Surgical outcomes related to invasive EEG monitoring with subdural grids or depth electrodes in adults: A systematic review and meta-analysis.

Drug Resistant Epilepsy / diagnosis Electrocorticography / instrumentation Electrodes, Implanted Humans Neurophysiological Monitoring / instrumentation Neurosurgical Procedures Seizures / diagnosis Treatment Outcome
Adult Drug-resistant epilepsy Epilepsy surgery Intracranial electrodes Outcome SDG SEEG

Journal

Seizure
ISSN: 1532-2688
Titre abrégé: Seizure
Pays: England
ID NLM: 9306979

Informations de publication

Date de publication:
Aug 2019
Historique:
received: 03 12 2018
revised: 17 06 2019
accepted: 17 06 2019
pubmed: 25 6 2019
medline: 25 1 2020
entrez: 25 6 2019
Statut: ppublish

Résumé

Resective epilepsy surgery based on an invasive EEG-monitors performed with subdural grids (SDG) or depth electrodes (stereo-electroencephalography, SEEG) is considered to be the best option towards achieving seizure-free state in drug-resistant epilepsy. The authors present a meta-analysis, due to the lack of such a study focusing on surgical outcomes originating from SDG- or SEEG-monitors. English-language studies published until May 2018, highlighting surgical outcomes were reviewed. Outcome measures including total number of SDG- or SEEG-monitors and resective surgeries; consecutively followed surgical cases; surgical outcomes classified by Engel in overall, temporal/extratemporal and lesional/nonlesional subgroups were analyzed. 19 articles containing 1025 SDG-interventions and 16 publications comprising 974 SEEG-monitors were researched. The rate of resective surgery deriving from SDG-monitoring hovered at 88.8% (95%CI:83.3-92.6%) (I SEEG-interventions were associated, at least, non-inferiorly, with seizure-freedom compared with SDG-monitors in temporal, lesional and overall subgroups.

Identifiants

DOI: 10.1016/j.seizure.2019.06.022 PMID: 31234050
pubmed: 31234050
pii: S1059-1311(18)30784-2
doi: 10.1016/j.seizure.2019.06.022
pii:
doi:

Types de publication

Journal Article Meta-Analysis Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

12-19

Informations de copyright

Copyright © 2019 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.

Auteurs

Marton Toth (M)

Department of Neurology, Medical School, University of Pécs. Hungary, Pécs, Rét u. 2., H-7623, Hungary. Electronic address: toth.marton@pte.hu.

Kata Szilvia Papp (KS)

Department of Obstetrics and Gynaecology, Medical School, University of Pécs. Hungary, Pécs, Édesanyák útja 17., H-7624, Hungary.

Noemi Gede (N)

Institute for Translational Medicine, Medical School, University of Pécs. Hungary, Pécs, Szigeti u. 12., H-7623, Hungary.

Kornelia Farkas (K)

Institute for Bioanalysis, Medical School, University of Pécs. Hungary, Pécs, Szigeti u. 12., H-7623, Hungary.

Sandor Kovacs (S)

Department of Health and Economy, Medical School, University of Pécs. Hungary, Pécs, Rákóczi út 2., H-7623, Hungary.

Jean Isnard (J)

Department of Functional Neurology and Epileptology, Hospices Civils de Lyon, Hospital for Neurology and Neurosurgery Pierre Wertheimer, 59 Boulevard Pinel, 69500, Lyon, France.

Koichi Hagiwara (K)

Department of Functional Neurology and Epileptology, Hospices Civils de Lyon, Hospital for Neurology and Neurosurgery Pierre Wertheimer, 59 Boulevard Pinel, 69500, Lyon, France; Central Integration of Pain (NeuroPain) Lab-Lyon Neuroscience Research Center, INSERM U1028, CNRS, UMR5292, Université Claude Bernard, Bron, F-69677, France.

Csilla Gyimesi (C)

Department of Neurology, Medical School, University of Pécs. Hungary, Pécs, Rét u. 2., H-7623, Hungary.

Diana Kuperczko (D)

Department of Neurology, Medical School, University of Pécs. Hungary, Pécs, Rét u. 2., H-7623, Hungary.

Tamas Doczi (T)

Department of Neurosurgery, Medical School, University of Pécs, Pécs, Rét u. 2., H-7623, Hungary; MTA-PTE Clinical Neuroscience MRI Research Group, Pécs, Ifjúság u. 20, H-7624, Hungary.

Jozsef Janszky (J)

Department of Neurology, Medical School, University of Pécs. Hungary, Pécs, Rét u. 2., H-7623, Hungary; MTA-PTE Clinical Neuroscience MRI Research Group, Pécs, Ifjúság u. 20, H-7624, Hungary.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female

Evaluation of Low-Value Services Across Major Medicare Advantage Insurers and Traditional Medicare.

Ciara Duggan, Adam L Beckman, Ishani Ganguli et al.
1.00
Humans United States Aged Cross-Sectional Studies Medicare Part C

Effectiveness of Virtual Yoga for Chronic Low Back Pain: A Randomized Clinical Trial.

Hallie Tankha, Devyn Gaskins, Amanda Shallcross et al.
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH

questionsmedicales.fr › Maladies du système nerveux › Maladies du système nerveux central › Encéphalopathies › Épilepsie › Épilepsie pharmacorésistante › Surgical outcomes related to invasive EEG...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Électrodiagnostic › Électrocorticographie › Surgical outcomes related to invasive EEG...
questionsmedicales.fr › Équipement et fournitures › Prothèses et implants › Électrodes implantées › Surgical outcomes related to invasive EEG...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Surgical outcomes related to invasive EEG...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Monitorage physiologique › Monitorage neurophysiologique › Surgical outcomes related to invasive EEG...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de neurochirurgie › Surgical outcomes related to invasive EEG...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Crises épileptiques › Surgical outcomes related to invasive EEG...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › Surgical outcomes related to invasive EEG...