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Surgical successes and failures of invasive video-EEG monitoring in the presurgical evaluation of epilepsy

Pieter Van Loo, Evelien Carrette UGent, Alfred Meurs UGent, Lutgard Goossens, Dirk Van Roost UGent, Kristl Vonck UGent and Paul Boon UGent (2011) PANMINERVA MEDICA. 53(4). p.227-240
abstract
Invasive monitoring with intracranial electrodes continues to play a critical role in the presurgical evaluation of patients with medically intractable epilepsy. Intracranial monitoring helps in localizing the epileptogenic zone and can be used to delineate eloquent cortical areas adjacent to this zone. In this review we analyzed surgical successes and failures of invasive video-electroencephalography (EEG) monitoring. Thorough understanding of all potential complications is of paramount importance not only for detection and successful management of intractable epilepsy but also for medicolegal purposes, as patients and their relatives need to be fully informed about the possible risks associated with invasive monitoring. A mortality rate between 0.5% and 2.8% has been reported. Cerebrospinal fluid (CSF) leaks and infections are the most frequent complications, with an incidence ranging from 0-31.3% and from 0-17.4%, respectively. The incidence of intracranial hemorrhage is reported to be up to 14% with subdural hematomas being the most prevalent. Epidural hematomas are less frequent and encountered in up to 2.6% of cases. Intraparenchymal hematomas are even less frequent and are typically associated with the placement of depth electrodes. In 47-98% of cases, invasive video-EEG monitoring results into resective surgery. Invasive video-EEG monitoring is a reasonably safe and effective method to help delineate the epileptogenic zone and its relation to eloquent cortex.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
CHILDREN, SEIZURE FOCUS, COMPLICATIONS, SURGERY, INTRACRANIAL EEG, PEDIATRIC EPILEPSY, CLINICAL ARTICLE, REFRACTORY EPILEPSY, SUBDURAL STRIP ELECTRODES, Epilepsy, Cerebrospinal fluid leak, Electroencephalography, DEPTH
journal title
PANMINERVA MEDICA
Panminerva Medica
volume
53
issue
4
pages
227 - 240
Web of Science type
Article
Web of Science id
000300603100003
JCR category
MEDICINE, GENERAL & INTERNAL
JCR impact factor
1.113 (2011)
JCR rank
78/153 (2011)
JCR quartile
3 (2011)
ISSN
0031-0808
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
3025405
handle
http://hdl.handle.net/1854/LU-3025405
alternative location
http://www.minervamedica.it/en/journals/panminerva-medica/article.php?cod=R41Y2011N04A0227
date created
2012-10-11 20:09:45
date last changed
2016-12-19 15:39:53
@article{3025405,
  abstract     = {Invasive monitoring with intracranial electrodes continues to play a critical role in the presurgical evaluation of patients with medically intractable epilepsy. Intracranial monitoring helps in localizing the epileptogenic zone and can be used to delineate eloquent cortical areas adjacent to this zone. In this review we analyzed surgical successes and failures of invasive video-electroencephalography (EEG) monitoring. Thorough understanding of all potential complications is of paramount importance not only for detection and successful management of intractable epilepsy but also for medicolegal purposes, as patients and their relatives need to be fully informed about the possible risks associated with invasive monitoring. A mortality rate between 0.5\% and 2.8\% has been reported. Cerebrospinal fluid (CSF) leaks and infections are the most frequent complications, with an incidence ranging from 0-31.3\% and from 0-17.4\%, respectively. The incidence of intracranial hemorrhage is reported to be up to 14\% with subdural hematomas being the most prevalent. Epidural hematomas are less frequent and encountered in up to 2.6\% of cases. Intraparenchymal hematomas are even less frequent and are typically associated with the placement of depth electrodes. In 47-98\% of cases, invasive video-EEG monitoring results into resective surgery. Invasive video-EEG monitoring is a reasonably safe and effective method to help delineate the epileptogenic zone and its relation to eloquent cortex.},
  author       = {Van Loo, Pieter and Carrette, Evelien and Meurs, Alfred and Goossens, Lutgard and Van Roost, Dirk and Vonck, Kristl and Boon, Paul},
  issn         = {0031-0808},
  journal      = {PANMINERVA MEDICA},
  keyword      = {CHILDREN,SEIZURE FOCUS,COMPLICATIONS,SURGERY,INTRACRANIAL EEG,PEDIATRIC EPILEPSY,CLINICAL ARTICLE,REFRACTORY EPILEPSY,SUBDURAL STRIP ELECTRODES,Epilepsy,Cerebrospinal fluid leak,Electroencephalography,DEPTH},
  language     = {eng},
  number       = {4},
  pages        = {227--240},
  title        = {Surgical successes and failures of invasive video-EEG monitoring in the presurgical evaluation of epilepsy},
  url          = {http://www.minervamedica.it/en/journals/panminerva-medica/article.php?cod=R41Y2011N04A0227},
  volume       = {53},
  year         = {2011},
}

Chicago
Van Loo, Pieter, EVELIEN CARRETTE, Alfred Meurs, LUTGARD GOOSSENS, Dirk Van Roost, Kristl Vonck, and Paul Boon. 2011. “Surgical Successes and Failures of Invasive video-EEG Monitoring in the Presurgical Evaluation of Epilepsy.” Panminerva Medica 53 (4): 227–240.
APA
Van Loo, P., CARRETTE, E., Meurs, A., GOOSSENS, L., Van Roost, D., Vonck, K., & Boon, P. (2011). Surgical successes and failures of invasive video-EEG monitoring in the presurgical evaluation of epilepsy. PANMINERVA MEDICA, 53(4), 227–240.
Vancouver
1.
Van Loo P, CARRETTE E, Meurs A, GOOSSENS L, Van Roost D, Vonck K, et al. Surgical successes and failures of invasive video-EEG monitoring in the presurgical evaluation of epilepsy. PANMINERVA MEDICA. 2011;53(4):227–40.
MLA
Van Loo, Pieter, EVELIEN CARRETTE, Alfred Meurs, et al. “Surgical Successes and Failures of Invasive video-EEG Monitoring in the Presurgical Evaluation of Epilepsy.” PANMINERVA MEDICA 53.4 (2011): 227–240. Print.