：
10.1016/j.clinph.2010.04.037
发表时间：
2010-09
期刊：
Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology
影响因子：
--
作者：
Lesser RP;Crone NE;Webber WRS
通讯作者：
Webber WRS