Stereoelectroencephalography

Abstract

SEEG is a safe and accurate procedure for the invasive assessment of the epileptogenic zone. Traditional Talairach methodology, implemented by multimodal planning and robot-assisted surgery, allows direct electrical recording from superficial and deep-seated brain structures, providing essential information in the most complex cases of drug-resistant epilepsy.

A Novel Robotic Neuronavigation System: RONNA G3

“…Thus, it can be expected that the absolute accuracy in future clinical trials will be degraded due to the above listed factors. This has already been confirmed by recent clinical case studies with the Neuromate [2] and ROSA [3], [16] robotic systems.…”

“…8 and in Table 3. Targeting errors are shown for two different target groups: superficial (1) and deep (2). This classification is related to the z-coordinate of the target in the coordinate system of the rigid fiducial marker or in the coordinate system of freely distributed individual spherical fiducials.…”

“…With advances in imageguided neurosurgical procedures over the past 30 years, alternative methods of performing surgical interventions have become more widely used by neurosurgeons [2] to [5]. The first application of a robot in medicine was in the field of neurosurgery when an industrial robot, PUMA 200, was successfully used in a frame-based configuration for a brain biopsy procedure in 1985 [6].…”

Getting the best outcomes from epilepsy surgery

“…Cardinale et al suggested a 3mm safety margin from cerebral vasculature 53. Computer‐assisted planning algorithms increase safety and reduce the time taken (see Fig 2).…”

Activation of the motor cortex during phasic rapid eye movement sleep

“…Intracerebral S‐EEG data were recorded from 7 patients (5 males, 2 females; mean age = 28.0 ± 7.1 years) with drug‐resistant focal epilepsy who underwent S‐EEG during a presurgical evaluation 8. Informed written consent was obtained from all patients in accordance with the hospital's ethical committee policy (Niguarda Cà Granda Hospital, Milan, Italy).…”