Recorded: November 6, 2024
Released: November 25, 2024
Expires: November 25, 2027
About This Webinar
During the last decade, SEEG has become the most popular technique for invasive evaluation of drug-resistant epileptic patients. Though it appears safer and seems to offers greater chance of seizure freedom than subdural evaluation, SEEG does not guarantee surgery nor seizure freedom. The fact is that SEEG needs strong hypotheses before electrode implantation, with a limited number of intracerebral electrodes that sample only a small part of the brain. One of the difficulties facing the clinicians is to understand, once the electrodes are in place, whether the seizure pattern recorded at seizure onset is relevant or not, which strongly influences the surgical decision. We will review here the main situations suggesting that we missed the seizure onset zone, and consequently that caution is required before deciding to go or not with surgery.
Presenter: Philippe Kahane, MD, PhD
Moderator: Jaysingh Singh, MD
Learning Objectives
At the end of this webinar, attendees should be able to:
- Understand why SEEG may miss the seizure onset zone
- Recognize the main situations suggesting that the electrodes are not at the right place
- Determine what to do in such situations
Disclosure Policy
It is the policy of the American Epilepsy Society (AES) to ensure balance, independence, objectivity and scientific rigor. All individuals involved in the selection, development and presentation of content are required to disclose any real or apparent conflicts of interest. Conflicts of interest will be resolved by AES prior to an educational activity being delivered to learners.
Planning Committee, Faculty, Reviewers' Disclosures of Financial Relationships
In accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education, the AES requires that any person who is in a position to control content of a CME activity must disclose all relevant financial relationships that they have with an ineligible company. Unless otherwise indicated (*), none of the planners or faculty of this activity have any financial relationships to disclose. All relevant financial relationships with ineligible companies have been mitigated. The following individuals contributed to this activity’s content.
Planning Committee and Faculty
Wolfgang Muhlhofer, MD, MSHS, FAES
Ruba Al-Ramadhani, MD
Evelyn Berman, MD, MS
Proleta Datta, MD, PhD
Georgio Ntolkeras, MD
Barry Gidal, PharmD, FAES
Matthew Hoerth, MD
Scheherazade Le, MD
Lynn Liu, MD, MSed, FAES
Joes Montes-Rivera, MD
Rebecca O’Dwyer, MD
Victoras Palys, MD
Christopher Ryan, MSW LCSW
Priyanka Sabharwal, MD, PhD
Yash Shah, MD, MPH
Jaysingh Singh, MD
Aparna Vaddiparti, MD
Chengyuan Wu, MD, Meng
Kristine Ziemba, MD, PhD
Margaret Gopaul, PhD, MSCP (presenter)
Katie Bullinger, MD (moderator)
CME Reviewer
Shahram Izadyar, MD
American Epilepsy Society Staff Planners
Melissa Ball, CAE, PMP
Cristina Graham
Resolution of Conflicts of Interest
It is the policy of the American Epilepsy Society to ensure balance, independence, objectivity and scientific rigor. All persons involved in the selection, development and presentation of content are required to disclose any real or apparent conflicts of interest. In accordance with the ACCME Standards for Commercial Support of CME, the AES implemented the mechanisms of prospective peer review of this CME activity, to identify and resolve any conflicts. Additionally, the content of this activity is based on the best available evidence.
Accreditation
The American Epilepsy Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
For more information regarding contact hours, please call American Epilepsy Society 312.883.3800 or education@aesnet.org.
Credit Designation
The American Epilepsy Society designates this enduring activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CME Certificate
To receive credit for your participation in this activity, please complete the evaluation survey provided at the conclusion of the activity.
Unapproved Use Disclosure
The American Epilepsy Society requires CME authors to disclose to learners when products or procedures being discussed are off-label, unlabeled, experimental, and/or investigational (not FDA approved); and any limitations on the information that is presented, such as data that are preliminary or that represent ongoing research, interim analyses, and/or unsupported opinion. This information is intended solely for continuing medical education and is not intended to promote off-label use of these medications. If you have questions, contact the medical affairs department of the manufacturer for the most recent prescribing information. Information about pharmaceutical agents/devices that is outside of U.S. Food and Drug Administration approved labeling may be contained in this activity.
Disclaimer
This CME activity is for educational purposes only and does not constitute the opinion or endorsement of, or promotion by, the American Epilepsy Society. Reasonable efforts have been taken to present educational subject matter in a balanced, unbiased fashion, and in compliance with regulatory requirements. However, each activity participant must always use his or her own personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions including, without limitation, FDA-approved uses and any off-label, investigational and/or experimental uses.