Insular Resection
8 Insular Resection Christopher R. Mascott There has been a rebirth of interest in the insula of Reil from a surgical perspective over the past years. Insular cortex remains somewhat…
NEUROSURGERY
Image Guidance and Epilepsy Surgery
1 Image Guidance and Epilepsy Surgery Christopher R. Mascott Navigational systems have gained widespread acceptance in the neurosurgical community over the past decade. There is hardly a contemporary neurosurgery center…
Corticography
11 Corticography Douglas Maus and Brian Litt Detecting the intrinsic electrical activity of the brain remarkably followed, rather than preceded, electrically stimulating the brain. In the late 19th century, individuals…
Functional Hemispherectomy and Periinsular Hemispherectomy
15 Functional Hemispherectomy and Periinsular Hemispherotomy Jean-Guy Villemure and Roy Thomas Daniel The introduction of functional techniques in surgery for hemispheric epilepsy has generated renewed interest in this small subgroup…
Stimulation of the Amygdala and Hippocampus
17 Stimulation of Amygdala and Hippocampus Claudio Pollo and Jean-Guy Villemure Despite considerable advances in pharmacological therapy for epilepsy, 25 to 30% of medically treated epileptic patients continue to have…
Deep Brain Stimulation
18 Deep Brain Stimulation Casey Halpern, Uzma Samadani, Jurg L. Jaggi and Gordon Baltuch Approximately one-third of patients with epilepsy will have persistent seizures despite maximal antiepileptic drug (AED) therapy.1–3…
Selective Amygdalohippocampectomy
5 Selective Amygdalohippocampectomy Warren W. Boling It is useful to categorize temporal lobe epilepsy into one of two types based on the anatomical site of seizure onset: neocortical (lateral temporal)…
Radiosurgery
20 Radiosurgery Jean Régis, Fabrice Bartolomei and Patrick Chauvel There is growing interest in the use of radiosurgery for treating medically intractable epilepsy. Our local clinical experience (122 patients), accumulated…
Temporal Lobectomy and Amygdalohippocampectomy
4 Temporal Lobectomy and Amygdalohippocampectomy Patrick J. Connolly and Gordon H. Baltuch Layout of the Operating Room and Positioning the Patient A multidisciplinary team is required for epilepsy surgery and…
Callosotomy
13 Callosotomy Jean-Pierre Farmer, Abdulrahman J. Sabbagh and Jeffrey D. Atkinson The goal of the majority of surgical and medical therapies for the treatment of epilepsy is the complete cessation…
