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SEEG in Temporal Lobe Epilepsy 

SEEG in Temporal Lobe Epilepsy
Chapter:
SEEG in Temporal Lobe Epilepsy
Author(s):

Anne-Sophie Job-Chapron

, Lorella Minotti

, Dominique Hoffmann

, and Philippe Kahane

DOI:
10.1093/med/9780198714668.003.0021
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date: 24 August 2019

In the context of temporal lobe epilepsy (TLE), there are different scenarios where a stereo-electroencephalographic (SEEG) study must be strongly considered. This chapter reviews these situations, which include bitemporal epilepsy, unilateral lesional and non-lesional TLE, temporal ‘plus’ epilepsy (TPE), and pseudo-TLE. It also emphasizes why SEEG is especially appropriate to adequately sample all possible ictal generators, either temporal (amygdala, hippocampus, entorhinal cortex, or temporal neocortex) or extratemporal (insula, orbitofrontal cortex, or posterior cingulate gyrus). It includes illustrative cases explaining why and how SEEG studies are designed, and provides examples of SEEG schemes and traces.

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