Surgical Strategies for Epilepsy in Developing Countries: Experience with SEEG in Temporal Lobe Epilepsy
- Autores
- Oddo, Silvia Andrea; Giagante, Brenda; Kochen, Sara Silvia
- Año de publicación
- 2021
- Idioma
- inglés
- Tipo de recurso
- artículo
- Estado
- versión publicada
- Descripción
- Introduction: In this work we present the evidence that in a developing country, it is possible toperform surgical treatment for drug resistant temporal lobe epilepsy patients, including those casesthat require SEEG, with a similar outcome than in developed countries.Methods: We selected 19 consecutive drug resistant temporal lobe epilepsy patients, whounderwent SEEG evaluation at El Cruce Hospital from 2014 to 2019. SEEG is performed due tofailure to localize the Epileptogenic Zone (EZ) with non-invasive methods, when the hypothesis ofEZ are suspected to involve extra temporal areas, negative MRI, suspected bilateral onset, bilateralhippocampal lesion, or with discrepancies between MRI findings and scalp Video-EEG monitoring.The implantation scheme was planned based on the EZ hypothesis, based on scalp Video-EEG,especially ictal clinical semiology, neuroimaging data and neuropsychological results. Between 6and 12 multilead electrodes per patient were implanted, in temporal and extra temporal areas.Results: Thirteen patients (68.4%) with unilateral EZ were found eligible for surgery after SEEG.Seven patients underwent a mesial temporal region resection (left N=3, right n=4). One patientunderwent a frontotemporal corticectomy, one patient an insulectomy. Because of the pandemicsituation, four patients are on a list for surgery. Six patients were formally excluded from surgerybecause of the bilateral (seizures originating independently or concomitantly in both temporallobes) or multifocal origin of their seizures.Conclusion: According to the results obtained in this case analysis, we consider SEEG to be anappropriate method to define EZ in patients with drug-resistant temporal epilepsy and thesubsequent indication for surgery. We hope to encourage the multiplication of epilepsy surgerycenters in the region that have specialist staff and financial resources. Despite the high costs, it isachievable development with the same quality as that carried out in developed countries.
Fil: Oddo, Silvia Andrea. Universidad Nacional Arturo Jauretche. Unidad Ejecutora de Estudios en Neurociencias y Sistemas Complejos. Provincia de Buenos Aires. Ministerio de Salud. Hospital Alta Complejidad en Red El Cruce Dr. Néstor Carlos Kirchner Samic. Unidad Ejecutora de Estudios en Neurociencias y Sistemas Complejos. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Unidad Ejecutora de Estudios en Neurociencias y Sistemas Complejos; Argentina
Fil: Giagante, Brenda. Provincia de Buenos Aires. Ministerio de Salud. Hospital Alta Complejidad en Red El Cruce Dr. Néstor Carlos Kirchner Samic; Argentina
Fil: Kochen, Sara Silvia. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina - Materia
-
Temporal lobe epilepsy
Stereoelectroencephalography
Epilepsy surgery
Ictal clinical semiology
Ictal electrical semiology - Nivel de accesibilidad
- acceso abierto
- Condiciones de uso
- https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
- Repositorio
- Institución
- Consejo Nacional de Investigaciones Científicas y Técnicas
- OAI Identificador
- oai:ri.conicet.gov.ar:11336/217311
Ver los metadatos del registro completo
id |
CONICETDig_041493c7630fd6216e380b289e36f0dd |
---|---|
oai_identifier_str |
oai:ri.conicet.gov.ar:11336/217311 |
network_acronym_str |
CONICETDig |
repository_id_str |
3498 |
network_name_str |
CONICET Digital (CONICET) |
spelling |
