Experiences of awake surgery in non-tumoural epilepsy in eloquent localizations
Patrick Vigren, Martin Eriksson, Hugues Duffau, Anna Wretman, Hans Lindehammar, Peter Milos, Johan Richter, Thomas Karlsson, Helena Gauffin
Abstract
BACKGROUND: Whilst modern awake intraoperative mapping has been widely accepted and implemented in the last decades in neuro-oncology, sparse reports have been published on the safety and efficiency of this approach in epilepsy surgery. METHOD: This article reports four cases with different locations of epileptogenic zones as examples of possible safe and efficient resections. RESULT: The results of the resections on seizure control were Engel 1 (no disabling seizures) in all cases and no patient experienced significant neurological deficits. DISCUSSION: The discussion focuses on aspects of the future of epilepsy surgery in a hodotopical paradigm.