Intracranial Electrode Monitoring for Seizure Localization: Indications, Methods and the Prevention of Complications

Authors:
  • EPErasmo Passaro
    Erasmo Passaro
  • IFItzhak Fried
    Itzhak Fried
  • JEJerome Engel
    Jerome Engel
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Abstract
Surgery is a successful method of treatment for certain epilepsies. Patient evaluation is directed towards seizure classification and localization. In most cases patients are able to progress from a noninvasive evaluation utilizing extracranial electrodes directly to resective surgery. In a few complex situations patient evaluation requires the placement of intracranial electrodes for accurate localization of the epileptogenic focus. The placement of intracranial electrodes is a surgical procedure which carries significant risk. Meticulous multidisciplinary care is required to achieve a safe and successful surgical outcome. Astute nursing care is pivotal to the success of intracranial monitoring and essential to the prevention of complications.