Surgical Strategies for Epilepsy in Developing Countries: Experience with SEEG in Temporal Lobe EpilepsyOddo, Silvia AndreaGiagante, BrendaKochen, Sara SilviaTemporal lobe epilepsyStereoelectroencephalographyEpilepsy surgeryIctal clinical semiologyIctal electrical semiologyhttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3Introduction: In this work we present the evidence that in a developing country, it is possible toperform surgical treatment for drug resistant temporal lobe epilepsy patients, including those casesthat require SEEG, with a similar outcome than in developed countries.Methods: We selected 19 consecutive drug resistant temporal lobe epilepsy patients, whounderwent SEEG evaluation at El Cruce Hospital from 2014 to 2019. SEEG is performed due tofailure to localize the Epileptogenic Zone (EZ) with non-invasive methods, when the hypothesis ofEZ are suspected to involve extra temporal areas, negative MRI, suspected bilateral onset, bilateralhippocampal lesion, or with discrepancies between MRI findings and scalp Video-EEG monitoring.The implantation scheme was planned based on the EZ hypothesis, based on scalp Video-EEG,especially ictal clinical semiology, neuroimaging data and neuropsychological results. Between 6and 12 multilead electrodes per patient were implanted, in temporal and extra temporal areas.Results: Thirteen patients (68.4%) with unilateral EZ were found eligible for surgery after SEEG.Seven patients underwent a mesial temporal region resection (left N=3, right n=4). One patientunderwent a frontotemporal corticectomy, one patient an insulectomy. Because of the pandemicsituation, four patients are on a list for surgery. Six patients were formally excluded from surgerybecause of the bilateral (seizures originating independently or concomitantly in both temporallobes) or multifocal origin of their seizures.Conclusion: According to the results obtained in this case analysis, we consider SEEG to be anappropriate method to define EZ in patients with drug-resistant temporal epilepsy and thesubsequent indication for surgery. We hope to encourage the multiplication of epilepsy surgerycenters in the region that have specialist staff and financial resources. Despite the high costs, it isachievable development with the same quality as that carried out in developed countries.Fil: Oddo, Silvia Andrea. Universidad Nacional Arturo Jauretche. Unidad Ejecutora de Estudios en Neurociencias y Sistemas Complejos. Provincia de Buenos Aires. Ministerio de Salud. Hospital Alta Complejidad en Red El Cruce Dr. Néstor Carlos Kirchner Samic. Unidad Ejecutora de Estudios en Neurociencias y Sistemas Complejos. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Unidad Ejecutora de Estudios en Neurociencias y Sistemas Complejos; ArgentinaFil: Giagante, Brenda. Provincia de Buenos Aires. Ministerio de Salud. Hospital Alta Complejidad en Red El Cruce Dr. Néstor Carlos Kirchner Samic; ArgentinaFil: Kochen, Sara Silvia. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaRemedy Publications2021-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/217311Oddo, Silvia Andrea; Giagante, Brenda; Kochen, Sara Silvia; Surgical Strategies for Epilepsy in Developing Countries: Experience with SEEG in Temporal Lobe Epilepsy; Remedy Publications; Annals of Epilepsy and Seizures; 3; 1014; 12-2021; 1-102644-0458CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://www.remedypublications.com/open-access/surgical-strategies-for-epilepsy-in-developing-countries-experience-with-seeg-8288.pdfinfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T09:36:52Zoai:ri.conicet.gov.ar:11336/217311instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 09:36:52.86CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse |
dc.title.none.fl_str_mv |
Surgical Strategies for Epilepsy in Developing Countries: Experience with SEEG in Temporal Lobe Epilepsy |
title |
Surgical Strategies for Epilepsy in Developing Countries: Experience with SEEG in Temporal Lobe Epilepsy |
spellingShingle |
Surgical Strategies for Epilepsy in Developing Countries: Experience with SEEG in Temporal Lobe Epilepsy Oddo, Silvia Andrea Temporal lobe epilepsy Stereoelectroencephalography Epilepsy surgery Ictal clinical semiology Ictal electrical semiology |
title_short |
