Silvio Basic
University hospital Dubrava, Croatia
Title: SEEG in preoperative assessment and treatment of patients with refractory epilepsy – Croatian experience
Biography
Biography: Silvio Basic
Abstract
Stereoelectroencephalograpy (SEEG) is methodology in preoperative invasive monitoring of drug-resistant epilepsy patients with almost 60 years of clinical use. It is an established technique in Europe, especially in France in Italy, and it has been rapidly accepted as favourable preoperative method in huge number of epilepsy centres around the world, including USA and Canada. It enables tailored individualized surgical excision based on precise localization of the epileptogenic zones, especially those localized in deep cortical structures. Its main advantage is precise epileptogenic zone detection with minimally invasive approach, especially in cases when bilateral explorations are needed. Additional advantage of this technique is a possibility of intervention by using temporarily implanted depth electrodes. SEEG guided radiofrequency thermocoagulation is a treatment option for patients with drug-resistant focal epilepsy. By using implanted depth electrodes for invasive monitoring and epileptogenic zone detection, it is, at the same time, possible to perform thermolesions of the epileptic foci avoiding craniotomy and standard neurosurgical procedures.
Croatian experience with SEEG in preoperative assessment and as a treatment option in patients with drug-resistant epilepsy will be presented.