Book contents
- Frontmatter
- Contents
- Acknowledgment
- Preface
- 1 History of epilepsy surgery
- 2 The search for the epileptic focus: investigation of the surgical candidate
- 3 Surgical anatomy
- 4 Neuronavigation and preoperative brain mapping
- 5 Stereoelectroencephalography (stereotactic intracranial recording)
- 6 Anesthesia and awake procedure
- 7 Peroperative brain mapping
- 8 Endopial resection (intervascular endopial gyral emptying)
- 9 Surgery of temporal lobe epilepsy: cortico-amygdalohippocampectomy
- 10 Surgery of temporal lobe epilepsy: transcortical selective amygdalohippocampectomy
- 11 Surgery of central area epilepsy
- 12 Surgery of frontal lobe epilepsy
- 13 Surgery of parietal lobe epilepsy
- 14 Surgery of insular lobe epilepsy
- 15 Surgery of occipital lobe epilepsy
- 16 Hemispherectomy
- 17 Callosotomy
- 18 Epilepsy and brain tumors
- 19 Surgical treatment of cortical dysplasias
- 20 Reoperations in failed epilepsy surgery
- 21 Alternative procedures in surgery for epilepsy
- 22 Complications of epilepsy surgery
- 23 Quality of life after epilepsy surgery
- Index
- References
15 - Surgery of occipital lobe epilepsy
Published online by Cambridge University Press: 05 October 2012
- Frontmatter
- Contents
- Acknowledgment
- Preface
- 1 History of epilepsy surgery
- 2 The search for the epileptic focus: investigation of the surgical candidate
- 3 Surgical anatomy
- 4 Neuronavigation and preoperative brain mapping
- 5 Stereoelectroencephalography (stereotactic intracranial recording)
- 6 Anesthesia and awake procedure
- 7 Peroperative brain mapping
- 8 Endopial resection (intervascular endopial gyral emptying)
- 9 Surgery of temporal lobe epilepsy: cortico-amygdalohippocampectomy
- 10 Surgery of temporal lobe epilepsy: transcortical selective amygdalohippocampectomy
- 11 Surgery of central area epilepsy
- 12 Surgery of frontal lobe epilepsy
- 13 Surgery of parietal lobe epilepsy
- 14 Surgery of insular lobe epilepsy
- 15 Surgery of occipital lobe epilepsy
- 16 Hemispherectomy
- 17 Callosotomy
- 18 Epilepsy and brain tumors
- 19 Surgical treatment of cortical dysplasias
- 20 Reoperations in failed epilepsy surgery
- 21 Alternative procedures in surgery for epilepsy
- 22 Complications of epilepsy surgery
- 23 Quality of life after epilepsy surgery
- Index
- References
Summary
Introduction
Surgery for occipital lobe epilepsy has its own specific difficulties mainly related to the uncertainty of diagnosis and the visual loss associated with most resective surgery in the absence of an already existing visual deficit. In no other brain region is the patient and the surgical team confronted to such a degree with the possibility of a postoperative situation characterized by a poor result on the seizure tendency in addition to a new and permanent visual deficit. Consequently, all efforts must be made, often including SEEG intracranial recording, to prove the seizures are arising within a specific part of the occipital lobe and not for example within the temporal or parietal area.
The literature is sparse on the surgical treatment of occipital epilepsy and even more so on the modern surgical and technical aspects. In this chapter, a summary of the surgical anatomy of the occipital lobe and the clinical manifestations of occipital epilepsy, which are so crucial in establishing the hypothesis of the site of seizure onset, will be presented from a practical surgical perspective. Next, the technical aspects and various resection modalities will be addressed. The core of the presentation consists of an analysis of several representative cases with stress on the operative approaches, findings, and results.
- Type
- Chapter
- Information
- Techniques in Epilepsy SurgeryThe MNI Approach, pp. 186 - 194Publisher: Cambridge University PressPrint publication year: 2012
References
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