Partial Epilepsy
Conditions
Keywords
Diagnosis, Partial Epilepsy
Brief summary
Multicenter prospective study comparing the diagnosis value of high-resolution EEG and depth-EEG to localize the epileptogenic zone in drug resistant partial epilepsies.
Interventions
High Resolution EEG
SEEG
Sponsors
Study design
Eligibility
Inclusion criteria
* medically intractable patial epilepsy confirmed by video-EEG recordings of epileptic seizures. * Depth EEG (Stereo-EEG) required to delineate the epileptogenic zone and define the surgical procedure. * full informed consent of the patient (or of his/ her legal representative) * 15 year or older patient
Exclusion criteria
* contraindication to cortectomy * contraindication to depth-EEG * indication of epilepsy surgery without depth-EEG monitoring * high grade glioma, arterio-veinous malformations * pregnancy * history of severe cardio-vascular event (coronaropathy, stroke)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sensitivity and specificity of electrical source localization of inter-ictal and ictal discharges using high-Resolution EEG for localizing the epileptogenic zone (the stereo-electroencephalography will be the reference method) | 3 years | results of electrical sources localization of inter-ictal and ictal discharges are compared to the epileptogenic zone defined by SEEG |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| inter-observer reliability of electrical source localization of inter-ictal and ictal discharges for localizing the epileptogenic zone. | 3 years | sources localization of inter-ictal and ictal discharges will be interpreted by two independant epileptologists, blinded to the results of stereo-EEG. |
| sensitivity and specificity of high resolution EEG and electrical source imaging for surgical decision | 3 years | decision of surgery and the limits of the cortectomy established with electrical source imaging will be compared to the decision of surgery and the limits of the cortectomy established with Stereo-electroencephalography. |
Countries
France