Publications by authors named "W Bingaman"
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.
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 focused on the prognostic factors affecting the outcomes of resective epilepsy surgery (RES) in older adults (60+ years), emphasizing the importance of comorbidities in managing epilepsy.
- A cohort of 94 older adults who underwent RES was analyzed, revealing that 57% of patients remained seizure-free after surgery, with factors like aura and specific EEG patterns influencing seizure recurrence.
- The findings highlight the need for further research in larger, multicenter studies to better understand the prognosis of RES in older adults and to encourage appropriate surgical interventions for eligible patients.
Article Synopsis
- 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).
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