Multimodal surgical approach of epileptogenic cavernous angiomas. This retrospective study concerns 19 operated patients with cavernous angioma(s), who all experienced at least one epileptic seizure before surgical therapy. Two groups were individualized, on the basis of seizure frequency and drug-resistance, these criteria leading, a priori, to a lesional surgery (GrA: 7 patients with rare seizures) versus an epilepsy surgery (GrB: 12 patients with severe drug-resistant partial epilepsy). Analysis of data concerned the general characteristics of these patients, the anatomo-electro-clinical correlations obtained, and the presurgical and surgical strategies applied. When attacks occur rarely, lesion removal appears to be a well-adapted treatment if operative risks are judged inferior to those of spontaneous bleeding. Conversely, a multimodal approach including, if necessary, a stereo-EEG investigation, seems more appropriate for drug-resistant partial epilepsies, the choice of the presurgical and surgical strategies depending on the concordance or discordance between lesion location and ictal clinical signs.
|Translated title of the contribution||Multimodal surgical approach of epileptogenic cavernous angiomas|
|Number of pages||18|
|Publication status||Published - 1994|
ASJC Scopus subject areas
- Clinical Neurology