Surgical Strategies for Epilepsy in Developing Countries: Experience with SEEG in Temporal Lobe Epilepsy |
title_full |
Surgical Strategies for Epilepsy in Developing Countries: Experience with SEEG in Temporal Lobe Epilepsy |
title_fullStr |
Surgical Strategies for Epilepsy in Developing Countries: Experience with SEEG in Temporal Lobe Epilepsy |
title_full_unstemmed |
Surgical Strategies for Epilepsy in Developing Countries: Experience with SEEG in Temporal Lobe Epilepsy |
title_sort |
Surgical Strategies for Epilepsy in Developing Countries: Experience with SEEG in Temporal Lobe Epilepsy |
dc.creator.none.fl_str_mv |
Oddo, Silvia Andrea Giagante, Brenda Kochen, Sara Silvia |
author |
Oddo, Silvia Andrea |
author_facet |
Oddo, Silvia Andrea Giagante, Brenda Kochen, Sara Silvia |
author_role |
author |
author2 |
Giagante, Brenda Kochen, Sara Silvia |
author2_role |
author author |
dc.subject.none.fl_str_mv |
Temporal lobe epilepsy Stereoelectroencephalography Epilepsy surgery Ictal clinical semiology Ictal electrical semiology |
topic |
Temporal lobe epilepsy Stereoelectroencephalography Epilepsy surgery Ictal clinical semiology Ictal electrical semiology |
purl_subject.fl_str_mv |
https://purl.org/becyt/ford/3.2 https://purl.org/becyt/ford/3 |
dc.description.none.fl_txt_mv |
Introduction: In this work we present the evidence that in a developing country, it is possible toperform surgical treatment for drug resistant temporal lobe epilepsy patients, including those casesthat require SEEG, with a similar outcome than in developed countries.Methods: We selected 19 consecutive drug resistant temporal lobe epilepsy patients, whounderwent SEEG evaluation at El Cruce Hospital from 2014 to 2019. SEEG is performed due tofailure to localize the Epileptogenic Zone (EZ) with non-invasive methods, when the hypothesis ofEZ are suspected to involve extra temporal areas, negative MRI, suspected bilateral onset, bilateralhippocampal lesion, or with discrepancies between MRI findings and scalp Video-EEG monitoring.The implantation scheme was planned based on the EZ hypothesis, based on scalp Video-EEG,especially ictal clinical semiology, neuroimaging data and neuropsychological results. Between 6and 12 multilead electrodes per patient were implanted, in temporal and extra temporal areas.Results: Thirteen patients (68.4%) with unilateral EZ were found eligible for surgery after SEEG.Seven patients underwent a mesial temporal region resection (left N=3, right n=4). One patientunderwent a frontotemporal corticectomy, one patient an insulectomy. Because of the pandemicsituation, four patients are on a list for surgery. Six patients were formally excluded from surgerybecause of the bilateral (seizures originating independently or concomitantly in both temporallobes) or multifocal origin of their seizures.Conclusion: According to the results obtained in this case analysis, we consider SEEG to be anappropriate method to define EZ in patients with drug-resistant temporal epilepsy and thesubsequent indication for surgery. We hope to encourage the multiplication of epilepsy surgerycenters in the region that have specialist staff and financial resources. Despite the high costs, it isachievable development with the same quality as that carried out in developed countries. Fil: Oddo, Silvia Andrea. Universidad Nacional Arturo Jauretche. Unidad Ejecutora de Estudios en Neurociencias y Sistemas Complejos. Provincia de Buenos Aires. Ministerio de Salud. Hospital Alta Complejidad en Red El Cruce Dr. Néstor Carlos Kirchner Samic. Unidad Ejecutora de Estudios en Neurociencias y Sistemas Complejos. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Unidad Ejecutora de Estudios en Neurociencias y Sistemas Complejos; Argentina Fil: Giagante, Brenda. Provincia de Buenos Aires. Ministerio de Salud. Hospital Alta Complejidad en Red El Cruce Dr. Néstor Carlos Kirchner Samic; Argentina Fil: Kochen, Sara Silvia. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina |
description |
