๐1) Frontal/temporal or occipital craniotomy for resection of a structural epileptogenic focus e.g. Tumour or AVM
๐บThis may use stereotaxic localisation (by using a stereotaxic headframe, which may affect the method of intubation)
๐2) Diagnostic placement of surface or depth electrodes
๐บMostly only burr holes outlining the future craniotomy flap are used
๐บAfter placement, the electrodes are externalised and postoperatively patient’s naturally occurring seizures are recorded in conjunction with video monitoring, to register the clinical presentation, with the onset of seizure activity. This recording period may last for several days.
๐บThis will be followed by resection of the epileptic focus, on another date.
๐3) Selective amygdalo-hippocampectomy
๐บHere, a cortical incision is made in the anterior temporal lobe and amygdala & hippocampus are resected
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