sEEG for expansion of a surgical epilepsy program: Safety and efficacy in 152 consecutive cases

Abstract Objective Stereoelectroencephalography (sEEG) is an intracranial encephalography method of expanding use. The need for increased epilepsy surgery access has led to the consideration of sEEG adoption by new or expanding surgical epilepsy programs. Data regarding safety and efficacy are uncom...

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Autores principales:	Christopher Miller, Bryan Schatmeyer, Patrick Landazuri, Utku Uysal, Jules Nazzaro, Michael J. Kinsman, Paul J. Camarata, Carol M. Ulloa, Nancy Hammond, Caleb Pearson, Vishal Shah, Jennifer J. Cheng
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	invasive encephalography sEEG stereoelectroencephalography surgical epilepsy Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/d471aa5c46904b6f8af629bd76816979
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spelling	oai:doaj.org-article:d471aa5c46904b6f8af629bd768169792021-12-01T06:09:19ZsEEG for expansion of a surgical epilepsy program: Safety and efficacy in 152 consecutive cases2470-923910.1002/epi4.12535https://doaj.org/article/d471aa5c46904b6f8af629bd768169792021-12-01T00:00:00Zhttps://doi.org/10.1002/epi4.12535https://doaj.org/toc/2470-9239Abstract Objective Stereoelectroencephalography (sEEG) is an intracranial encephalography method of expanding use. The need for increased epilepsy surgery access has led to the consideration of sEEG adoption by new or expanding surgical epilepsy programs. Data regarding safety and efficacy are uncommon outside of high‐volume, well‐established centers, which may be less applicable to newer or low‐volume centers. The objective of this study was to add to the sEEG outcomes in the literature from the perspective of a rapidly expanding center. Methods A retrospective chart review of consecutive sEEG cases from January 2016 to December 2019 was performed. Data extraction included demographic data, surgical data, and outcome data, which pertinently examined surgical method, progression to therapeutic procedure, clinically significant adverse events, and Engel outcomes. Results One hundred and fifty‐two sEEG procedures were performed on 131 patients. Procedures averaged 10.5 electrodes for a total of 1603 electrodes. The majority (84%) of patients progressed to a therapeutic procedure. Six clinically significant complications occurred: three retained electrodes, two hemorrhages, and one failure to complete investigation. Only one complication resulted in a permanent deficit. Engel 1 outcome was achieved in 63.3% of patients reaching one‐year follow‐up after a curative procedure. Significance New or expanding epilepsy surgery centers can appropriately consider the use of sEEG. The complication rate is low and the majority of patients progress to therapeutic surgery. Procedural safety, progression to therapeutic intervention, and Engel outcomes are comparable to cohorts from long‐established epilepsy surgery programs.Christopher MillerBryan SchatmeyerPatrick LandazuriUtku UysalJules NazzaroMichael J. KinsmanPaul J. CamarataCarol M. UlloaNancy HammondCaleb PearsonVishal ShahJennifer J. ChengWileyarticleinvasive encephalographysEEGstereoelectroencephalographysurgical epilepsyNeurology. Diseases of the nervous systemRC346-429ENEpilepsia Open, Vol 6, Iss 4, Pp 694-702 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	invasive encephalography sEEG stereoelectroencephalography surgical epilepsy Neurology. Diseases of the nervous system RC346-429
spellingShingle	invasive encephalography sEEG stereoelectroencephalography surgical epilepsy Neurology. Diseases of the nervous system RC346-429 Christopher Miller Bryan Schatmeyer Patrick Landazuri Utku Uysal Jules Nazzaro Michael J. Kinsman Paul J. Camarata Carol M. Ulloa Nancy Hammond Caleb Pearson Vishal Shah Jennifer J. Cheng sEEG for expansion of a surgical epilepsy program: Safety and efficacy in 152 consecutive cases
description	Abstract Objective Stereoelectroencephalography (sEEG) is an intracranial encephalography method of expanding use. The need for increased epilepsy surgery access has led to the consideration of sEEG adoption by new or expanding surgical epilepsy programs. Data regarding safety and efficacy are uncommon outside of high‐volume, well‐established centers, which may be less applicable to newer or low‐volume centers. The objective of this study was to add to the sEEG outcomes in the literature from the perspective of a rapidly expanding center. Methods A retrospective chart review of consecutive sEEG cases from January 2016 to December 2019 was performed. Data extraction included demographic data, surgical data, and outcome data, which pertinently examined surgical method, progression to therapeutic procedure, clinically significant adverse events, and Engel outcomes. Results One hundred and fifty‐two sEEG procedures were performed on 131 patients. Procedures averaged 10.5 electrodes for a total of 1603 electrodes. The majority (84%) of patients progressed to a therapeutic procedure. Six clinically significant complications occurred: three retained electrodes, two hemorrhages, and one failure to complete investigation. Only one complication resulted in a permanent deficit. Engel 1 outcome was achieved in 63.3% of patients reaching one‐year follow‐up after a curative procedure. Significance New or expanding epilepsy surgery centers can appropriately consider the use of sEEG. The complication rate is low and the majority of patients progress to therapeutic surgery. Procedural safety, progression to therapeutic intervention, and Engel outcomes are comparable to cohorts from long‐established epilepsy surgery programs.
format	article
author	Christopher Miller Bryan Schatmeyer Patrick Landazuri Utku Uysal Jules Nazzaro Michael J. Kinsman Paul J. Camarata Carol M. Ulloa Nancy Hammond Caleb Pearson Vishal Shah Jennifer J. Cheng
author_facet	Christopher Miller Bryan Schatmeyer Patrick Landazuri Utku Uysal Jules Nazzaro Michael J. Kinsman Paul J. Camarata Carol M. Ulloa Nancy Hammond Caleb Pearson Vishal Shah Jennifer J. Cheng
author_sort	Christopher Miller
title	sEEG for expansion of a surgical epilepsy program: Safety and efficacy in 152 consecutive cases
title_short	sEEG for expansion of a surgical epilepsy program: Safety and efficacy in 152 consecutive cases
title_full	sEEG for expansion of a surgical epilepsy program: Safety and efficacy in 152 consecutive cases
title_fullStr	sEEG for expansion of a surgical epilepsy program: Safety and efficacy in 152 consecutive cases
title_full_unstemmed	sEEG for expansion of a surgical epilepsy program: Safety and efficacy in 152 consecutive cases
title_sort	seeg for expansion of a surgical epilepsy program: safety and efficacy in 152 consecutive cases
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/d471aa5c46904b6f8af629bd76816979
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sEEG for expansion of a surgical epilepsy program: Safety and efficacy in 152 consecutive cases

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