000			02082cam a2200313 4500500
005			20250121162558.0
041			_afre
042			_adc
100	1	0	_aMaliia, Mihai Dragos _eauthor
700	1	0	_a Philippe, Kahane _eauthor
700	1	0	_a Nica, Anca _eauthor
700	1	0	_a Mindruta, Ioana _eauthor
700	1	0	_a Castana, Laura _eauthor
700	1	0	_a Cardinale, Francesco _eauthor
700	1	0	_a Francione, Stefano _eauthor
245	0	0	_aSEEG re-exploration in a patient with complex frontal epilepsy with rapid perisylvian propagation and mixed “startle - reflex” seizures
260			_c2021.
500			_a6
520			_aThe SEEG International Course, organised in 2017, focused on the investigation and surgery of insulo-perisylvian epilepsies. We present one representative complex case that was discussed. The patient had seizures displaying startle/reflex components. He was MRI negative, while other non-invasive investigations offered only partially concordant data. Initial SEEG exploration resulted in an incomplete definition of the epileptogenic zone. A second SEEG followed, which led to a thorough assessment of the seizure onset zone and the epileptic network, localised to the lateral inferior premotor cortex, explaining the incongruent data obtained beforehand. This was the basis of a tailored resection with a favourable outcome. The patient has been seizure-free for five years without any motor nor cognitive deficits, but with pharmacodependence to one AED. The electroclinical reasoning is presented, accompanied by relevant commentaries and recommendations from the tutors [Published with video sequences].
690			_ainsular-opercular epilepsy
690			_astartle seizures
690			_aSEEG
690			_areflex seizures
690			_afocal cortical dysplasia
690			_apremotor epilepsy
690			_aepilepsy surgery
786	0		_nEpileptic Disorders | Vol 23 | 1 | 2021-01-01 | p. 180-190 | 1294-9361
856	4	1	_uhttps://shs.cairn.info/revue-epileptic-disorders-2021-1-page-180?lang=en&redirect-ssocas=7080
999			_c611541 _d611541