Stereo-electro-encephalography (SEEG) methodology: technical nuances and insights into image-guided robot-assisted electrode implantation.

Piergiorgio d'Orio, Pedro Monteiro, José I Otayza, Alessandra Rocca, Martina Revay, Laura Castana, Francesco Cardinale
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Abstract

An accurate definition of the epileptogenic zone is critical to the success of epilepsy surgery. When noninvasive presurgical studies are insufficient, stereoelectroencephalography (SEEG) becomes indispensable. This study illustrates a systematic approach using an illustrative case of centroparietal epilepsy, detailing the stepwise workup, planning, and image-guided robot-assisted frameless stereotactic implantation of intracerebral electrodes. The video provides insights into technical aspects and a single-center experience. Demonstrating efficacy, safety, and feasibility, SEEG emerges as a valuable procedure for studying drug-resistant focal epilepsy. The video can be found here: https://stream.cadmore.media/r10.3171/2024.4.FOCVID2427.

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立体脑电图(SEEG)方法:图像引导机器人辅助电极植入的技术细节和启示。
准确定义致痫区对癫痫手术的成功至关重要。当无创手术前研究不足时,立体脑电图(SEEG)就变得不可或缺。本研究通过一例顶叶中心性癫痫的病例,详细介绍了一步步的工作准备、规划和图像引导下的机器人辅助无框架立体定向脑内电极植入术。视频提供了技术方面的见解和单中心的经验。SEEG展示了其有效性、安全性和可行性,是研究耐药性局灶性癫痫的重要方法。视频请点击:https://stream.cadmore.media/r10.3171/2024.4.FOCVID2427。
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