The Value of Stereo-electroencephalography in Temporal Lobe Epilepsy: Huashan Experience

Shize Jiang; Yanming Zhu; Jie Hu

doi:10.1016/j.nec.2023.09.008

The Value of Stereo-electroencephalography in Temporal Lobe Epilepsy: Huashan Experience

Neurosurg Clin N Am. 2024 Jan;35(1):95-104. doi: 10.1016/j.nec.2023.09.008.

Authors

Shize Jiang¹, Yanming Zhu², Jie Hu³

Affiliations

¹ Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China.
² Program in Speech and Hearing Bioscience and Technology, Harvard Medical School, Boston, MA, USA; Department of Neurosurgery, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.
³ Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China. Electronic address: hujietongli@sina.com.

PMID: 38000846
DOI: 10.1016/j.nec.2023.09.008

Abstract

Temporal lobe epilepsy (TLE) is one of the most common drug-refractory epilepsies. However, the diagnosis and treatment of TLE may be improved by better understanding its complex network. In this article, the authors summarize their experience with TLE and discuss their process for using stereo-electroencephalography (SEEG) as part of presurgical evaluation in the past 10 years. The authors demonstrate the value of SEEG in different types of TLE and discuss how their findings have impacted treatment options. Ultimately, the authors' experience will help other centers in addressing TLE cases.

Keywords: MRI negative epilepsy; Pseudo temporal lobe epilepsy; Stereo-electroencephalography; Temporal lobe epilepsy; Temporal plus epilepsy.

Publication types

Review

MeSH terms

Electroencephalography
Epilepsy, Temporal Lobe* / diagnosis
Epilepsy, Temporal Lobe* / surgery
Humans
Magnetic Resonance Imaging
Treatment Outcome