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An indispensable, single-volume resource on state-of-the-art epilepsy procedures from renowned international experts!
Epilepsy is a common neurological disorder affecting an estimated 1% of the population, about 20 to 30% of which experience seizures inadequately controlled by medical therapy alone. Advances in anatomic and functional imaging modalities, stereotaxy, and the integration of neuronavigation during surgery have led to cutting-edge treatment options for patients with medically refractory epilepsy. Operative Techniques in Epilepsy Surgery, Second Edition by Gordon Baltuch, Arthur Cukiert, and an impressive international group of contributors has been updated and expanded, reflecting the newest treatments for pediatric and adult epilepsy. Seven sections with 30 chapters encompass surgical planning, invasive EEG studies, cortical resection, intraoperative mapping, disconnection, neuromodulation, and further topics. Twelve cortical resection chapters cover surgical approaches such as amygdalohippocampectomy; hippocampal transection; frontal lobe, central region, and posterior quadrant resections; and microsurgery versus endoscopy for hypothalamic hamartomas. Disconnection procedures discussed in section five include corpus callosotomy, hemispherectomy, and endoscopic-assisted approaches. Well-established procedures such as vagus nerve and deep brain stimulation are covered in the neuromodulation section, while the last section discusses radiosurgery for medically intractable cases. Key Highlights- Chapters new to this edition include endoscopic callosotomy, laser-induced thermal therapy (LITT), and focused ultrasound
- High-quality illustrations, superb operative and cadaver photographs, radiologic images, and tables enhance understanding of impacted anatomy and specific techniques
- The addition of videos provides insightful step-by-step procedural guidance
This is an essential reference for fellows and residents interested in epilepsy and functional neurosurgery, and an ideal overview for neurosurgeons, neurologists, and neuroradiologists in early career stages who wish to pursue this subspecialty. This book includes complimentary access to a digital copy Table of ContentsSection 1: Surgical Planning- 01: Collaborative Planning in Epilepsy Surgery
- 02: Intraoperative Neuronavigation
Section 2: Invasive EEG Studies- 03: Invasive EEG Studies: Peg, Strip, and Grid Implantation
- 04: Peg, Strip, and Grid Implantation: Adult
- 05: Depth Electrodes
Section 3: Cortical Resection- 06: Radiofrequency Lesions through Depth Electrodes
- 07: Temporal Lobectomy and Amygdalohippocampectomy
- 08: Selective Amygdalohippocampectomy
- 09: Parahippocampectomy: A New Surgical Technique for Temporal Lobe Epilepsy
- 10: Hippocampal Transection
- 11: Frontal Lobe Resection in Refractory Epilepsy
- 12: Cortical Resection: Central Region
- 13: Posterior Quadrant Resections
- 14: Surgery of the Insula
- 15: Treatment Strategies for Hypothalamic Hamartomas: Microsurgery versus Endoscopy
- 16: Multiple Subpial Transections
- 17: Laser-Induced Thermal Therapy for Medically Refractory Epilepsy
Section 4: Intra-operative Mapping- 18: Motor, Sensory, and Language Mapping in Epilepsy Surgery
Section 5: Disconnection- 19: Cortical Disconnections
- 20: Corpus Callosotomy
- 21: Endoscopic Callosotomy and Hemispherotomy: Bimanual Endoscopic Technique
- 22: Anatomical Hemispherectomy
- 23: Functional Hemispherectomy and Peri-insular Hemispherotomy
- 24: Endoscopic-Assisted Hemispherotomy
- 25: Vertical Parasagittal Hemispherotomy
Section 6: Neuromodulation- 26: Vagus Nerve Stimulation
- 27: Hippocampal Deep Brain Stimulation in Refractory Temporal Lobe Epilepsy
- 28: Deep Brain Stimulation: Stimulation of the Anterior Nucleus of the Thalamus
- 29: Responsive (Closed-Loop) Stimulation
Section 7: Further Topics- 30: Radiosurgery for Medically Refractory Epilepsy
- 31: Focused Ultrasound as a Surgical Treatment for Epilepsy
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