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Stereoelectroencephalography in the very young: Case report

Stereoelectroencephalography (SEEG) is an increasingly popular invasive monitoring approach to epilepsy surgery in patients with drug-resistant epilepsies. The technique allows a three-dimensional definition of the epileptogenic zones (EZ) in the brain. It has been shown to be safe and effective in...

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Autores principales: Katz, Joshua, Armstrong, Caren, Kvint, Svetlana, Kennedy, Benjamin C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9157455/
https://www.ncbi.nlm.nih.gov/pubmed/35664664
http://dx.doi.org/10.1016/j.ebr.2022.100552
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author Katz, Joshua
Armstrong, Caren
Kvint, Svetlana
Kennedy, Benjamin C.
author_facet Katz, Joshua
Armstrong, Caren
Kvint, Svetlana
Kennedy, Benjamin C.
author_sort Katz, Joshua
collection PubMed
description Stereoelectroencephalography (SEEG) is an increasingly popular invasive monitoring approach to epilepsy surgery in patients with drug-resistant epilepsies. The technique allows a three-dimensional definition of the epileptogenic zones (EZ) in the brain. It has been shown to be safe and effective in adults and older children but has been used sparingly in children less than two years old due to concerns about pin fixation in thin bone, registration accuracy, and bolt security. As such, most current series of pediatric invasive EEG explorations do not include young participants, and, when they do, SEEG is often not utilized for these patients. Recent national survey data further suggests SEEG is infrequently utilized in very young patients. We present a novel case of SEEG used to localize the EZ in a 17-month-old patient with thin cranial bone, an open fontanelle, and severe drug-resistant epilepsy due to tuberous sclerosis complex (TSC), with excellent accuracy, surgical results, and seizure remission.
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spelling pubmed-91574552022-06-02 Stereoelectroencephalography in the very young: Case report Katz, Joshua Armstrong, Caren Kvint, Svetlana Kennedy, Benjamin C. Epilepsy Behav Rep Article Stereoelectroencephalography (SEEG) is an increasingly popular invasive monitoring approach to epilepsy surgery in patients with drug-resistant epilepsies. The technique allows a three-dimensional definition of the epileptogenic zones (EZ) in the brain. It has been shown to be safe and effective in adults and older children but has been used sparingly in children less than two years old due to concerns about pin fixation in thin bone, registration accuracy, and bolt security. As such, most current series of pediatric invasive EEG explorations do not include young participants, and, when they do, SEEG is often not utilized for these patients. Recent national survey data further suggests SEEG is infrequently utilized in very young patients. We present a novel case of SEEG used to localize the EZ in a 17-month-old patient with thin cranial bone, an open fontanelle, and severe drug-resistant epilepsy due to tuberous sclerosis complex (TSC), with excellent accuracy, surgical results, and seizure remission. Elsevier 2022-05-18 /pmc/articles/PMC9157455/ /pubmed/35664664 http://dx.doi.org/10.1016/j.ebr.2022.100552 Text en © 2022 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Katz, Joshua
Armstrong, Caren
Kvint, Svetlana
Kennedy, Benjamin C.
Stereoelectroencephalography in the very young: Case report
title Stereoelectroencephalography in the very young: Case report
title_full Stereoelectroencephalography in the very young: Case report
title_fullStr Stereoelectroencephalography in the very young: Case report
title_full_unstemmed Stereoelectroencephalography in the very young: Case report
title_short Stereoelectroencephalography in the very young: Case report
title_sort stereoelectroencephalography in the very young: case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9157455/
https://www.ncbi.nlm.nih.gov/pubmed/35664664
http://dx.doi.org/10.1016/j.ebr.2022.100552
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