Prächirurgische Epilepsiediagnostik - öfter ein Thema als viele denken

pilepsy surgery is a highly effective therapy with the aim of long-term seizure control,i.e., to cure the epilepsy. Three different studies with class 1 evidence have shown this. In patients with drug-resistant epilepsy (DRE) lasting for nearly 20 years, shorter disease duration of about 5 years, or in children it has been shown independently that epilepsy surgery is highly superior to best medical treatment. Using multimodal techniques (e.g., long-term video EEG, highresolution cerebral MRI according to epilepsy protocol, FDG-PET, neuropsychological testing, fMRI, ictal SPECT with SISCOM, MRI postprocessing, electric source imaging [ESI], magnetoencephalography [MEG], invasive recording with stereo-EEG electrodes or subdural electrodes and WADA test), it is possible nowadays to offer epilepsy surgery to patients who were previously not regarded as promising candidates for epilepsy surgery.