Trends in Thalamic Stereoelectroencephalography Utilization During Phase II Monitoring in North America: A Survey.

IF 1.7 4区医学 Q3 CLINICAL NEUROLOGY

Operative Neurosurgery Pub Date : 2025-05-09 DOI:10.1227/ons.0000000000001614

Ahmad Alhourani, Philip B Ostrov, Jason M Schwalb, Andrew I Yang, Adriana E Palade, Edward F Chang, Joseph S Neimat

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引用次数: 0

Abstract

Background and objectives: Thalamic neuromodulation is widely used in epilepsy surgery. However, thalamic sampling in invasive monitoring is not consistently used. We aimed to quantify current trends in thalamic stereoelectroencephalography (SEEG) utilization.

Methods: We performed a survey of epilepsy neurosurgeons and neurologists to gauge their attitudes and experience with thalamic SEEG. We contacted all members of the American Society for Stereotactic and Functional Neurosurgery and American Epilepsy Society organizations using a mailing list.

Results: We received 40 responses from centers using SEEG, including 31 neurosurgeons and 9 epileptologists. Among these respondents, 65% (26/40) included thalamic targets in their SEEG plans. The most common clinical rationales were to define the seizure network (22/26, 84.6%) or the high probability of targeted structure being a neuromodulation target (22/26, 84.6%). Over half of the respondents who used thalamic SEEG (15/26, 57.6%) endorsed that the findings informed target selection and feasibility of thalamic neuromodulation. The most commonly implanted thalamic targets included centromedian (23/26) and anterior nucleus of the thalamus (ANT) (22/26), followed by pulvinar (19/26).

Conclusion: Thalamic SEEG is a diagnostic tool that is being increasingly used across epilepsy centers. This may be an important tool to support the paradigm shifts occurring in the surgical management of epilepsy.

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北美二期监测中丘脑立体脑电图使用趋势：一项调查。

背景与目的：丘脑神经调节在癫痫手术中应用广泛。然而，在侵入性监测中，丘脑取样并没有得到一致的应用。我们的目的是量化目前丘脑立体脑电图（SEEG）的使用趋势。方法：我们对癫痫神经外科医生和神经科医生进行了一项调查，以评估他们对丘脑SEEG的态度和经验。我们通过邮件列表联系了美国立体定向和功能性神经外科学会以及美国癫痫学会组织的所有成员。结果：我们收到了来自SEEG中心的40份回复，其中包括31名神经外科医生和9名癫痫学家。在这些受访者中，65%（26/40）将丘脑目标纳入其SEEG计划。最常见的临床理由是确定癫痫发作网络（22/ 26,84.6%）或目标结构是神经调节目标的高概率（22/ 26,84.6%）。使用丘脑SEEG的受访者中有超过一半（15/26,57.6%）赞同这些发现为丘脑神经调节的靶标选择和可行性提供了信息。最常见的植入目标包括正中（23/26）和丘脑前核（ANT）（22/26），其次是pulvinar（19/26）。结论：丘脑SEEG是一种越来越多地在癫痫中心使用的诊断工具。这可能是一个重要的工具，以支持发生在癫痫手术管理的范式转变。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Operative Neurosurgery Medicine-Neurology (clinical)

CiteScore

3.10

自引率

13.00%

发文量

530

期刊介绍： Operative Neurosurgery is a bi-monthly, unique publication focusing exclusively on surgical technique and devices, providing practical, skill-enhancing guidance to its readers. Complementing the clinical and research studies published in Neurosurgery, Operative Neurosurgery brings the reader technical material that highlights operative procedures, anatomy, instrumentation, devices, and technology. Operative Neurosurgery is the practical resource for cutting-edge material that brings the surgeon the most up to date literature on operative practice and technique