Value of Intraoperative EEG Changes During Corpus Callosotomy in Predicting Surgical Results

M. E. Fiol, J. R. Gates, R. Mireles, R. E. Maxwell, D. M. Erickson

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Summary: The intraoperative transformation of generalized epileptiform discharges (GED) to lateralized epileptiform activity during the course of corpus callosum sectioning for intractable epilepsy in 37 patients was correlated with percentage of decrease in atonic‐tonic seizures with “drops” at mean follow‐up of 26 months (range 12– 86 months). Twenty‐seven (73%) patients had intraoperative interictal discharges, and 21 (78%) showed varying degrees of lateralization of GED during corpus callosum sectioning (two thirds to total). All patients experienced >80% reduction in atonic‐tonic seizures with drops. The group (n = 7) with largest decrease in GED had the greatest decrease in seizures (95.5%). Six patients without change in GED had 88% decrease in seizures, as did 14 patients (85–86%) with mild or moderate decreases in GED, but there was no statistically significant correlation between decrease in GED and seizure frequency after operation. Thus, although lateralization of GED after corpus callosum sectioning was evident in 78% of patients with GED, the degree of lateralization of GED did not correlate with degree of reduction of tonic‐atonic seizures. Therefore, intraoperative surface EEG monitoring does not appear to be helpful at this time as a guide to extent of callosotomy.

Original languageEnglish (US)
Pages (from-to)74-78
Number of pages5
JournalEpilepsia
Volume34
Issue number1
DOIs
StatePublished - Jan 1993

Keywords

  • Corpus callosum
  • Electroencephalography
  • Neurosurgery
  • Prognosis

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