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Radiosurgical Treatment Options for Epileptic Disorders

  • Chapter
Radiotherapy for Non-Malignant Disorders

Part of the book series: Medical Radiology ((Med Radiol Radiat Oncol))

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Abstract

The modern “rational” approach to epilepsy surgery started with Macewen [44] and Horsley [30]. Horsley translated Jackson’s analytical examinations of epileptics into surgical action, adhering to the principles of functional cerebral localization (Jackson, 1931/1932). Foerster pioneered epilepsy surgery in Breslau, Germany, with remarkable results [21]. Krause and Schum [36] emphasized that the excision of the “primary convulsing center,” i.e., the primary epileptogenic zone, was the main point of successful epilepsy surgery. Bailey and Gibbs [3] and the Montreal pioneers led by Penfield and Jasper [32, 53] were the first to utilize electroencephalography to plan and perform epilepsy surgery, predominantly temporal lobectomy, based on electrophysiological evidence alone. With the advent of modern non-invasive structural and functional imaging techniques, and the improved microsurgical techniques, the surgical treatment of epilepsies has multiplied worldwide, but still remains underutilized nowadays.

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  1. Department of Epileptology & Electroencephalography, University Hospital Zürich, 8091, Zürich, Switzerland

    Heinz Gregor Wieser MD (Professor)

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  1. Department of Radiation Oncology and Therapeutic Radiology, Alfried-Krupp-Hospital, Alfried-Krupp-Strasse 21, Postfach 10 22 43, 45117, Essen, Germany

    Michael Heinrich Seegenschmiedt MD (Professor) (Professor)

  2. Strahlenklinik Klinikum Duisburg, Zu den Rehwiesen 9, 47055, Duisburg, Germany

    Hans-Bruno Makoski MD (Professor) (Professor)

  3. Department of Radiation Biology, St. Bartolomew’s Medical College, Charterhouse Square, London, EC1M 6BQ, UK

    Klaus-Rüdiger Trott MD (Professor) (Professor)

  4. Hylda Cohn/American Cancer Society, USA

    Luther W. Brady MD (Professor of Clinical Oncology, and Professor, Department of Radiation Oncology Distinguished University Professor) (Professor of Clinical Oncology, and Professor, Department of Radiation Oncology Distinguished University Professor)

  5. College of Medicine, Drexel University, Broad & Vine Sts., Mail Stop 200, Philadelphia, PA, 19102-1192, USA

    Luther W. Brady MD (Professor of Clinical Oncology, and Professor, Department of Radiation Oncology Distinguished University Professor) (Professor of Clinical Oncology, and Professor, Department of Radiation Oncology Distinguished University Professor)

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Wieser, H.G. (2008). Radiosurgical Treatment Options for Epileptic Disorders. In: Seegenschmiedt, M.H., Makoski, HB., Trott, KR., Brady, L.W. (eds) Radiotherapy for Non-Malignant Disorders. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68943-0_39

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