Practical coverage of the innovative surgical techniques for epilepsy Operative Techniques in Epilepsy Surgery is an essential guide to the latest techniques and therapeutic strategies for the surgical management of patients with epilepsy. Distinguished pioneers in the field provide comprehensive coverage of the range of operative approaches, helping clinicians to thoroughly prepare for surgery. The book first discusses surgical planning and then presents techniques for cortical resection and various types of intraoperative mapping. The final sections of the book describe innovative approaches, such as neuromodulation and radiosurgery. Features: Guidelines from leading experts in the field of epilepsy surgery Detailed step-by-step descriptions of procedures, including practical information on image guidance and invasive monitoring Discussion of innovative techniques including deep brain stimulation, responsive stimulation, and radiosurgery High-quality illustrations that facilitate comprehension of surgical steps Ideal for neurosurgeons and trainees, this book is an indispensable, single-volume source of information on all technical aspects of epilepsy surgery. It also serves as a valuable reference for clinicians and residents in neurology and neuroradiology.
The thoroughly revised and updated Second Edition of this landmark work is the most comprehensive and current reference on the surgical treatment of the epilepsies. More than 100 invited experts from around the world present a global view of contemporary approaches to presurgical evaluation, surgical treatment, and postsurgical assessment. This edition provides detailed information on the vital role of structural and functional neuroimaging in presurgical evaluation and surgical planning. Noted experts offer up-to-date patient selection guidelines and explain current concepts of intractability. The book details the most effective surgical techniques, presents extensive data on surgical outcome, and discusses strategies for preventing and managing complications. More than 500 illustrations complement the text. An appendix section includes protocols and outcome statistics from over 50 leading epilepsy surgery centers.
Textbook of Epilepsy Surgery covers all of the latest advances in the surgical management of epilepsy. The book provides a better understanding of epileptogenic mechanisms in etiologically different types of epilepsy and explains neuronavigation systems. It discusses new neuroimaging techniques, new surgical strategies, and more aggressive surgical approaches in cases with catastrophic epilepsies. The contributors also analyze the improved statistics of surgical outcome in different epilepsy types. This definitive textbook is an invaluable reference for neurologists, neurosurgeons, epilepsy specialists, and those interested in epilepsy and its surgical treatment.
Techniques in Epilepsy Surgery presents the operative procedures used in the treatment of intractable epilepsy in a practical, clinically relevant manner. Founded by pioneering neurosurgeon Wilder Penfield, the Montreal Neurological Institute (MNI) is a leading global centre of epilepsy surgery and this volume reflects the Institute's approach, combining traditional techniques with modern neuronavigation-based approaches. There is an emphasis on mastering the important trilogy of topographic, vascular and functional anatomy of the brain. The basic anatomical and physiological mechanisms underlying epilepsy are presented in a practical manner, along with the clinical seizure evaluation that leads to a surgical hypothesis. The consultation skills and investigations necessary for appropriate patient selection are discussed, as well as pitfalls and the avoidance of complications. This is an invaluable resource not only for neurosurgeons, neurosurgical residents and fellows in epilepsy surgery, but also for neurologists, and others who provide medical care for patients with intractable epilepsy.
All about diagnostic and prognostic tools available as well as epilepsy surgery. Patients with refractory extratemporal lobe epilepsy, particularly those in whom imaging examinations did not reveal any brain lesions, have a less positive prognosis after surgery than those with mesial temporal lobe epilepsy. The semiology of seizures, the functional imaging techniques, neuropsychological evaluation and intracranial EEG are used to select surgical patients. Moreover, a large number of centres have experimented with new methods for identifying the epileptogenic area in these patients. Written by international experts who attended the Cleveland colloquium, it will be all the more useful to neurologists, neurosurgeons and epileptologists as no other work until now has focused on this subject. Contents : Section I - Semiology of extratemporal lobe epilepsy Section II - Non-inasive neurophysiology of extratemporal lobe epilepsies Section III - Neuroimaging of extratemporal lobe epilepsies Section IV - Invasive evaluation of extratemporal lobe epilepsies Section V - Surgery and outcome of extratemporal lobe epilepsies
This book consists of the proceedings of a concensus conference on surgery in epilepsy and includes discussions of patient selection, evaluation, surgical techniques, and assessment of outcome. The conclusions of the concensus panel are presented. The volume is excellent in its concise presentations of the current state of knowledge, in-depth discussions of methodological issues, and clear conclusions of the concensus panel.
