Show Summary Details
Page of

Invasive EEG in Cortical Dysplasia 

Invasive EEG in Cortical Dysplasia
Chapter:
Invasive EEG in Cortical Dysplasia
Author(s):

Laura Tassi

, and Roberto Mai

DOI:
10.1093/med/9780198714668.003.0015
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 18 August 2019

Focal cortical dysplasias (FCDs) are among the most frequent causes of focal, drug-resistant epilepsy. Recently, a new histopathological international consensus classification recognized three different types of FCDs, encompassing various anatomo-electro-clinical characteristics, associated with diverse connotations of architectural disruption and cytological abnormalities. These exhibit dissimilar patterns of clinical onset, seizure frequency, cognitive and neurological impairment, neuroradiological aspects, cortical localization, EEG characteristics, and surgical outcome. In the presurgical workup, the presence, localization, and possibility of identifying the limits of an anatomical lesion strongly influence the choice of investigations. Consequently, in FCDs type II and III, in which the dysplasia (particularly in type IIb) or the associated lesion (type III) are unambiguously evident, invasive monitoring is not mandatory. In contrast, FCDs type I, and a fraction of type II (varying between from 10% to 50%) show no or minor abnormalities on neuroradiological investigations. Here, invasive recordings are usually necessary.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.