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Cleveland Clinic Brain Mapping Workshops SEE in MRI-negative Epileptics: Indications, Techniques and Interpretation April 10-13, 2014 InterContinental Hotel and Conference Center 9801 Carnegie Ave
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How to fill out seeg in mri-negative epilepsies

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How to fill out seeg in MRI-negative epilepsies:

01
Understand the purpose: Seeg stands for Stereo ElectroEncephaloGraphy, which involves the placement of electrodes directly into the brain to record electrical activity and identify the source of epileptic seizures. It is typically used in cases where the MRI (Magnetic Resonance Imaging) scan does not reveal the cause of epilepsy.
02
Consultation with a specialist: When considering the use of Seeg in MRI-negative epilepsies, it is essential to consult with a healthcare professional or an epilepsy specialist. They can evaluate your condition and determine whether Seeg is necessary for your specific situation.
03
Referral to a specialized center: Seeg procedures are typically performed at specialized epilepsy centers equipped with the necessary equipment and expertise. If determined appropriate, your healthcare provider may refer you to such a center to undergo the Seeg evaluation.
04
Pre-operative evaluation: Prior to the Seeg procedure, a comprehensive pre-operative evaluation will be conducted. This evaluation may include additional imaging tests, neuropsychological assessments, and other diagnostic procedures to gather all relevant information about your epilepsy.
05
Surgical planning: Once it is decided that Seeg is required, a team of experts, including neurosurgeons and epileptologists, will develop a surgical plan. This plan will involve determining the optimal placement of electrodes based on the suspected area of seizure activity.
06
Seeg implantation: During the Seeg procedure, the patient will undergo surgery to implant the electrodes. This is usually performed under general anesthesia, and the electrodes are carefully placed into specific areas of the brain. The number and location of electrodes will vary depending on the individual case.
07
Monitoring and recording: After the Seeg electrodes are implanted, the patient will be closely monitored and their brain activity will be recorded. This monitoring can last several days or longer to capture a sufficient number of seizures for analysis.
08
Data analysis and interpretation: The recorded brain activity will be analyzed by a team of experts, including neurologists and epileptologists. They will examine the data to identify the specific areas of the brain where the seizures originate and determine the best course of treatment, such as surgical resection or alternative therapies.
09
Discuss treatment options: Following the analysis of the Seeg data, your healthcare provider will present you with treatment options tailored to your condition. This may include surgical intervention, the adjustment of medication, or the consideration of other therapeutic approaches.
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Decision and follow-up: Based on the findings and treatment recommendations, you and your healthcare provider will make an informed decision about the next steps in managing your epilepsy. Regular follow-up appointments will be scheduled to monitor your progress and adjust treatment as necessary.

Who needs Seeg in MRI-negative epilepsies?

01
Patients with drug-resistant epilepsy: Seeg may be considered in patients who have not achieved effective seizure control with medication and whose seizures do not have an identifiable cause on MRI.
02
Individuals with suspected focal epilepsy: If a patient exhibits clinical symptoms suggestive of focal epilepsy, but no obvious abnormalities are found on an MRI, Seeg may be recommended to locate the precise origin of the seizures.
03
Candidates for epilepsy surgery: Seeg is often necessary for individuals being evaluated for potential epilepsy surgery. It helps determine whether surgical resection or other interventions can effectively treat the epilepsy, even in the absence of obvious MRI abnormalities.
04
Those requiring precise seizure localization: Seeg is useful for accurately identifying the specific brain regions involved in initiating seizures. This information is crucial for planning targeted treatments and minimizing potential risks.
05
Patients who are motivated and prepared: The Seeg procedure requires invasive brain surgery and a significant commitment from the patient. Candidates for Seeg should be motivated, mentally prepared, and willing to undergo the necessary testing and monitoring to obtain accurate results.
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SEEG stands for Stereoelectroencephalography, which is a minimally invasive technique used to record electrical activity directly from within the brain.
Neurologists or epileptologists are typically the healthcare professionals who are qualified to perform and interpret SEEG procedures in patients with MRI-negative epilepsies.
SEEG is performed by placing electrodes within the brain to record electrical activity, under general anesthesia. The data obtained from SEEG is then analyzed to localize the source of seizures.
The purpose of SEEG in MRI-negative epilepsies is to identify the specific brain regions responsible for generating seizures, which can help determine appropriate treatment options.
The SEEG report should include details about the electrode placement, brain regions sampled, seizure activity observed, and any findings that may help guide treatment decisions.
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