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EEG and SEEG for epilepsy surgery

For neurosurgeons who already know neuroanatomy: signal generation and scalp EEG first, then electroclinical localization, multimodal hypothesis building, SEEG implantation, and interpretation that changes resection, ablation, or neuromodulation.

72 sources·16 rooms·1 learner

Published by Pathsmith · 15h ago

epilepsy surgeryeegseegstereoelectroencephalographyclinical neurophysiologyneurosurgery
You get your own copy — yours to change, and to take notes on.

Stage 1 · Read voltage, polarity, montage, and artifact before naming epilepsy

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IFCN, ILAE, and ACNS recording standards

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  1. 1Routine and sleep EEG: Minimum recording standards of the International Federation of Clinical Neurophysiology and the International League Against Epilepsypubmed.ncbi.nlm.nih.gov
  2. 2Minimum standards for inpatient long-term video-EEG monitoring: A clinical practice guideline of the international league against epilepsy and international federation of clinical neurophysiologypubmed.ncbi.nlm.nih.gov
  3. 3The standardized EEG electrode array of the IFCNpubmed.ncbi.nlm.nih.gov
  4. 4American Clinical Neurophysiology Society Guideline 1: Minimum Technical Requirements for Performing Clinical Electroencephalographypubmed.ncbi.nlm.nih.gov
  5. 5American Clinical Neurophysiology Society's Standardized Critical Care EEG Terminology: 2021 Versionpubmed.ncbi.nlm.nih.gov
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Normal physiology, epileptiform transients, and false positives

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  1. 6Neurophysiologic basis of EEGpubmed.ncbi.nlm.nih.gov
  2. 7Seminar in Epileptology: Normal awake and sleep patterns, interictal abnormalities, and ictal patterns on scalp EEGpubmed.ncbi.nlm.nih.gov
  3. 8EEG Essentialspubmed.ncbi.nlm.nih.gov
  4. 9Benign EEG variantspubmed.ncbi.nlm.nih.gov
  5. 10Pitfalls in scalp EEG: Current obstacles and future directionspubmed.ncbi.nlm.nih.gov
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ILAE signal physiology, montage, and artifact cases

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  1. 11Basic physiology of the EEG - Introduction: #9 ILAE-AO & ASEPA EEG teaching courseyoutube.com
  2. 12Basic physiology of the EEG - Neurophysiology: #10 ILAE-AO & ASEPA EEG teaching courseyoutube.com
  3. 13Basic physiology of the EEG - Montage and setting: #11 ILAE-AO & ASEPA EEG teaching courseyoutube.com
  4. 14EEG artifacts - Case 1: #12 ILAE-AO & ASEPA EEG teaching courseyoutube.com
  5. 15EEG artifacts - Case 2-5: #13 ILAE-AO & ASEPA EEG teaching courseyoutube.com
  6. 16EEG artifacts - Case 10 and conclusion: #15 ILAE-AO & ASEPA EEG teaching courseyoutube.com

Stage 2 · Localize seizures without confusing onset, spread, and visibility

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What scalp EEG can and cannot localize

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  1. 17Focal epilepsies and focal disorderspubmed.ncbi.nlm.nih.gov
  2. 18Frontal lobe epilepsypubmed.ncbi.nlm.nih.gov
  3. 19Correspondence between scalp-EEG and stereoelectroencephalography seizure-onset patterns in patients with MRI-negative drug-resistant focal epilepsypubmed.ncbi.nlm.nih.gov
  4. 20Stereo-EEG localization of midline onset seizures on scalp EEGpubmed.ncbi.nlm.nih.gov
  5. 21Epileptic High-frequency Oscillations in Scalp Electroencephalographypubmed.ncbi.nlm.nih.gov
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ILAE semiology and deep-network mimics

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  1. 22Updated classification of epileptic seizures: Position paper of the International League Against Epilepsypubmed.ncbi.nlm.nih.gov
  2. 23Seizure semiology: ILAE glossary of terms and their significancepubmed.ncbi.nlm.nih.gov
  3. 24Localisation in focal epilepsy: a practical guidepubmed.ncbi.nlm.nih.gov
  4. 25Insula in epilepsy - "untying the gordian knot": A systematic reviewpubmed.ncbi.nlm.nih.gov
  5. 26Frontal lobe seizures: overview and updatepubmed.ncbi.nlm.nih.gov
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Spikes, source imaging, EEG-fMRI, and direct-current shifts

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  1. 27YES ILAE Webinars 2020 - Prof Sàndor Beniczky - When is a spike a spike and who finds it?youtube.com
  2. 288th Lecture EEG Source Imaging using Brainstormyoutube.com
  3. 2910th Lecture EEG/fMRI in epilepsyyoutube.com
  4. 30Ictal direct current shifts contribute to defining the core ictal focus in epilepsy surgeryyoutube.com

Stage 3 · Build a falsifiable surgical hypothesis before choosing electrodes

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Define candidacy and the question surgery must answer

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  1. 31Definition of drug resistant epilepsy: consensus proposal by the ad hoc Task Force of the ILAE Commission on Therapeutic Strategiespubmed.ncbi.nlm.nih.gov
  2. 32Timing of referral to evaluate for epilepsy surgery: Expert Consensus Recommendations from the Surgical Therapies Commission of the International League Against Epilepsypubmed.ncbi.nlm.nih.gov
  3. 33Presurgical epilepsy evaluation and epilepsy surgerypubmed.ncbi.nlm.nih.gov
  4. 34Non-invasive Evaluation for Epilepsy Surgerypubmed.ncbi.nlm.nih.gov
  5. 35Changing concepts in presurgical assessment for epilepsy surgerypubmed.ncbi.nlm.nih.gov
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Make discordance explicit with multimodal evidence

