AI Article Synopsis
- Stereo electroencephalogram (SEEG) is an accurate method for implanting electrodes in the brain to study epilepsy, particularly useful for accessing deep brain regions.
- In a case of drug-resistant focal epilepsy, prior surgeries and treatments resulted in insufficient skull bone for standard electrode placement, posing a challenge for monitoring.
- The medical team implemented a hybrid technique combining standard and modified SEEG methods to safely place electrodes, leading to effective monitoring and management of the patient's seizures without complications.
Article Abstract
Stereo electroencephalogram (SEEG) electrode placement with cranially fixed guide bolts is recognized as one of the most accurate and safest implantation strategies to sample deep and buried cortex during certain clinical scenarios involving epilepsy surgery. Bone thickness of less than 2 mm is a relative contraindication to SEEG. Here, we describe a case drug-resistant focal epilepsy where prior craniotomies, infections and radiation therapy yielded limited skull bone requiring invasive EEG monitoring. Due to the inability to use bolts over areas with limited skull bone, we successfully utilized a combination of the standard and a modified SEEG techniques for implantation and stabilization of intracranial electrodes without complications. This strategy enabled optimal intracranial EEG monitoring and surgical management of the patient's drug-resistant focal seizures.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7809162 | PMC |
| http://dx.doi.org/10.1016/j.ebr.2020.100394 | DOI Listing |
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