2007
DOI: 10.1111/j.1528-1167.2007.01314.x
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Morbidity associated with the use of foramen ovale electrodes

Abstract: SUMMARYPurpose: The identification of the epileptic zone in patients with mesial temporal lobe epilepsy sometimes requires intracranial recordings, for example, with foramen ovale electrodes (FOE). This paper reviews and analyzes the resulting complications in a series of patients studied with bilateral FOE for presurgical evaluation. Prior to performing surgery for refractory mesial temporal lobe epilepsy (MTLE), the epileptogenic zone must be correctly identified (Lüders and Awad, 1991;Engel et al., 1997;Sol… Show more

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Cited by 35 publications
(24 citation statements)
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“…Here, we validate a minimally invasive method to detect this activity using FO electrodes, which are safe, readily inserted percutaneously, and allow highly sensitive monitoring of mTL activity. 9,14,15 The clinical utility of FO recordings in evaluating dementia patients is not yet known, though our FO recordings clearly demonstrate that scalp EEG findings greatly underestimate subcortical hyperexcitability in AD (Figure 2). All mTL seizures and over 95% of mTL spikes were not evident on scalp EEG.…”
mentioning
confidence: 86%
“…Here, we validate a minimally invasive method to detect this activity using FO electrodes, which are safe, readily inserted percutaneously, and allow highly sensitive monitoring of mTL activity. 9,14,15 The clinical utility of FO recordings in evaluating dementia patients is not yet known, though our FO recordings clearly demonstrate that scalp EEG findings greatly underestimate subcortical hyperexcitability in AD (Figure 2). All mTL seizures and over 95% of mTL spikes were not evident on scalp EEG.…”
mentioning
confidence: 86%
“…Briefly, all patients were studied with scalp electroencephalography (EEG), interictal single photon emission computer tomography (SPECT) with 99m Tc-HmPAO, magnetic resonance imaging (MRI) 1.5 T, and video-electroencephalography (v-EEG) using 19 scalp electrodes according to the international 10–20 system. In some patients, six-contact platinum foramen ovale electrodes (FO), with 1 cm center-to-center spacing (AD-Tech, Racine, USA), were inserted bilaterally under general anesthesia, as previously published [25]. During the operation, resection was guided by electrocorticography (ECoG) placing a 4 × 5 electrode grid (lateral neocortex) and a 1 × 8 electrode strip (uncus and parahippocampal gyrus) directly over the cortex.…”
Section: Methodsmentioning
confidence: 99%
“…Sola restarted the ESU in the University Hospital de La Princesa, Madrid. This is probably the Spanish ESU that has developed the highest activity and had the largest number of scientific publications in the last years [73, 83, 86, 87]. …”
Section: Resultsmentioning
confidence: 99%