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Operative Techniques in Epilepsy Surgery


Format: Hardback
ISBN: 9781626238183
Publication Date: October 2019

An indispensable, single-volume resource on state-of-the-art epilepsy procedures from renowned international experts!

Epilepsy is a common neurological disorder affecting an estimated 1% of the population, about 20 to 30% of which experience seizures inadequately controlled by medical therapy alone. Advances in anatomic and functional imaging modalities, stereotaxy, and the integration of neuronavigation during surgery have led to cutting-edge treatment options for patients with medically refractory epilepsy. Operative Techniques in Epilepsy Surgery, Second Edition by Gordon Baltuch, Arthur Cukiert, and an impressive international group of contributors has been updated and expanded, reflecting the newest treatments for pediatric and adult epilepsy.

Seven sections with 30 chapters encompass surgical planning, invasive EEG studies, cortical resection, intraoperative mapping, disconnection, neuromodulation, and further topics. Twelve cortical resection chapters cover surgical approaches such as amygdalohippocampectomy; hippocampal transection; frontal lobe, central region, and posterior quadrant resections; and microsurgery versus endoscopy for hypothalamic hamartomas. Disconnection procedures discussed in section five include corpus callosotomy, hemispherectomy, and endoscopic-assisted approaches. Well-established procedures such as vagus nerve and deep brain stimulation are covered in the neuromodulation section, while the last section discusses radiosurgery for medically intractable cases.

Key Highlights

  • Chapters new to this edition include endoscopic callosotomy, laser-induced thermal therapy (LITT), and focused ultrasound
  • High-quality illustrations, superb operative and cadaver photographs, radiologic images, and tables enhance understanding of impacted anatomy and specific techniques
  • The addition of videos provides insightful step-by-step procedural guidance

This is an essential reference for fellows and residents interested in epilepsy and functional neurosurgery, and an ideal overview for neurosurgeons, neurologists, and neuroradiologists in early career stages who wish to pursue this subspecialty.

This book includes complimentary access to a digital copy on

Part I: Surgical Planning
1 Collaborative Planning in Epilepsy Surgery
2 Intraoperative Neuronavigation
Part II: Invasive EEG Studies
3 Invasive EEG Studies: Peg, Strip, and Grid Implantation
4 Depth Electrodes
Part III: Cortical Resection
5 Radiofrequency Lesions through Depth Electrodes
6 Temporal Lobectomy and Amygdalohippocampectomy
7 Selective Amygdalohippocampectomy
8 Parahippocampectomy: A New Surgical Technique for Temporal Lobe Epilepsy
9 Hippocampal Transection
10 Frontal Lobe Resection in Refractory Epilepsy
11 Cortical Resection: Central Region
12 Posterior Quadrant Resections
13 Surgery of the Insula
14 Treatment Strategies for Hypothalamic Hamartomas: Microsurgery versus Endoscopy
15 Multiple Subpial Transections
16 Laser-Induced Thermal Therapy for Medically Refractory Epilepsy
Part IV: Intraoperative Mapping
17 Motor, Sensory, and Language Mapping in Epilepsy Surgery
Part V: Disconnection
18 Cortical Disconnections
19 Corpus Callosotomy
20 Endoscopic Callosotomy and Hemispherotomy: Bimanual Endoscopic Technique
21 Anatomical Hemispherectomy
22 Functional Hemispherectomy and Peri-insular Hemispherotomy
23 Endoscopic-Assisted Hemispherotomy
24 Vertical Parasagittal Hemispherotomy
Part VI: Neuromodulation
25 Vagus Nerve Stimulation
26 Hippocampal Deep Brain Stimulation in Refractory Temporal Lobe Epilepsy
27 Deep Brain Stimulation: Stimulation of the Anterior Nucleus of the Thalamus
28 Responsive (Closed-Loop) Stimulation
Part VII: Further Topics
29 Radiosurgery for Medically Refractory Epilepsy
30 Focused Ultrasound as a Surgical Treatment for Epilepsy

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