In this episode of STEIN Fireside Podcast, Dr. Kai Miller takes us contained in the advanced world of epilepsy surgical procedure and explains how docs determine the most effective therapy for sufferers with drug-resistant seizures.
You’ll study:
• How sufferers transfer from preliminary session to surgical procedure
• The position of multidisciplinary groups in planning therapy
• Key diagnostic steps like EEG, MRI, and semiology
• Surgical choices: open resection, laser ablation, and neurostimulation
• Cutting-edge strategies like stereotactic laser remedy, deep mind stimulation, and responsive neurostimulation
• Why minimally invasive approaches are remodeling affected person outcomes
This episode is full of insights for medical professionals, college students, and anybody interested in the way forward for epilepsy care.
Watch now and subscribe for extra neurosurgery deep dives!
Access the complete paper through QR code within the video.
0:00 Welcome and Episode Overview
0:15 How Patients Begin the Epilepsy Journey
0:25 Surgical Options for Drug-Resistant Epilepsy
0:36 Role of EEG and Imaging in Decisions
0:51 Initial Consultation and Phase I Evaluation
1:34 Multidisciplinary Team Approach Explained
2:11 Checking Concordance: EEG, Imaging, Symptoms
3:16 When Seizures Come from Both Brain Halves
4:02 Corpus Callosotomy: What It Is and Why
6:12 Transition to Laser-Based Approaches
7:23 How Laser Ablation Works in MRI
9:01 Advantages and Drawbacks of Laser Surgery
9:48 Hemispherectomy and Hemispherotomy Explained
11:00 Techniques for Disconnecting a Hemisphere
13:17 Tailored Disconnections for Preserving Speech
13:23 Single Lesion Cases: Laser vs. Resection
14:41 Using Multiple Laser Trajectories for Tumors
16:05 Mapping Seizure Zones with Electrodes
18:38 Stereo EEG: History and Modern Practice
21:11 Neurostimulation: DBS, RNS, and VNS
28:27 Key Takeaways and Closing Remarks
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