Emerging surgical and radiotherapeutic techniques for treating epilepsy

Aaron A. Cohen-Gadol, Michael R. Stoffman, Dennis D. Spencer

Research output: Contribution to journalReview article

12 Scopus citations

Abstract

Purpose of review: Recent advances in epilepsy surgery have developed a resurgence of interest in the use of surgical techniques for the treatment of intractable epilepsy. Recent findings: More invasive procedures such as hemispherectomy and multiple subpial transection have become more popular. Disconnective techniques such as multiple subpial transection have provided a surgical option for patients whose epileptogenic zone resides in the eloquent cortex. Alternatively, new minimally invasive neurostimulation therapies have been introduced to preserve maximal cerebral tissue. Radiosurgery has been recently utilized in the treatment of epilepsy with preliminary promising results. Summary: In this analysis, the authors will attempt to review the more recent surgical approaches and their indications for the treatment of medically intractable epilepsy. For patients with the epileptogenic zone in the noneloquent cortex, seizure focus resection remains the most reasonable approach to therapy.

Original languageEnglish (US)
Pages (from-to)213-219
Number of pages7
JournalCurrent Opinion in Neurology
Volume16
Issue number2
DOIs
StatePublished - Apr 1 2003
Externally publishedYes

Keywords

  • Epilepsy surgery
  • Neurostimulation
  • Radiosurgery
  • Subpial transection
  • Vagus nerve stimulation

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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