Techniques in Epilepsy Surgery The MNI Approach

Techniques in Epilepsy Surgery presents the operative procedures used in the treatment of intractable epilepsy in a practical, clinically relevant manner. Founded by pioneering neurosurgeon Wilder Penfield, the Montreal Neurological Institute (MNI) is a leading global centre of epilepsy surgery and this volume reflects the Institute's approach, combining traditional techniques with modern neuronavigation-based approaches. There is an emphasis on mastering the important trilogy of topographic, vascular and functional anatomy of the brain. The basic anatomical and physiological mechanisms underlying epilepsy are presented in a practical manner, along with the clinical seizure evaluation that leads to a surgical hypothesis. The consultation skills and investigations necessary for appropriate patient selection are discussed, as well as pitfalls and the avoidance of complications. This is an invaluable resource not only for neurosurgeons, neurosurgical residents and fellows in epilepsy surgery, but also for neurologists, and others who provide medical care for patients with intractable epilepsy.

Acknowledgement; Preface; 1. History of epilepsy surgery; 2. The search of the epileptic focus: investigation of the surgical candidate; 3. Surgical anatomy; 4. Neuronavigation and preoperative brain mapping; 5. Stereoelectroencephalography (stereotactic intracranial recording); 6. Anaesthesia and awake procedure; 7. Preoperative cortical mapping; 8. Endopial resection (intervascular endopial gyral emptying); 9. Surgery of temporal lobe epilepsy: cortico-amygdalo-hippocampectomy; 10. Surgery of temporal lobe epilepsy: transcortical selective amygdalo-hippocampectomy; 11. Surgery of central area epilepsy; 12. Surgery of frontal lobe epilepsy; 13. Surgery of parietal lobe epilepsy; 14. Surgery of insular lobe epilepsy; 15. Surgery of occipital lobe epilepsy; 16. Hemispherectomy; 17. Callosotomy; 18. Epilepsy and brain tumours; 19. Surgical treatment of cortical dysplasias; 20. Reoperations in failed epilepsy surgery; 21. Alternate procedures; 22. Complications of epilepsy surgery; 23. Quality of life after epilepsy surgery; Index.

This volume presents surgical techniques applied to epilepsy, focusing on the importance of mastering the trilogy of topographic, vascular and functional anatomy of the brain. Additionally, the basic anatomical and physiological mechanisms of epilepsy are practically discussed, aiding the formation of surgical hypotheses and the steps of surgical procedure.

André Olivier is W. Cone Professor of Neurosurgery, McGill University, and Neurosurgeon in Chief, Department of Neurosurgery, Montreal Neurological Hospital and Institute and McGill University Health Centre, Montreal, QC, Canada.
Warren W. Boling is Associate Professor, Department of Surgery, University of Melbourne, Australia.
Taner Tanriverdi is Assistant Professor, Department of Neurosurgery, Cerrahpasa Medical Faculty, Istanbul University, Turkey.