Epileptic Disorders
MENUTowards a definition of the “practical” epileptogenic zone: a case of epilepsy with dual pathology Volume 8, supplément 2, Supplement 2, September 2006
Illustrations
Serge Chassagnon, Maria Paola Valenti, Cécile Sabourdy, Philippe Esposito, Pierre Kehrli, Alexis Arzimanoglou, Philippe Ryvlin, Philippe Kahane, Edouard Hirsch
Departments of Neurology and of Neurosurgery, Hôpitaux Universitaires de Strasbourg, University Hospital Robert-Debré, AP-HP, Paris, Department of Functional Neurology and Epileptology, Neurological University Hospital, Hospices Civils de Lyon, Epilepsy Unit, Neurology Dept. Grenoble University Hospital, Grenoble, CTRS-IDEE, Hospices Civils de Lyon, France
- Mots-clés : epileptogenic zone, epilepsy-surgery, stereo-electroencephalography, depth recordings, dual pathology
- Page(s) : 67-76
- Année de parution : 2006
Presurgical evaluation for patients with drug-resistant epilepsy requires the definition of various zones that have a variable spatial relationship with the epileptogenic zone. All the available mehods to directly measure the actual seizure-onset zone and to define “the minimum amount of cortical tissue that must be resected to produce seizure-freedom” have significant limitations.We report on the case of a patient with dual pathology (hippocampal sclerosis and a post-traumatic scar) and discuss the contribution of the various presurgical investigations that led to surgery and seizure-freedom.