Operative Technique and Nuances for the Stereoelectroencephalographic (SEEG) Methodology Utilizing a Robotic Stereotactic Guidance System

Amir H. Faraji, Zachary C. Gersey, Danielle M. Corson, James C. Sweat, Jorge A. Gonzalez-Martinez

Research output: Contribution to journalArticlepeer-review

Abstract

The SEEG methodology has gained favor in North America over the last decade as a means of localizing the epileptogenic zone (EZ) prior to epilepsy surgery. Recently, the application of a robotic stereotactic guidance system for implantation of SEEG electrodes has become more popular in many epilepsy centers. The technique for the use of the robot requires extreme precision in the pre-surgical planning phase and then the technique is streamlined during the operative portion of the methodology, as the robot and surgeon work in concert to implant the electrodes. Herein is detailed precise operative methodology of using the robot to guide implantation of SEEG electrodes. A major limitation of the procedure, namely its heavy reliance on the ability to register the patient to a preoperative volumetric magnetic resonance image (MRI), is also discussed. Overall, this procedure has been shown to have a low morbidity rate and an extremely low mortality rate. The use of a robotic stereotactic guidance system for the implantation of SEEG electrodes is an efficient, fast, safe, and accurate alternative to conventional manual implantation strategies.

Original languageEnglish (US)
Article numbere59456
JournalJournal of Visualized Experiments
Volume2023
Issue number196
DOIs
StatePublished - Jun 9 2023

Keywords

  • Humans
  • Robotic Surgical Procedures/methods
  • Electrodes, Implanted
  • Stereotaxic Techniques
  • Epilepsy/surgery
  • Imaging, Three-Dimensional
  • Electroencephalography/methods

ASJC Scopus subject areas

  • Chemical Engineering(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Immunology and Microbiology(all)
  • Neuroscience(all)

Fingerprint

Dive into the research topics of 'Operative Technique and Nuances for the Stereoelectroencephalographic (SEEG) Methodology Utilizing a Robotic Stereotactic Guidance System'. Together they form a unique fingerprint.

Cite this