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Child's Nervous System

Published in:

01-11-2014 | Special Annual Issue

Indications and selection criteria for invasive monitoring in children with cortical dysplasia

Authors: Jorge Gonzalez-Martinez, Imad M. Najm

Published in: Child's Nervous System | Issue 11/2014

Abstract

Purpose

In order to presurgically define the anatomical location of the epileptogenic zone (EZ) and its proximity to possible cortical and subcortical eloquent areas in pediatric patients with medically intractable focal epilepsy, an array of noninvasive tools are available: recorded seizure semiology, scalp electroencephalographic (EEG) recordings (ictal and interictal epileptic patterns), magnetic resonance imaging (MRI), positron emission tomography (PET), ictal single-photon emission computed tomography (SPECT), neuropsychological testing, and/or magnetoencephalography. When the noninvasive tools fail or are insufficient in precisely localizing the EZ and its functional and anatomical interphase with potential eloquent cortical areas, invasive extra-operative monitoring procedures might be needed.

Discussion

In this chapter, we will discuss the main goals of extra-operative invasive evaluation for children with medically intractable epilepsy in whom cortical dysplasia is a possible etiology. We will specifically discuss the possible indications, surgical strategies, results, and morbidity associated with the placement of subdural and stereoelectroencephalography (SEEG) electrodes. The rationale behind the choice of each one of the above techniques will also be discussed.

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Title: Indications and selection criteria for invasive monitoring in children with cortical dysplasia
Authors: Jorge Gonzalez-Martinez
Imad M. Najm
Publication date: 01-11-2014
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 11/2014
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-014-2497-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Indications and selection criteria for invasive monitoring in children with cortical dysplasia

Abstract

Purpose

Discussion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Discussion

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