Basal temporal subdural electrodes in the evaluation of patients with intractable epilepsy

H. Luders, J. Hahn, Ronald P Lesser, D. S. Dinner, H. H. Morris, E. Wyllie, L. Friedman, D. Friedman, G. Skipper

Research output: Contribution to journalArticle

Abstract

In evaluation of patients with complex partial seizures who are candidates for surgical treatment, exact definition of the epileptogenic focus is essential for a good surgical outcome. We report a new technique which permits detailed mapping of the epileptogenic activity in the basal temporal lobe and the convexity of the temporal lobe. The technique consists of placement of at least 16 basal temporal electrodes and an additional 64 electrodes covering the temporal convexity. This extensive coverage permits accurate definition of the limits of the epileptogenic focus and also of adjacent functional areas and therefore allows more significant determination than have previous techniques of the ideal extent of the surgical resection. This accuracy cannot be achieved with depth electrodes or the limited coverage provided by previously reported epidural or subdural electrode techniques.

Original languageEnglish (US)
Pages (from-to)131-142
Number of pages12
JournalEpilepsia
Volume30
Issue number2
StatePublished - 1989
Externally publishedYes

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Electrodes
Temporal Lobe
Seizures
Drug Resistant Epilepsy
Therapeutics

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Luders, H., Hahn, J., Lesser, R. P., Dinner, D. S., Morris, H. H., Wyllie, E., ... Skipper, G. (1989). Basal temporal subdural electrodes in the evaluation of patients with intractable epilepsy. Epilepsia, 30(2), 131-142.

Basal temporal subdural electrodes in the evaluation of patients with intractable epilepsy. / Luders, H.; Hahn, J.; Lesser, Ronald P; Dinner, D. S.; Morris, H. H.; Wyllie, E.; Friedman, L.; Friedman, D.; Skipper, G.

In: Epilepsia, Vol. 30, No. 2, 1989, p. 131-142.

Research output: Contribution to journalArticle

Luders, H, Hahn, J, Lesser, RP, Dinner, DS, Morris, HH, Wyllie, E, Friedman, L, Friedman, D & Skipper, G 1989, 'Basal temporal subdural electrodes in the evaluation of patients with intractable epilepsy', Epilepsia, vol. 30, no. 2, pp. 131-142.
Luders H, Hahn J, Lesser RP, Dinner DS, Morris HH, Wyllie E et al. Basal temporal subdural electrodes in the evaluation of patients with intractable epilepsy. Epilepsia. 1989;30(2):131-142.
Luders, H. ; Hahn, J. ; Lesser, Ronald P ; Dinner, D. S. ; Morris, H. H. ; Wyllie, E. ; Friedman, L. ; Friedman, D. ; Skipper, G. / Basal temporal subdural electrodes in the evaluation of patients with intractable epilepsy. In: Epilepsia. 1989 ; Vol. 30, No. 2. pp. 131-142.
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