Epileptic Disorders
MENUBilateral occipital dysplasia, seizure identification, and ablation: a novel surgical technique Volume 16, numéro 2, June 2014
Auteurs
1 Dell Children's Medical Center of Central Texas
2 University of Texas Southwest, Austin, Texas, USA
* Correspondence:
Dave F. Clarke
Dell Children's Medical Center of Central Texas,
1301 Barbara Jordan Blvd,
Suite 200 Austin, TX 78723, USA
- Mots-clés : focal epilepsy, thermal ablation, occipital dysplasia, periventicular dysplasia, depth electrode, pharmacoresistant
- DOI : 10.1684/epd.2014.0658
- Page(s) : 238-43
- Année de parution : 2014
MRI-guided thermal ablation is a relatively new technique utilising heat to ablate both tumours and epileptogenic lesions. Its use against epilepsy offers some patients a new and relatively safe way of reducing or aborting seizures. Most cases of MRI-guided thermal ablation have been performed in patients with isolated lesions. Placement of depth electrodes prior to laser ablation has been rarely performed. We present a case with bilateral independent lesions traversing eloquent cortex, which, after sampling for seizures and successful ablation, retained normal function. The patient is, to date, seizure-free.