Summary of eight patients undergoing invasive monitoring for epilepsy
Patient | Age/ sex | Invasive monitoring performed | Resective surgery performed | Electrode of seizure onset | Role of IVE in localising seizure onset | Post-op Engel classification | Complication of IVE placement |
---|---|---|---|---|---|---|---|
FOE, foramen ovale electrode; IVE, intraventricular electrode; SDGE, subdural grid electrode; SDSE, subdural strip electrode; AHC, amygdalohippocampectomy. *Alcohol related seizure postoperatively. | |||||||
1 | 46 F | left frontal SDGE left subtemporal SDGE left IVE | left anterior temporal lobectomy + AHC | Subtemporal SDGE | Frequent epileptiform discharges. IVE did not help in localising. | I | Left thalamic contusion |
2 | 23 F | bilateral temporal SDSE bilateral IVE | right anterior temporal lobectomy + AHC | Simultaneous: - Right IVE - Right subtemporal SDSE | Dipole between right subtemporal SDSE and right IVE. | I | IVE placed into frontal horn on left side |
3 | 32 F | bilateral FOE bilateral IVE | left selective AHC | Left IVE | Localised seizure origin. | I | none |
4 | 32 M | right temporal SDSE left FOE bilateral IVE | right anterior temporal lobectomy + AHC | Right subtemporal SDSE | Noted dipole formed between right anterior SDSE and anterior IVE. | I | none |
5 | 23 M | left frontal SDGE left temporal SDGE left IVE | left anterior temporal lobectomy + AHC | Left subtemporal SDGE | – | II* | Aborted IVE. |
6 | 28 M | right FOE left subtemporal SDGE bilateral IVE | left temporal seizure-focus resection + AHC | Simultaneous: - Left IVE - Left subtemporal SDGE | IVE revealed frequent epileptiform discharges in the posterior electrode. | I | none |
7 | 18 M | bilateral SDSE bilateral IVE | no surgery offered – non-temporal focus | Bilateral posterior SDSE | No ictal discharge recorded in IVEs | – | none |
8 | 21 F | right FOE right IVE right SDGE | right anterior temporal lobectomy + AHC | Simultaneous: - Right FOE - Right IVE | Found dipole between FOE and IVE. | I | none |