role of electroencephalography in presurgical evaluation of temporal lobe epilepsy角色那些将要动手术评价颞叶癫痫的脑电图.pdfVIP

Hindawi Publishing Corporation Epilepsy Research and Treatment Volume 2012, Article ID 204693, 18 pages doi:10.1155/2012/204693 Review Article Role of Electroencephalography in Presurgical Evaluation of Temporal Lobe Epilepsy Seetharam Raghavendra,1 Javeria Nooraine,1 and Seyed M. Mirsattari2 1 Department of Neurology, Vikram Hospital, Bangalore 560052, India 2 Departments of Clinical Neurological Sciences, Medical Imaging, Medical Biophysics, and Psychology, University of Western Ontario, London, ON, Canada N6A 5A5 Correspondence should be addressed to Seyed M. Mirsattari, smirsat2@uwo.ca Received 5 September 2011; Revised 18 January 2012; Accepted 28 June 2012 Academic Editor: Warren T. Blume Copyright © 2012 Seetharam Raghavendra et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Surgery remains a therapeutic option for patients with medically refractory epilepsy. Comprehensive presurgical evaluation includes electroencephalography (EEG) and video EEG in identifying patients who are likely to benefit from surgery. Here, we discuss in detail the utility of EEG in presurgical evaluation of patients with temporal lobe epilepsy along with illustrative cases. 1. Introduction discharges (IEDs). Additional electrodes help in increasing this yield [ 11, 12]. Silverman’s electrodes (T1 and T2, placed Temporal lobe epilepsy (TLE) is the most common form at posterior one-third and anterior two-thirds of a line of epilepsy worldwide. Anterior