By Gábor Szikla (auth.), F. John Gillingham, Jan Gybels, Edward Hitchcock, Gian Franco Rossi, Gábor Szikla (eds.)
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Extra resources for Advances in Stereotactic and Functional Neurosurgery 4: Proceedings of the 4th Meeting of the European Society for Stereotactic and Functional Neurosurgery, Paris 1979
These seizures are, in our opinion, the best criterion for a topographic definition of epileptogenic areas in order to plan a stereo-EEG investigation. However, the patient should be submitted to chemical activators (Megimide or Metrazol), especially whenever these activators are used during the stereo-EEG exploration, which is frequently the case. The validity of these methods certainly would desserve a wider discussion (Bancaud et al. 1973). Once established, this assessment will lead to make a decision on neuroradiological contrast studies and on its stereotactic modalities.
In this particular case, the operation necessarily implies a risk, which should obviously be controlled as far as possible so as not to inflict a neurological deficit, which would prove particularly distressing if seizures persist after the procedure. B. Cortical Removal The patient is placed on the operating table in an orthogonal position, thus facilitating comparison to the orthogonal radiographs which are undistorted and of approximately natural size. It is often extremely difficult and sometimes impossible to identify cortical structures without such data.
D) Psychiatric and Psychological Assessment In our opinion, this assessment is a major factor to evaluate the indications of the stereo-EEG exploration, of the surgical decision and it is even bearing upon surgical strategy. 28 J. Bancaud: 2. EEG Studies a) Interictal EEG (Fig. 3) It is imperative to take into account the evolution of EEG patterns over a long period: even over a relatively short period, it is necessary to repeat examinations under different conditions. The purpose of the examination is double: To suggest or confirm a possible single, multiple, diffuse.
Advances in Stereotactic and Functional Neurosurgery 4: Proceedings of the 4th Meeting of the European Society for Stereotactic and Functional Neurosurgery, Paris 1979 by Gábor Szikla (auth.), F. John Gillingham, Jan Gybels, Edward Hitchcock, Gian Franco Rossi, Gábor Szikla (eds.)