The Stereo-Electroencephalography Methodology

Soha Alomar; Jaes Jones; Andres Maldonado; Jorge Gonzalez-Martinez

doi:10.1016/j.nec.2015.08.003

The Stereo-Electroencephalography Methodology

Neurosurg Clin N Am. 2016 Jan;27(1):83-95. doi: 10.1016/j.nec.2015.08.003.

Authors

Soha Alomar¹, Jaes Jones¹, Andres Maldonado¹, Jorge Gonzalez-Martinez²

Affiliations

¹ Department of Neurosurgery, Epilepsy Center, Neurological Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
² Department of Neurosurgery, Epilepsy Center, Neurological Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA. Electronic address: gonzalj1@ccf.org.

PMID: 26615111
DOI: 10.1016/j.nec.2015.08.003

Abstract

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 the epileptogenic neuronal network in its dynamic and 3-dimensional aspect, with optimal time and space correlation, with the clinical semiology of the patient's seizures. The main clinical challenge for the near future remains in the further refinement of specific selection criteria for the different methods of invasive monitoring, with the ultimate goal of comparing and validating the results (long-term seizure-free outcome) obtained from different methods of invasive monitoring.

Keywords: Epilepsy surgery; Morbidity; Seizure outcome; Stereo-electroencephalography; Stereotaxy.

Publication types

Review

MeSH terms

Brain / physiopathology
Brain / surgery*
Brain Mapping / methods*
Electroencephalography / methods*
Epilepsy / physiopathology
Epilepsy / surgery*
Humans
Seizures / physiopathology
Seizures / surgery*
Treatment Outcome