The child is neither an adult miniature nor an immature human being: at each age, it expresses specific abilities that optimize adaptation to its environment and development of new acquisitions. Diseases in children cover all specialties encountered in adulthood, and neurology involves a particularly large area, ranging from the brain to the striated muscle, the generation and functioning of which require half the genes of the whole genome and a majority of mitochondrial ones. Human being nervous system is sensitive to prenatal aggression, is particularly immature at birth and development may be affected by a whole range of age-dependent disorders distinct from those that occur in adults. Even diseases more often encountered in adulthood than childhood may have specific expression in the developing nervous system. The course of chronic neurological diseases beginning before adolescence remains distinct from that of adult pathology – not only from the cognitive but also motor perspective, right into adulthood, and a whole area is developing for adult neurologists to care for these children with persisting neurological diseases when they become adults. Just as pediatric neurology evolved as an identified specialty as the volume and complexity of data became too much for the general pediatician or the adult neurologist to master, the discipline has now continued to evolve into so many subspecialties, such as epilepsy, neuromuscular disease, stroke, malformations, neonatal neurology, metabolic diseases, etc., that the general pediatric neurologist no longer can reasonably possess in-depth expertise in all areas, particularly in dealing with complex cases. Subspecialty expertise thus is provided to some trainees through fellowship programmes following a general pediatric neurology residency and many of these fellowships include training in research. Since the infectious context, the genetic background and medical practice vary throughout the world, this diversity needs to be represented in a pediatric neurology textbook. Taken together, and although brain malformations (H. Sarnat & P. Curatolo, 2007) and oncology (W. Grisold & R. Soffietti) are covered in detail in other volumes of the same series and therefore only briefly addressed here, these considerations justify the number of volumes, and the number of authors who contributed from all over the world. Experts in the different subspecialties also contributed to design the general framework and contents of the book. Special emphasis is given to the developmental aspect, and normal development is reminded whenever needed – brain, muscle and the immune system. The course of chronic diseases into adulthood and ethical issues specific to the developing nervous system are also addressed. - A volume in the Handbook of Clinical Neurology series, which has an unparalleled reputation as the world's most comprehensive source of information in neurology - International list of contributors including the leading workers in the field - Describes the advances which have occurred in clinical neurology and the neurosciences, their impact on the understanding of neurological disorders and on patient care
Designed to provide a comprehensive but accessible introduction to epilepsy and seizure disorders, Epilepsy, 2nd edition provides state-of-the-art information in a concise format useful to a wide audience, from neurology residents to epilepsy fellows and practitioners. This illustrated guide to the assessment, diagnosis, and treatment of epilepsy is a valuable resource enabling clinicians to stay on top of the latest recommendations for best practice.
MRI can play an important role in identifying and localizing epileptogenic foci. This book aims to provide the clinical and imaging information required in order to decide whether an MRI scan is appropriate and whether it is likely to be sufficient to detect a lesion. The first part of the book presents background information on epilepsy patients and explains how to perform an MRI examination. Detailed attention is paid to functional MRI and post-processing, and the examination of subcategories of patients is also discussed. The second part of the book then documents the MRI findings obtained in the full range of epileptogenic lesions with the aid of high-quality images. Throughout, emphasis is placed on guiding the reader in the correct interpretation of the imaging findings. Both radiologists and referring physicians will find this book to be an indispensable guide to the optimal use of MRI in epilepsy.
his unique book uses actual cases to illuminate the work-up and surgical management of the medically intractable epileptic patient. Clinical cases cover epilepsy surgery from both anatomical presentation and precipitating condition. A separate section provides insightful expert perspectives on important controversies in the field. FEATURES: Varied yet structured case- study format Insightful commentary on each case Covers both commonly encountered and rare conditions Addresses current controversies in the fiel
