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Invasive EEG Monitoring in Children: When, Where, and What?

Jayakar, Prasanna

Journal of Clinical Neurophysiology: September 1999 - Volume 16 - Issue 5 - p 408
Review Articles

Summary: With rapid advances in noninvasive technology, the need for chronic intracranial monitoring to define the epileptogenic region has diminished significantly. Its role in presurgical evaluation has come under scrutiny particularly in adults with lesional epilepsy. With the shift in surgical candidacy toward the younger age groups, however, invasive monitoring has regained its utility especially in children with normal imaging studies and cortical dysplasia. This review critically evaluates its continuing role, attempting to assess cost-benefit under specific clinical scenarios and proposes how the findings can be incorporated into the challenging task of surgical planning in intractable childhood epilepsy.

Comprehensive Epilepsy Center, Miami Children’s Hospital, Miami, Florida, U.S.A.

Address correspondence and reprint requests to Prasanna Jayakar, M.D., Ph.D., Neuroscience Center, Miami Children’s Hospital, 3100 SW 62nd Avenue, Miami, FL 33155, U.S.A.

Copyright © 1999 American Clinical Neurophysiology Society