Chiari I Malformation
NEUROSURGERY CLINICS OF NORTH AMERICA www.neurosurgery.theclinics.com Consulting Editors RUSSELL LONSER ISAAC YANG October 2015 • Volume 26 • Number 4
Neuromodulation for Epilepsy
Several palliative neuromodulation treatment modalities are currently available for adjunctive use in the treatment of medically intractable epilepsy. Over the past decades, a variety of different central and peripheral nervous…
Responsive Direct Brain Stimulation for Epilepsy
Closed-loop, responsive focal brain stimulation provides a new treatment option for patients with refractory partial onset seizures who are not good candidates for potentially curative epilepsy surgery. The first responsive…
Stereo-Encephalography Versus Subdural Electrodes for Seizure Localization
In today’s practice, epileptologists and neurosurgeons have several options for seizure localization with intracranial electrodes during phase II evaluations. Traditionally, centers in North America have used subdural electrode grids (SDE…
The Stereo-Electroencephalography Methodology
The stereo-electroencephalography (SEEG) methodology and technique was developed almost 60 years ago in Europe. The efficacy and safety of SEEG has been proven. The main advantage is the possibility to study…
Radiosurgery for Medial Temporal Lobe Epilepsy Resulting from Mesial Temporal Sclerosis
Medial temporal lobe epilepsy associated with mesial temporal sclerosis (MTS) is perhaps the most well-defined epilepsy syndrome that is responsive to structural interventions such as surgery. Several minimally invasive techniques…
Laser Ablation in Pediatric Epilepsy
Laser ablation is an emerging, minimally invasive treatment for selected children with intractable focal epilepsy with improved procedural morbidity. Data for children lag similar studies in adults, but the hope…
Stereotactic Laser Ablation for Hypothalamic Hamartoma
Stereotactic laser ablation (SLA) is a minimally invasive approach to the treatment of medication-resistant epilepsy that accomplishes ablation of the seizure focus with real-time magnetic resonance thermal mapping. Rates of…
The Role of Stereotactic Laser Amygdalohippocampotomy in Mesial Temporal Lobe Epilepsy
Stereotactic laser amygdalohippocampotomy (SLAH) uses laser interstitial thermal therapy guided by magnetic resonance thermography. This novel intervention can achieve seizure freedom while minimizing collateral damage compared to traditional open surgery,…
Minimally Invasive Neurosurgery for Epilepsy Using Stereotactic MRI Guidance
Medically refractory epilepsy is associated with significant morbidity and mortality. Surgery is a safe and effective option for some patients, however the opportunity exists to develop less invasive and more…
