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Journal Articles Neurophysiologie Clinique = Clinical Neurophysiology Year : 2018

French guidelines on stereoelectroencephalography (SEEG)

1 CRNL - Centre de recherche en neurosciences de Lyon - Lyon Neuroscience Research Center
2 Laboratoire de Physiologie-Explorations Fonctionnelles
3 INS - Institut de Neurosciences des Systèmes
4 ICM - Institut du Cerveau et de la Moëlle Epinière = Brain and Spine Institute
5 Service de neuro-chirurgie
6 CRICM - Centre de Recherche de l'Institut du Cerveau et de la Moelle épinière
7 CHU Pitié-Salpêtrière [AP-HP]
8 CHRU Nancy - Centre Hospitalier Régional Universitaire de Nancy
9 CHU Toulouse - Centre Hospitalier Universitaire de Toulouse
10 Service de Neurochirurgie [CHU Rouen]
11 ADEN - Nutrition, inflammation et dysfonctionnement de l'axe intestin-cerveau
12 IRIB - Institute for Research and Innovation in Biomedicine
13 UNIROUEN UFR Santé - UNIROUEN - UFR Santé
14 Service de psychiatrie
15 Service de neurochirurgie pédiatrique [Fondation Rothschild, Paris]
16 Néovasc - Endothélium microcirculatoire cérébral et lésions du système nerveux central au cours du développement
17 Service de Neurologie [Lyon]
18 Université de Lyon
19 GIN - [GIN] Grenoble Institut des Neurosciences
20 CHU Rouen
21 CRAN - Centre de Recherche en Automatique de Nancy
22 LTSI - Laboratoire Traitement du Signal et de l'Image
23 CHRU Lille - Centre Hospitalier Régional Universitaire [CHU Lille]
24 CHU Strasbourg - Centre Hospitalier Universitaire [Strasbourg]
25 TCDV - Troubles cognitifs dégénératifs et vasculaires - U 1171 - EA 1046
26 CERCO - Centre de recherche cerveau et cognition
27 Comportement et noyaux gris centraux = Behavior and Basal Ganglia [Rennes]
Marie Denuelle
  • Function : Author
  • PersonId : 878806
  • IdRef : 083381414
Axel Lebas
  • Function : Author
Jean-Christophe Sol
  • Function : Author
  • PersonId : 1022631
  • IdRef : 083161856
Louise Tyvaert
Luc Valton

Abstract

Stereoelectroencephalography (SEEG) was designed and developed in the 1960s in France by J. Talairach and J. Bancaud. It is an invasive method of exploration for drug-resistant focal epilepsies, offering the advantage of a tridimensional and temporally precise study of the epileptic discharge. It allows anatomo-electrical correlations and tailored surgeries. Whereas this method has been used for decades by experts in a limited number of European centers, the last ten years have seen increasing worldwide spread of its use. Moreover in current practice, SEEG is not only a diagnostic tool but also offers a therapeutic option, i.e., thermocoagulation. In order to propose formal guidelines for best clinical practice in SEEG, a working party was formed, composed of experts from every French centre with a large SEEG experience (those performing more than 10 SEEG per year over at least a 5 year period). This group formulated recommendations, which were graded by all participants according to established methodology. The first part of this article summarizes these within the following topics: indications and limits of SEEG; planning and management of SEEG; surgical technique; electrophysiological technical procedures; interpretation of SEEG recordings; and SEEG-guided radio frequency thermocoagulation. In the second part, those different aspects are discussed in more detail by subgroups of experts, based on existing literature and their own experience. The aim of this work is to present a consensual French approach to SEEG, which could be used as a basic document for centers using this method, particularly those who are beginning SEEG practice. These guidelines are supported by the French Clinical Neurophysiology Society and the French chapter of the International League Against Epilepsy.
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Dates and versions

hal-01744390 , version 1 (27-04-2018)
hal-01744390 , version 2 (15-06-2018)

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Jean Isnard, Delphine Taussig, Fabrice Bartolomei, Pierre Bourdillon, Hélène Catenoix, et al.. French guidelines on stereoelectroencephalography (SEEG). Neurophysiologie Clinique = Clinical Neurophysiology, 2018, 48 (1), pp.5-13. ⟨10.1016/j.neucli.2017.11.005⟩. ⟨hal-01744390v2⟩
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