Pre-Surgical Evaluation Pathway for Epilepsy Surgery
This session reviews Pre-Surgical Evaluation Pathway for Epilepsy Surgery and its most clinically relevant points for exam preparation and bedside decision-making.
Duration
00:02:34
File size
1.55 MB
Practitioner-Guided Note
For Pre-Surgical Evaluation Pathway for Epilepsy Surgery, use the highest-yield facts to drive concrete treatment decisions. Pay particular attention to Medically refractory: failed ≥2 appropriate, tolerated AEDs, fMRI: non-invasive mapping of motor/language cortex to guide resection, and Depth electrodes: invasive EEG for precise focus localization when non-invasive tests inconclusive when choosing therapy, counseling about risk, planning monitoring, and deciding when closer follow-up or escalation is needed.
Key Takeaways
Medically refractory: failed ≥2 appropriate, tolerated AEDsfMRI: non-invasive mapping of motor/language cortex to guide resectionDepth electrodes: invasive EEG for precise focus localization when non-invasive tests inconclusive10-20% refractory temporal lobe epilepsy harbors neoplasmsFavorable driving factors: provoked seizures, sleep-only seizures