Discover the transformative strides in epilepsy surgery and understand why increasing its accessibility is crucial in tackling the often-overlooked public health dilemma of underutilization.
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Evolution of Stereo-Electroencephalography at Massachusetts General Hospital.
Nanda et al., Neurosurg Clin N Am 2024
DOI: 10.1016/j.nec.2023.09.007
The abstract discusses the evolution of invasive monitoring techniques for presurgical epilepsy workup at Massachusetts General Hospital (MGH). The approach has transitioned from focusing solely on identifying single seizure foci for resection to a more comprehensive network-hypothesis-driven method. This newer strategy aims to map out the seizure networks in patients and target critical nodes for surgical intervention, reflecting the broader understanding of epilepsy as a network disorder. The authors have reviewed all invasive monitoring cases at MGH from April 2016 to June 2023 to illustrate the practical changes resulting from this paradigm shift.
What’s new: The shift from single-focus identification to network-based strategies in invasive monitoring for epilepsy surgery at MGH.
Importance: This change represents a significant development in the field, aligning with the contemporary view of epilepsy as a network disorder.
Contribution to literature: The review of cases from MGH provides real-world evidence of how theoretical advancements in epilepsy understanding are being applied in clinical practice.