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  1. 36Multimodal non-invasive evaluation in MRI-negative epilepsy patientspubmed.ncbi.nlm.nih.gov
  2. 37Magnetoencephalography for Epilepsy Presurgical Evaluationpubmed.ncbi.nlm.nih.gov
  3. 38Technical Considerations in EEG Source Imagingpubmed.ncbi.nlm.nih.gov
  4. 39MRI-negative epilepsy: A systematic review and meta-analysispubmed.ncbi.nlm.nih.gov
  5. 40MRI-negative temporal lobe epilepsy-What do we know?pubmed.ncbi.nlm.nih.gov
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Presurgical assessment, HARNESS MRI, MEG, PET, and SPECT

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  1. 41YES ILAE Webinars 2021 Prof. Sam Wiebe: Presurgical Assessment and surgical options in epilepsyyoutube.com
  2. 421st Lecture Multimodal Neuroimaging in Epilepsyyoutube.com
  3. 432nd Lecture The importance of appropriate MRI protocols: The HARNESS protocolyoutube.com
  4. 449th Lecture Single-photon emission computed tomography (SPECT)youtube.com

Stage 4 · Design SEEG to test competing networks and implant it safely

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Indications, alternatives, and implantation strategy

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  1. 45Indications and limits of stereoelectroencephalography (SEEG)pubmed.ncbi.nlm.nih.gov
  2. 46Stereo-EEG Implantation Strategypubmed.ncbi.nlm.nih.gov
  3. 47Technical Aspects of SEEG and Its Interpretation in the Delineation of the Epileptogenic Zonepubmed.ncbi.nlm.nih.gov
  4. 48Presurgical intracranial investigations in epilepsy surgerypubmed.ncbi.nlm.nih.gov
  5. 49Stereoelectroencephalography Versus Subdural Electrodes for Localization of the Epileptogenic Zone: What Is the Evidence?pmc.ncbi.nlm.nih.gov
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Accuracy, vascular corridors, robotics, and complications

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  1. 50Is SEEG safe? A systematic review and meta-analysis of stereo-electroencephalography-related complicationspubmed.ncbi.nlm.nih.gov
  2. 51Accuracy of intracranial electrode placement for stereoelectroencephalography: A systematic review and meta-analysispmc.ncbi.nlm.nih.gov
  3. 52Technique, Results, and Complications Related to Robot-Assisted Stereoelectroencephalographypubmed.ncbi.nlm.nih.gov
  4. 53Vascular imaging for Stereoelectroencephalography: A safety and planning studypubmed.ncbi.nlm.nih.gov
  5. 54Robot-assisted vs. manually guided stereoelectroencephalography for refractory epilepsy: a systematic review and meta-analysispubmed.ncbi.nlm.nih.gov
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The SEEG method from indication to implanted geometry

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  1. 55YES ILAE WEBINARS 2021 Indications and interpretation of intracranial recordings in epilepsyyoutube.com
  2. 56Stereo-EEG for chronic epilepsyyoutube.com
  3. 57Convergence of Stereotactic Surgery and Epilepsy: The Stereoelectroencephalography Methodyoutube.com
  4. 58SEEG Methodology, Safety and Accuracyyoutube.com

Stage 5 · Convert SEEG networks into a defensible treatment boundary

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Interpretation, stimulation, biomarkers, and outcomes

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  1. 59Stereoelectroencephalography: Interpretationpubmed.ncbi.nlm.nih.gov
  2. 60Stimulation Mapping Using Stereoelectroencephalography: Current and Future Directionspmc.ncbi.nlm.nih.gov
  3. 61The role of quantitative markers in surgical prognostication after stereoelectroencephalographypubmed.ncbi.nlm.nih.gov
  4. 62Radiofrequency thermocoagulation in focal epilepsy: A retrospective cohort studypubmed.ncbi.nlm.nih.gov
  5. 63Seizure outcomes and complications associated with stereoelectroencephalography versus subdural electrodes for invasive monitoring in epilepsy surgery: a meta-analysispubmed.ncbi.nlm.nih.gov
  6. 64Comparative Effectiveness of Stereotactic Electroencephalography Versus Subdural Grids in Epilepsy Surgerypubmed.ncbi.nlm.nih.gov
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Network interpretation, stimulation, and SEEG-guided ablation

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  1. 65sEEG for polymicrogyria and schizocephaly - #21 ILAE-AO & ASEPA EEG teaching courseyoutube.com
  2. 66SEEG-Guided Radiofrequency Ablation - ILAE Eastern Mediterranean 27 February 2026 Webinaryoutube.com
  3. 67Niguarda Workflow for SEEG-guided Radiofrequency Thermocoagulationyoutube.com
  4. 68Interictal stereotactic-EEG functional connectivity in refractory focal epilepsiesyoutube.com
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The courses these lectures come from

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  1. 69ILAE: EEG & Epilepsy Teaching Courses (2021-2024): ILAE-AO & ASEPA (26 videos)youtube.com
  2. 70ILAE: Neurosurgical Education Video Library (16 videos)youtube.com
  3. 71ILAE Young Epilepsy Section: 1st ILAE-YES Course on Advanced Neuroimaging Techniques in Epilepsy (18 videos)youtube.com
notebook

How to use this path

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  1. 72The implant begins with a written hypothesis, not a trajectory
EEG and SEEG for epilepsy surgery · learnthings