Presurgical Level II Evaluation of Epileptics

  • H. G. Wieser
Conference paper
Part of the Advances in Neurosurgery book series (NEURO, volume 15)


The rationale of surgical treatment of epilepsy depends on the concept of the “epileptic focus.” Excision of the focus containing a mass of “highly explosive cells” (1) might be expected to be therapeutically beneficial, and this in a rather causal sense. Besides control of otherwise intractable seizures, two other goals are aimed at: (a) functional and behavioral improvement, and (b) possible prevention of kindling-like mechanisms, i.e., interruption of an otherwise ongoing epileptic process.


Temporal Lobe Epilepsy Epileptic Focus Presurgical Evaluation Seizure Discharge Causal Sense 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Jackson JH (1931–32) In: Taylor J (ed) Selected writings of John Hughlings Jackson, 2 vols. Hodder & Stoughton, LondonGoogle Scholar
  2. 2.
    Goldring S, Gregorie EM (1984) Surgical management of epilepsy using epidural recordings to localize the seizure focus. J Neurosurg 60:457–466PubMedCrossRefGoogle Scholar
  3. 3.
    Gotman J, Ives JR, Gloor P, editors (1985) Long-term monitoring in epilepsy (EEG Suppl No 37). Elsevier Science Publ (Biomedical Division), AmsterdamGoogle Scholar
  4. 4.
    Stefan H (1987) Presurgical level I intensive evaluation of patients with drug-resistant epilepsy (this volume)Google Scholar
  5. 5.
    Ward AA Jr (1975) Theoretical basis for surgical therapy of epilepsy. In: Purpura DP, Penry JK, Walter RD (eds) Advances in neurology, vol 8: neurosurgical management of the epilepsies. Raven Press, New York, pp 23–35Google Scholar
  6. 6.
    Wieser HG (1983) Electroclinical features of the psychomotor seizure. Fischer-Butterworths, Stuttgart LondonGoogle Scholar
  7. 7.
    Wieser HG (1986) Selective amygdalohippocampectomy: indications, investigative technique and results. In: Symon L et al. (eds) Advances and technical standards in neurosurgery, vol 13. Springer, Wien New York, pp 39–133CrossRefGoogle Scholar
  8. 8.
    Wieser HG (1986) Stereoelectroencephalography. In: Wieser HG, Elger CE (eds) Presurgical evaluation of epileptics. Springer, Berlin Heidelberg New York TokyoGoogle Scholar
  9. 9.
    Wieser HG (to be published) Data analysis. In: Engel J Jr, Babb TL, Crandall PH, Gloor P, Lüders H, Ojemann GA, Taylor DC, Wieser HG, Williamson PD (eds) Surgical management of the epilepsies. Raven Press, New YorkGoogle Scholar
  10. 10.
    Wieser HG, Elger CE, Stodieck SRG (1985) The “foramen ovale electrode”: a new recording method for the preoperative evaluation of patients suffering from mesiobasal limbic temporal lobe epilepsy. Electroenceph Clin Neurophysiol 61:314–322PubMedCrossRefGoogle Scholar
  11. 11.
    Wyler AR, Ward AA Jr (1980) Epileptic neurons. In: Lockard JS, Ward AA Jr (eds) Epilepsy: a window to the brain. Raven Press, New York, pp 51–68Google Scholar
  12. 12.
    Wyler AR, Ojemann GA, Lettich E, Ward AA Jr (1984) Subdural strip electrodes for localizing epileptogenic foci. J Neurosurg 60:1195–1200PubMedCrossRefGoogle Scholar
  13. 13.
    Yasargil MG, Teddy PJ, Roth P (1985) Selective amygdalohippocam-pectomy. I: Operative anatomy and surgical technique. In: Symon L et al. (eds) Advances and technical standards in neurosurgery, vol 12. Springer, Wien New York, pp 93–123CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1987

Authors and Affiliations

  • H. G. Wieser
    • 1
  1. 1.Neurologische KlinikUniversitätsspitalZürichSchweiz

Personalised recommendations