This symposium addresses the educational need for a contemporary survey of the constellation of invasive approaches to the medication-refractory epilepsy, and the ways in which different approaches might be selected or sequenced in order to provide optimal benefit for individual patients. The format will include an illustrative case presentation, a brief review of historical and recent surgical approaches, a mixed didactic and debate format including current understanding of neuropsychological outcomes and a panel discussion. Technical details of responsive neural stimulation and anterior thalmic stimulation will be minimal because of extensive attention paid to these techniques elsewhere at this meeting. Vagus-nerve stimulation will not be discussed.
Following participation in this session, learners should be able to:
- Delineate and describe the possible invasive choices for individual patients with medically refractory epilepsy so as to optimize the complex trade off among maximum benefit, minimum morbidity and minimum number of procedures.
- Educate patients that physicians must make trade-offs in recommending the best approach for their individual circumstances.
- Delineate their role in the new and more complex terrain of epilepsy surgery which makes said role more challenging and potentially more important.
Intermediate and Advanced
Co-Chairs: Charles M. Epstein, M.D., and Robert E. Gross, M.D.
Introduction and Case Presentation
Charles Epstein, M.D.
Overview of Current Invasive Procedures (recording not available)
S. Kathleen Bandt, M.D.
Natalie Voets, D.Phil, and Daniel Drane, Ph.D.
Mesial Temporal Lobe Epilepsy: Minimal
Robert Gross, M.D.
Mesial Temporal Lobe Epilepsy: Maximal
Michael Sperling, M.D.
Extra-Temporal Lobe Epilepsy: Minimal
Ryder Gwinn, M.D.
Extra-Temporal Lobe Epilepsy: Maximal
Steven Roper, M.D.
Hypothalamic Hamartomas: One Disorder Treated by Multiple Approaches
Daniel Curry, M.D.
Radiosurgery for Epilepsy: Multiple Disorders treated by One Approach
Jean Regis, M.D.
Case Outcome and Panel Discussion: Making the Best Decisions
Attendees of the 2016 Annual Meeting have free access to recordings.