Publications by authors named "J Bulacio"
Article Synopsis
- The study investigated how to manage patients with medically resistant epilepsy caused by temporal encephaloceles, focusing on the importance of ancillary testing before surgery to improve surgical outcomes.
- Researchers analyzed medical records from the Cleveland Clinic over two decades, specifically looking at patients who had surgery for drug-resistant temporal lobe epilepsy linked to encephaloceles.
- Results showed that 63% of the 19 patients had successful seizure control one year post-surgery, with detailed patterns of seizure activity revealed through advanced EEG evaluations, indicating a need for personalized surgical strategies.
A Multivariate Approach to Quantifying Risk Factors Impacting Stereotactic Robotic-Guided Stereoelectroencephalography.
Oper Neurosurg (Hagerstown)
September 2024
Background And Objectives: Stereoelectroencephalography (SEEG) is an important method for invasive monitoring to establish surgical candidacy in approximately half of refractory epilepsy patients. Identifying factors affecting lead placement can mitigate potential surgical risks. This study applies multivariate analyses to identify perioperative factors affecting stereotactic electrode placement.
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- The study looked at patients with polymicrogyria (PMG) who had epilepsy that didn't get better with medicine, using a special procedure called ICEEG to see where the seizures started.
- Out of 35 patients, those who had surgery to remove parts of the brain had a better chance of stopping seizures completely compared to those who didn’t have surgery.
- The researchers found that knowing exactly where the seizures came from helped doctors decide how best to treat the patients, suggesting that just removing visible brain areas on scans doesn’t always mean the seizures will stop.
For medically-refractory epilepsy patients, stereoelectroencephalography (sEEG) is a surgical method using intracranial electrode recordings to identify brain networks participating in early seizure organization and propagation (i.e. the epileptogenic zone, EZ).
View Article and Find Full Text PDFPupillary constriction on stimulation of the parietal cortex-A novel finding.
Epileptic Disord
October 2024
Pupillary changes can be an important semiologic feature in focal epilepsy. Though the subcortical networks involving pupillomotor function have been described, cortical generators of pupillary dilation and constriction in humans are not well known. In this report, we describe a case of pupillary constriction occurring during seizures in a patient with drug resistant focal epilepsy.
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