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Surgical Management of Epilepsy --- Image Gallery

PIC 1

Brain imaging: MRI techniques

PIC 2

Interictal and Ictal SPECT scans are digitally merged and fused with MRI

PIC 3

magnetoencephalography (magnetic source imaging) is used to assist in the three-dimensional localization of the epileptogenic focus

PIC 4

Depth electrodes placed directly into brain structures

PIC 5a

Subdural strip or grid electrodes placed over the cortical surface of the brain

PIC 5b

Subdural strip or grid electrodes placed over the cortical surface of the brain

PIC 6

MRI-directed stereotactic implantation of depth electrodes into specific brain structures

DRAW 1

Anterior temporal lobectomy - removal of the anterior temporal lobe including the medial temporal structures

PIC 7

Extratemporal resection - removal of epileptogenic cerebral cortex outside the anterior temporal lobe

PIC 8a

Functional hemispherectomy - removal of the majority of one cerebral hemisphere and functional disconnection of the remainder of the hemisphere

PIC 8b

Functional hemispherectomy - removal of the majority of one cerebral hemisphere and functional disconnection of the remainder of the hemisphere

DRAW 2a

Hemispherotomy - disconnecting the damaged, epileptogenic hemisphere rather than removing tissue

DRAW 2b

Hemispherotomy - disconnecting the damaged, epileptogenic hemisphere rather than removing tissue

PIC 9

Corpus Callosotomy - sectioning of the corpus callosum to disconnect the two hemispheres and prevent the spread of seizures from one hemisphere to the other

DRAW 3a

Corpus callosotomy orientation figure

DRAW 3b

Corpus callosotomy procedure (mid-saggital view)

DRAW 3c

Corpus callosotomy, posterior dissection of the corpus callosum

DRAW 3d

Corpus callosotomy, veiw of corpus callosum following separation

  © 2003 MCG

Questions and Comments to Bill Hamilton 

 
 June 06, 2005


Department of Neurosurgery  |  Medical College of Georgia