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[Electrophysiological investigations in childhood epilepsy surgery].
Neurochirurgie 2008; 54(3):347-52N

Abstract

Epilepsy surgery in children is a functional surgery: its goal is to perform the resection of the epileptic brain tissue while sparing the eloquent cortex. Prolonged scalp video-EEGs allow recording of all types of seizures and play a crucial role in localizing the epileptogenic zone. Furthermore, EEG data correlation with clinical and radiological findings provides a guide for the surgical strategy: either resection without further investigations or an invasive recording procedure. In prehemispherotomy evaluation, EEG recordings confirm that limited resections are not indicated and demonstrate that the opposite hemisphere is not involved. If invasive recordings are needed, they consist in foramen ovale electrode insertion, which provides valuable information in mesial temporal lobe epilepsy, stereoelectroencephalography for children older than two years, and subdural grids associated with depth electrodes in infants or when the eloquent areas need to be carefully investigated. Such investigations allow tailoring surgery to each child.

Authors+Show Affiliations

Unité de neurochirurgie pédiatrique-chirurgie de l'épilepsie, fondation ophtalmologique A.-de-Rothschild, 25-29, rue Manin, 75940 Paris cedex 19, France. mfohlen@fo-rothschild.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Review

Language

fre

PubMed ID

18423772

Citation

Fohlen, M, et al. "[Electrophysiological Investigations in Childhood Epilepsy Surgery]." Neuro-Chirurgie, vol. 54, no. 3, 2008, pp. 347-52.
Fohlen M, Jalin C, Soufflet C, et al. [Electrophysiological investigations in childhood epilepsy surgery]. Neurochirurgie. 2008;54(3):347-52.
Fohlen, M., Jalin, C., Soufflet, C., Bulteau, C., Dorfmuller, G., Oliver, V., & Delalande, O. (2008). [Electrophysiological investigations in childhood epilepsy surgery]. Neuro-Chirurgie, 54(3), pp. 347-52. doi:10.1016/j.neuchi.2008.02.050.
Fohlen M, et al. [Electrophysiological Investigations in Childhood Epilepsy Surgery]. Neurochirurgie. 2008;54(3):347-52. PubMed PMID: 18423772.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Electrophysiological investigations in childhood epilepsy surgery]. AU - Fohlen,M, AU - Jalin,C, AU - Soufflet,C, AU - Bulteau,C, AU - Dorfmuller,G, AU - Oliver,V, AU - Delalande,O, Y1 - 2008/04/18/ PY - 2008/02/25/received PY - 2008/02/26/accepted PY - 2008/4/22/pubmed PY - 2008/8/9/medline PY - 2008/4/22/entrez SP - 347 EP - 52 JF - Neuro-Chirurgie JO - Neurochirurgie VL - 54 IS - 3 N2 - Epilepsy surgery in children is a functional surgery: its goal is to perform the resection of the epileptic brain tissue while sparing the eloquent cortex. Prolonged scalp video-EEGs allow recording of all types of seizures and play a crucial role in localizing the epileptogenic zone. Furthermore, EEG data correlation with clinical and radiological findings provides a guide for the surgical strategy: either resection without further investigations or an invasive recording procedure. In prehemispherotomy evaluation, EEG recordings confirm that limited resections are not indicated and demonstrate that the opposite hemisphere is not involved. If invasive recordings are needed, they consist in foramen ovale electrode insertion, which provides valuable information in mesial temporal lobe epilepsy, stereoelectroencephalography for children older than two years, and subdural grids associated with depth electrodes in infants or when the eloquent areas need to be carefully investigated. Such investigations allow tailoring surgery to each child. SN - 0028-3770 UR - https://www.unboundmedicine.com/medline/citation/18423772/[Electrophysiological_investigations_in_childhood_epilepsy_surgery]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0028-3770(08)00094-5 DB - PRIME DP - Unbound Medicine ER -