Stereo-electroencephalography-guided radiofrequency thermocoagulation restricted to periventricular nodular heterotopias in patients with drug-resistant epilepsy: A single center experience.
Rutger SlegersLouis WagnerSander van KuijkDanny HilkmanPaul HofmanRaf van HoofJacobus JansenVivianne van Kranen-MastenbroekKim RijkersSimon TousseynAlbert ColonOlaf Schijnsnull nullPublished in: Seizure (2024)
This study demonstrates that a considerable percentage of patients, even with bilateral, multiple PVNH and involvement of adjacent cortical regions can be rendered seizure-free with SEEG-guided-RFTC restricted to the nodules. Furthermore, this study delivers evidence that the complete destruction of the entire nodule is not necessary to render a patient seizure free. This justifies the use of SEEG in patients with single, multiple or bilateral PVNHs to provide insight into the epileptogenic organization in and around these lesions.