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Technical Aspects of SEEG and Its Interpretation in the Delineation of the Epileptogenic Zone.

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  • Additional Information
    • Source:
      Publisher: Japan Neurosurgical Society Country of Publication: Japan NLM ID: 0400775 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1349-8029 (Electronic) Linking ISSN: 04708105 NLM ISO Abbreviation: Neurol Med Chir (Tokyo) Subsets: MEDLINE
    • Publication Information:
      Original Publication: Tokyo : Japan Neurosurgical Society.
    • Subject Terms:
      Electroencephalography* ; Stereotaxic Techniques*; Epilepsy/*diagnosis ; Epilepsy/*physiopathology; Adult ; Electrodes, Implanted ; Female ; Humans ; Male
    • Abstract:
      Stereo-electroencephalography (SEEG) has gained global popularity in recent years. In Japan, a country in which invasive studies using subdural electrodes (SDEs) have been the mainstream, SEEG has been approved for insurance coverage in 2020 and is expected to gain in popularity. Some concepts supporting SEEG methodology are fundamentally different from that of SDE studies. Clinicians interested in utilizing SEEG in their practice should be aware of those aspects in which they differ. Success in utilizing the SEEG methodology relies heavily on the construction of an a priori hypothesis regarding the putative seizure onset zone (SOZ) and propagation. This article covers the technical and theoretical aspects of SEEG, including the surgical techniques and precautions, hypothesis construction, and the interpretation of the recording, all with the aim of providing an introductory guide to SEEG.
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    • Contributed Indexing:
      Keywords: SEEG; electrical stimulation; epilepsy; epileptogenic zone; radiofrequency thermocoagulation
    • Publication Date:
      Date Created: 20201109 Date Completed: 20211018 Latest Revision: 20211018
    • Publication Date:
      20250114
    • Accession Number:
      PMC7803703
    • Accession Number:
      10.2176/nmc.st.2020-0176
    • Accession Number:
      33162469