Pediatric Epilepsy Surgery Techniques: Controversies and Evidence
 
Product details:

ISBN13:9780323959810
ISBN10:0323959814
Binding:Paperback
No. of pages:300 pages
Size:229x151 mm
Language:English
700
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Pediatric Epilepsy Surgery Techniques

Controversies and Evidence
 
Publisher: Academic Press
Date of Publication:
 
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Pediatric Epilepsy Surgery Techniques: Controversies and Evidence offers clinicians a roadmap for navigating the complex decision-making process involved in selecting surgical interventions for children with drug-resistant epilepsy. Over the last decade, the landscape of pediatric epilepsy surgery has undergone substantial transformation, marked by the introduction of several emerging technologies that are now supported by an expanding body of evidence, yet leading to a wide range of treatment practices. This book addresses several decision-making dichotomies in pediatric epilepsy surgery, both in terms of established and novel surgical modalities and techniques. The book explores long-standing debated topics, such as the relative benefits of disconnective compared to resective strategies, the utility of surgical adjuncts like intra-operative electrocorticography, as well as rationales for different surgical approaches, namely selective amygdalo-hippocampectomy versus anteromesial temporal lobectomy. Further, it addresses dichotomies between traditional approaches and contemporary modalities, such as microsurgical resection versus laser interstitial thermal therapy. Chapters also offer comparisons of modern technologies, such as different neuromodulation strategies, including vagus nerve stimulation, deep brain stimulation, and responsive neurostimulation. This book provides readers with the relevant scientific literature and expert commentary to inform evidence-based approaches to surgical care in pediatric drug-resistant epilepsy.




. Discusses state-of-the-art technology in the surgical treatment of pediatric drug-resistant epilepsy
. Provides an up-to-date overview of current controversies, competing approaches, and their relative evidence, indications, advantages, and disadvantages for pediatric epilepsy surgery
. Outlines evidence-based recommendations to guide decision-making in pediatric epilepsy surgery
Table of Contents:
1. Evidence in Pediatric Epilepsy Surgery
2. Ethical considerations in contemporary Pediatric Epilepsy Surgery
3. Controversies in timing of pediatric epilepsy surgery - is earlier better?Invasive Investigation
4. Electrocorticographic evaluation of epileptogenicity - Traditional vs novel biomarkers to guide surgery
5. Invasive Monitoring - stereoelectroencephalography (SEEG) vs. subdural electrode (SDE) evaluation vs hybrid evaluation Resective or ablative surgery
6. Intra-operative adjuncts to optimize the surgical treatment of drug-resistant epilepsy - Do new tools improve outcome?
7. medial Temporal lobe Epilepsy (TLE) - selective amygdalohippocampectomy (SAH) vs. anterior temporal lobectomy (ATL)
8. Epilepsy in eloquent cortex- Resection vs. responsive neurostimulation (RNS)
9. Lesional Epilepsy - Lesionectomy vs. ECoG-guided resection
10. Insular/peri-Sylvian Epilepsy - Resection vs. Stereotactic ablation (MR-guided laser ablation/Radiofrequency ablation)
11. Hypothalamic Hamartoma - Stereotactic radiosurgery (SRS) v. Stereotactic ablation (MR-guided laser ablation/Radiofrequency ablation) v. MRFUS
12. Tuberous Sclerosis Complex - Lesionectomy vs lesionectomy plusDisconnective Procedures
13. Functional hemispherotomy - Vertical vs. Lateral approach
14. Minimally Invasive Hemispherotomy - Endoscopic Assisted vs. Radiofrequency Disconnection
15. Lobar/Multi-lobar epilepsy - Resection vs. Disconnection
16. Lennox-Gastaut Syndrome - Callosotomy vs. Vagal nerve stimulation (VNS)
17. Corpus Callosotomy - Ant 2/3rd (2-stage) v. Complete (1-stage)Neuromodulation
18. TLE with preserved function: Multiple hippocampal transection (MHT) vs. Neuromodulation (DBS, RNS)
19. Neuromodulation - Neuromodulation vs 'resective', VNS vs. DBS (TSC, LGS, etc)???????