Subdural electrodes for seizure focus localization

Neurosurgery ◽  
1986 ◽  
Vol 19 (1) ◽  
pp. 73???81 ◽  
Author(s):  
T J Rosenbaum ◽  
K D Laxer ◽  
M Vessely ◽  
W B Smith
Epilepsia ◽  
2007 ◽  
Vol 48 (7) ◽  
pp. 1409-1413 ◽  
Author(s):  
Michael Feichtinger ◽  
Hans Eder ◽  
Alexander Holl ◽  
Eva Körner ◽  
Gerda Zmugg ◽  
...  

2006 ◽  
Vol 36 (1) ◽  
pp. 70-88 ◽  
Author(s):  
Mark Rossman ◽  
Malek Adjouadi ◽  
Melvin Ayala ◽  
Ilker Yaylali

1989 ◽  
Vol 2 (3) ◽  
pp. 129-135 ◽  
Author(s):  
Thomas Jay Rosenbaum ◽  
Kenneth D. Laxer

2000 ◽  
Vol 75 (6) ◽  
pp. 615-624 ◽  
Author(s):  
Benjamin H. Brinkmann ◽  
Terence J. O'Brien ◽  
Brian P. Mullan ◽  
Michael K. O'Connor ◽  
Richard A. Robb ◽  
...  

Neurosurgery ◽  
1986 ◽  
Vol 19 (1) ◽  
pp. 73-81 ◽  
Author(s):  
Thomas J. Rosenbaum ◽  
Kenneth D. Laxer ◽  
Michael Vessely ◽  
W. Brewster Smith

Abstract Fifty patients with medically refractory partial seizure disorders have undergone subdural electrode placement for seizure focus localization. Standard scalp telemetry recordings of ictal events had failed to demonstrate accurately the site of seizure onset, and these patients were considered candidates for telemetry with intracerebral depth electrodes. Excellent recordings of interictal and ictal events were obtained, and localization of the epileptogenic focus was derived from recordings made during spontaneously occurring seizures. Electrocorticograms were monitored for up to 21 days. The recordings enabled a surgical decision to be made in 43 of 50 cases (86%). Thirty patients have subsequently undergone cortical excision of their foci with good results. Subdural electrode recordings are a significant addition to the armamentarium of the neurosurgeon attempting to localize surgical seizure foci, offering a low morbidity procedure as an alternative to depth electrode implantation.


2007 ◽  
Vol 22 (2) ◽  
pp. 1-3 ◽  
Author(s):  
Medina C. Kushen ◽  
David Frim

✓Subdural electrode arrays are placed to localize seizure foci for possible resection. The procedure is usually straightforward when an electrode grid array is placed on the brain convexity but can become complicated if the surface on which the grids are applied is not convex. Arachnoid cysts can be associated with seizures, but their topography presents a challenge to standard techniques for the placement of subdural grids. The authors report on a technique for electrode grid placement that successfully localized seizure foci in the depths of arachnoid cysts in two patients. Subdural grids were placed to conform to the concave cyst cavity. They were held in place with rolled gelatin foam padding, which filled the arachnoid cyst. The padding was removed before removing the electrode grids and resecting the seizure focus. Although arachnoid cysts present a technical challenge when seizure foci are located within the cyst cavity, the technique of packing the cyst cavity with gelatin foam provides good electrode contact on the concave cyst wall, allowing adequate seizure focus localization.


2021 ◽  
Author(s):  
Denggui Fan ◽  
Zecheng Yang ◽  
Chuanzuo Yang ◽  
Qingyun Wang ◽  
Guoming Luan

Abstract Seizure focus localization is the key to control seizures. However, in this paper, we show that the clinically localized seizure focus may be not exactly the positions to abate seizures. Firstly, the reliability of a previously proposed methodology employed to estimate the synchronicity and directionality of information flows over time between EEG signals, is numerically assessed with a coupled mass neural model. Then 10 channels' EEG signals from a patient with focal epilepsy are used to reconstruct the dynamical complex network of pathological seizure. This may facilitate to identify the evolution paths of information flows and localize the potential seizure foci. What's more, based on the controllability and observability principles of complex systems, we can focus on the key nodes which is effective to control the network seizure behaviors and the key ones that can allow us to estimate the state of all other variables. Results show that to fully control the epileptic network may not just be related to the focus zone, it may also involves in other non-focus nodes. In addition, we use the spatiotemporal neural network model connected by our modeled dynamical adjacent matrix to successfully reproduce the original EEG signals which can be effectively abated by applying the normal distribution noise stimulation with cathodic phase pulses (cNDNs) on the identified key nodes or resecting them. Our results enrich the clinical results and provide new insights into the seizure resection and electronic stimulation therapies.


Neurology ◽  
2002 ◽  
Vol 58 (2) ◽  
pp. 246-249 ◽  
Author(s):  
S. Eisenschenk ◽  
R. L. Gilmore ◽  
B. Uthman ◽  
E. Valenstein ◽  
R. Gonzalez

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