Post-resection electrocorticography has no added value in epilepsy surgery

被引：12

作者：

El Tahry, Riem ^{[1
]}

Santos, Susana Ferrao ^{[1
]}

de Tourtchaninoff, Marianne ^{[1
]}

Vaz, Jose Geraldo Ribeiro ^{[2
]}

Finet, Patrice ^{[2
]}

Raftopoulos, Christian ^{[2
]}

van Rijckevorsel, Kenou ^{[1
]}

机构：

[1] Catholic Univ Louvain, Clin Univ St Luc, Ctr Refractory Epilepsy, Dept Neurol, Av Hippocrate 10, B-1200 Brussels, Belgium

[2] Catholic Univ Louvain, Clin Univ St Luc, Dept Neurosurg, Av Hippocrate 10, B-1200 Brussels, Belgium

来源：

ACTA NEUROLOGICA BELGICA | 2016年 / 116卷 / 03期

关键词：

Refractory epilepsy; Epilepsy surgery; Electrocorticography; TEMPORAL-LOBE EPILEPSY; INTRAOPERATIVE ELECTROCORTICOGRAPHY; INTRACTABLE EPILEPSY; SEIZURE OUTCOMES; TUMOR RESECTION; EPILEPTOGENICITY; CHILDREN; PROPOSAL; DRUG;

D O I：

10.1007/s13760-016-0641-2

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Intra-operative electrocorticography (ECoG) has been traditionally used in the surgical management of medically refractory partial epilepsies to identify the limits of the epileptogenic zone. This retrospective study had as goal to evaluate whether tailored surgery based on the presurgical evaluation completed by intra-operative post-resection ECoG improves outcome. We reviewed 94 cases of epilepsy surgery with intra-operative ECoG and determined how many had an ECoG-guided surgical procedure in addition to the initial planned surgery. We also reviewed the presence of specific recurrent ECoG patterns of interictal epileptiform discharges (IED) in the exposed cortical surface, such as: electrographic seizures, bursts, intermittent spike waves, polyspikes or fast rhythms and continuous or quasi-continuous spiking. When performing a post-resection ECoG-tailored surgery, outcome did not improve in lesional or non-lesional epilepsy. Postoperative residual IED did not correlate with a poorer outcome. In our study, the persistence of post-resection IED on ECoG is not correlated with outcome in patients with lesional or non-lesional epilepsy.

引用

页码：279 / 285

页数：7

共 32 条

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