Introduction: In this work we present the evidence that in a developing country, it is possible toperform surgical treatment for drug resistant temporal lobe epilepsy patients, including those casesthat require SEEG, with a similar outcome than in developed countries.Methods: We selected 19 consecutive drug resistant temporal lobe epilepsy patients, whounderwent SEEG evaluation at El Cruce Hospital from 2014 to 2019. SEEG is performed due tofailure to localize the Epileptogenic Zone (EZ) with non-invasive methods, when the hypothesis ofEZ are suspected to involve extra temporal areas, negative MRI, suspected bilateral onset, bilateralhippocampal lesion, or with discrepancies between MRI findings and scalp Video-EEG monitoring.The implantation scheme was planned based on the EZ hypothesis, based on scalp Video-EEG,especially ictal clinical semiology, neuroimaging data and neuropsychological results. Between 6and 12 multilead electrodes per patient were implanted, in temporal and extra temporal areas.Results: Thirteen patients (68.4%) with unilateral EZ were found eligible for surgery after SEEG.Seven patients underwent a mesial temporal region resection (left N=3, right n=4). One patientunderwent a frontotemporal corticectomy, one patient an insulectomy. Because of the pandemicsituation, four patients are on a list for surgery. Six patients were formally excluded from surgerybecause of the bilateral (seizures originating independently or concomitantly in both temporallobes) or multifocal origin of their seizures.Conclusion: According to the results obtained in this case analysis, we consider SEEG to be anappropriate method to define EZ in patients with drug-resistant temporal epilepsy and thesubsequent indication for surgery. We hope to encourage the multiplication of epilepsy surgerycenters in the region that have specialist staff and financial resources. Despite the high costs, it isachievable development with the same quality as that carried out in developed countries. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-12 |
dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://purl.org/coar/resource_type/c_6501 info:ar-repo/semantics/articulo |
format |
article |
status_str |
publishedVersion |
dc.identifier.none.fl_str_mv |
http://hdl.handle.net/11336/217311 Oddo, Silvia Andrea; Giagante, Brenda; Kochen, Sara Silvia; Surgical Strategies for Epilepsy in Developing Countries: Experience with SEEG in Temporal Lobe Epilepsy; Remedy Publications; Annals of Epilepsy and Seizures; 3; 1014; 12-2021; 1-10 2644-0458 CONICET Digital CONICET |
url |
http://hdl.handle.net/11336/217311 |
identifier_str_mv |
Oddo, Silvia Andrea; Giagante, Brenda; Kochen, Sara Silvia; Surgical Strategies for Epilepsy in Developing Countries: Experience with SEEG in Temporal Lobe Epilepsy; Remedy Publications; Annals of Epilepsy and Seizures; 3; 1014; 12-2021; 1-10 2644-0458 CONICET Digital CONICET |
dc.language.none.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
info:eu-repo/semantics/altIdentifier/url/https://www.remedypublications.com/open-access/surgical-strategies-for-epilepsy-in-developing-countries-experience-with-seeg-8288.pdf |
dc.rights.none.fl_str_mv |
info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by-nc-sa/2.5/ar/ |
eu_rights_str_mv |
openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/ |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Remedy Publications |
publisher.none.fl_str_mv |
Remedy Publications |
dc.source.none.fl_str_mv |
reponame:CONICET Digital (CONICET) instname:Consejo Nacional de Investigaciones Científicas y Técnicas |
reponame_str |
CONICET Digital (CONICET) |
collection |
CONICET Digital (CONICET) |
instname_str |
Consejo Nacional de Investigaciones Científicas y Técnicas |
repository.name.fl_str_mv |
CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas |
repository.mail.fl_str_mv |
dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar |
_version_ |
1844613159138099200 |
score |
13.070432 |