Asset Details
Do you wish to reserve the book?
Technique, Results, and Complications Related to Robot-Assisted Stereoelectroencephalography
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Technique, Results, and Complications Related to Robot-Assisted Stereoelectroencephalography
Do you wish to request the book?
Technique, Results, and Complications Related to Robot-Assisted Stereoelectroencephalography
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Technique, Results, and Complications Related to Robot-Assisted Stereoelectroencephalography
2016
Overview
ABSTRACT
BACKGROUND:
Robot-assisted stereoelectroencephalography (SEEG) may represent a simplified, precise, and safe alternative to the more traditional SEEG techniques.
OBJECTIVE:
To report our clinical experience with robotic SEEG implantation and to define its utility in the management of patients with medically refractory epilepsy.
METHODS:
The prospective observational analyses included all patients with medically refractory focal epilepsy who underwent robot-assisted stereotactic placement of depth electrodes for extraoperative brain monitoring between November 2009 and May 2013. Technical nuances of the robotic implantation technique are presented, as well as an analysis of demographics, time of planning and procedure, seizure outcome, in vivo accuracy, and procedure-related complications.
RESULTS:
One hundred patients underwent 101 robot-assisted SEEG procedures. Their mean age was 33.2 years. In total, 1245 depth electrodes were implanted. On average, 12.5 electrodes were implanted per patient. The time of implantation planning was 30 minutes on average (range, 15-60 minutes). The average operative time was 130 minutes (range, 45-160 minutes). In vivo accuracy (calculated in 500 trajectories) demonstrated a median entry point error of 1.2 mm (interquartile range, 0.78-1.83 mm) and a median target point error of 1.7 mm (interquartile range, 1.20-2.30 mm). Of the group of patients who underwent resective surgery (68 patients), 45 (66.2%) gained seizure freedom status. Mean follow-up was 18 months. The total complication rate was 4%.
CONCLUSION:
The robotic SEEG technique and method were demonstrated to be safe, accurate, and efficient in anatomically defining the epileptogenic zone and subsequently promoting sustained seizure freedom status in patients with difficult-to-localize seizures.
Publisher
Oxford University Press,Copyright by the Congress of Neurological Surgeons,Wolters Kluwer Health, Inc
Subject
/ Adult
/ Child
/ Electrodes, Implanted - adverse effects
/ Electroencephalography - adverse effects
/ Electroencephalography - methods
/ Female
/ Humans
/ Intraoperative Complications - diagnosis
/ Intraoperative Complications - etiology
/ Male
/ Robotic Surgical Procedures - adverse effects
/ Robotic Surgical Procedures - methods
/ Robotics
/ Robots
