Other epilepsy interventional techniques
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Other epilepsy interventional techniques. This is indicated for mesial temporal lobe epilepsy. Fully referenced neurology checklist.
Stereotactic radiosurgery
- This is indicated for mesial temporal lobe epilepsy
- Seizures remit in almost 70% of cases by the third year: this is similar to surgical resection
- The effect on seizure reduction is delayed by 9-12 months
- Remission correlates with onset of vasogenic edema on MRI
Other forms of neuromodulation
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Other epilepsy interventional techniques
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References
- Nowell M, Miserocchi A, McEvoy AW, Duncan JS. Advances in epilepsy surgery. JNNP 2014; 85:1273-1279.
- Chang EF, Quigg M, Oh MC, et al. Predictors of efficacy after stereotactic radiosurgery for medial temporal lobe epilepsy. Neurology 2010; 74:165-172.
- Geller EB, Skarpaas TL, Gross RE, et al. Brain-responsive neurostimulation in patients with medically intractable mesial temporal lobe epilepsy. Epilepsia 2017; 58:994-1004.
- Jobst BC, Kapur R, Barkley GL, et al. Brain-responsive neurostimulation in patients with medically intractable seizures arising from eloquent and other neocortical areas. Epilepsia 2017; 58:1005-1014.
- Barbaro MF, Chesney K, Kramer DR, et al. Dual responsive neurostimulation implants for epilepsy. J Neurosurg 2019; 25:1-7.
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