Technical Aspects of SEEG and Its Interpretation in the Delineation of the Epileptogenic Zone

Stereo-electroencephalography (SEEG) has gained global popularity in recent years. In Japan, a country in which invasive studies using subdural electrodes (SDEs) have been the mainstream, SEEG has been approved for insurance coverage in 2020 and is expected to gain in popularity. Some concepts suppo...

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Detalles Bibliográficos
Autores principales: KHOO, Hui Ming, HALL, Jeffery A., DUBEAU, Francois, TANI, Naoki, OSHINO, Satoru, FUJITA, Yuya, GOTMAN, Jean, KISHIMA, Haruhiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Neurosurgical Society 2020
Materias:
Special Topic
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7803703/
https://www.ncbi.nlm.nih.gov/pubmed/33162469
http://dx.doi.org/10.2176/nmc.st.2020-0176
Descripción
Sumario:Stereo-electroencephalography (SEEG) has gained global popularity in recent years. In Japan, a country in which invasive studies using subdural electrodes (SDEs) have been the mainstream, SEEG has been approved for insurance coverage in 2020 and is expected to gain in popularity. Some concepts supporting SEEG methodology are fundamentally different from that of SDE studies. Clinicians interested in utilizing SEEG in their practice should be aware of those aspects in which they differ. Success in utilizing the SEEG methodology relies heavily on the construction of an a priori hypothesis regarding the putative seizure onset zone (SOZ) and propagation. This article covers the technical and theoretical aspects of SEEG, including the surgical techniques and precautions, hypothesis construction, and the interpretation of the recording, all with the aim of providing an introductory guide to SEEG.

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