The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.
Stereoelectroencephalography in presurgical assessment of MRI-negative epilepsy
Open accessAbstract
According to most existing literature, the absence of an MRI lesion is generally associated with poorer prognosis in resective epilepsy surgery. Delineation of the epileptogenic zone (EZ) by intracranial recording is usually required but is perceived to be more difficult in 'MRI negative' cases. Most previous studies have used subdural recording and there is relatively less published data on stereoelectroencephalography (SEEG). The objective of this study was to report the experience of our group in using SEEG in presurgical evaluation, comparing its effectiveness in normal and lesional MRI cases. One hundred consecutive patients undergoing SEEG for presurgical assessment were studied. Forty-three patients out of one hundred (43%) had normal MRI and 57 (57%) had lesional MRI. Successful localization was achieved with no difference between these two groups, in 41/43 (95%) normal MRI and in 55/57 (96%) lesional MRI cases (P = 1.00). Surgery was proposed in 84/100 patients and contraindicated in 16/100 with no significant difference between lesional and MRI-negative groups (P > 0.05). At 1 year follow-up, 11/20 (55%) of those having undergone cortectomy in the MRI-negative group and 21/40 (53%) in the lesional MRI group were entirely seizure free (P > 0.05) and these proportions were maintained at 2 years follow-up. Significant improvement in seizure control (ILAE outcome groups 1-4) was achieved in >90% cases with no difference between groups (P > 0.05). Of MRI-negative cases that underwent surgery, 10/23 (43%) had focal cortical dysplasia. This series showed that SEEG was equally effective in the presurgical evaluation of MRI-negative and lesional epilepsies.
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Citations
Cites
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Preoperative MRI predicts outcome of temporal lobectomy
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Cited by
In vivo recordings of brain activity using organic transistors
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Self-citationElectroencephalographic source imaging: a prospective study of 152 operated epileptic patients
Brodbeck, V., Spinelli, L., Lascano, A. M., Wissmeier, M., Vargas, M.-I., Vulliemoz, S., Pollo, C., Schaller, K., Michel, C. M., & Seeck, M. (2011) · Brain · doi:10.1093/brain/awr243 · Cited by 427
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Glutamatergic pre-ictal discharges emerge at the transition to seizure in human epilepsy
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Metadata
- Authors
- McGonigal, A., Bartolomei, F., Regis, J., Guye, M., Gavaret, M., Fonseca, A. T.-D., Dufour, H., Figarella-Branger, D., Girard, N., Peragut, J.-C., & Chauvel, P.
- Venue
- Brain
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-05-03
- Volume
- 130
- Issue
- 12
- Pages
- 3169-3183
- ISSN
- 0006-8950 (ISSN-L)
- 1460-2156
- OpenAlex
- W2050508682
- Cited by
- 290
- References
- 25
- FWCI
- 6.01
- Type
- journal article
- Language
- en
- Open access
- bronze
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- McGonigal, A., Bartolomei, F., Regis, J., Guye, M., Gavaret, M., Fonseca, A. T.-D., Dufour, H., Figarella-Branger, D., Girard, N., Peragut, J.-C., & Chauvel, P. (2007). Stereoelectroencephalography in presurgical assessment of MRI-negative epilepsy. Brain. https://doi.org/10.1093/brain/awm218
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