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.

Contents

۱ Collaborative Planning in Epilepsy Surgery
۲ Intraoperative Neuronavigation
۳ Invasive EEG Studies: Peg, Strip, and Grid Implantation
۴ Depth Electrodes
۵ Radiofrequency Lesions through Depth Electrodes
۶ Temporal Lobectomy and Amygdalohippocampectomy
۷ Selective Amygdalohippocampectomy
۸ Parahippocampectomy: A New Surgical Technique for Temporal Lobe Epilepsy
۹ Hippocampal Transection
۱۰ Frontal Lobe Resection in Refractory Epilepsy
۱۱ Cortical Resection: Central Region
۱۲ Posterior Quadrant Resections
۱۳ Surgery of the Insula
۱۴ Treatment Strategies for Hypothalamic Hamartomas: Microsurgery versus Endoscopy
۱۵ Multiple Subpial Transections
۱۶ Laser-Induced Thermal Therapy for Medically Refractory Epilepsy
۱۷ Motor, Sensory, and Language Mapping in Epilepsy Surgery
۱۸ Cortical Disconnections
۱۹ Corpus Callosotomy
۲۰ Endoscopic Callosotomy and Hemispherotomy: Bimanual Endoscopic Technique
۲۱ Anatomical Hemispherectomy
۲۲ Functional Hemispherectomy and Peri-insular Hemispherotomy
۲۳ Endoscopic-Assisted Hemispherotomy
۲۴ Vertical Parasagittal Hemispherotomy
Part VI: Neuromodulation
۲۵ Vagus Nerve Stimulation
۲۶ Hippocampal Deep Brain Stimulation in Refractory Temporal Lobe Epilepsy
۲۷ Deep Brain Stimulation: Stimulation of the Anterior Nucleus of the Thalamus
۲۸ Responsive (Closed-Loop) Stimulation
۲۹ Radiosurgery for Medically Refractory Epilepsy
۳۰ Focused Ultrasound as a Surgical Treatment for Epilepsy