Chapter 50 - Presurgical evaluation in adults: noninvasive. Baumgartner, C. & Pirker, S. In Epilepsy, volume Volume 108, pages 841–866. Elsevier, 2012.
Paper abstract bibtex Abstract Noninvasive presurgical epilepsy evaluation in adults relies on different investigations assessing the epileptogenic lesion, the irritative zone, the seizure-onset zone, the ictal symptomatogenic zone, and the functional deficit zone. Noninvasive investigations consist of obligatory techniques including intensive video-electroencephalography monitoring, high-resolution magnetic resonance imaging (MRI) and neuropsychological testing, which need to be performed in every patient. Optional techniques (single photon emission computed tomography, positron emission tomography, functional MRI, magnetic resonance spectroscopy, magnetoencephalography, and the Wada test) need to be applied only in cases in which the obligatory methods are insufficient to allow a reliable localization of the epileptogenic zone and/or essential brain regions. In most patients, invasive techniques can be obviated based on the results of these noninvasive studies. Besides accurate localization of the epileptogenic zone, an assessment of the functional deficit zone as well as the localization of essential brain regions are of at least equal importance during presurgical evaluation. Thus, an accurate prognosis for postoperative seizure control as well as functional capacities for individual patients can be achieved.
@incollection{baumgartner_chapter_2012,
title = {Chapter 50 - {Presurgical} evaluation in adults: noninvasive},
volume = {Volume 108},
isbn = {0072-9752},
shorttitle = {Chapter 50 - {Presurgical} evaluation in adults},
url = {http://www.sciencedirect.com/science/article/pii/B9780444528995000320},
abstract = {Abstract
Noninvasive presurgical epilepsy evaluation in adults relies on different investigations assessing the epileptogenic lesion, the irritative zone, the seizure-onset zone, the ictal symptomatogenic zone, and the functional deficit zone. Noninvasive investigations consist of obligatory techniques including intensive video-electroencephalography monitoring, high-resolution magnetic resonance imaging (MRI) and neuropsychological testing, which need to be performed in every patient. Optional techniques (single photon emission computed tomography, positron emission tomography, functional MRI, magnetic resonance spectroscopy, magnetoencephalography, and the Wada test) need to be applied only in cases in which the obligatory methods are insufficient to allow a reliable localization of the epileptogenic zone and/or essential brain regions. In most patients, invasive techniques can be obviated based on the results of these noninvasive studies. Besides accurate localization of the epileptogenic zone, an assessment of the functional deficit zone as well as the localization of essential brain regions are of at least equal importance during presurgical evaluation. Thus, an accurate prognosis for postoperative seizure control as well as functional capacities for individual patients can be achieved.},
urldate = {2012-09-13},
booktitle = {Epilepsy},
publisher = {Elsevier},
author = {Baumgartner, Christoph and Pirker, Susanne},
collaborator = {Hermann Stefan {and} William H. Theodore},
year = {2012},
pages = {841--866},
}
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