Annals of Indian Academy of Neurology
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ARTICLE
Year : 2014  |  Volume : 17  |  Issue : 5  |  Page : 45-49

Video electroencephalogram telemetry in temporal lobe epilepsy


Department of Brain and Nervous System, Kokilaben Dhirubhai Ambani Hospital, Andheri West; Department of Medicine Lokmanya Tilak Memorial Medical College and Municipal Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Jayanti Mani
Department of Brain and Nervous System, Kokilaben Dhirubhai Ambani Hospital, 2nd Floor, Four Bungalows, Andheri West, Mumbai - 400 054, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-2327.128653

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Temporal lobe epilepsy (TLE) is the most commonly encountered medically refractory epilepsy. It is also the substrate of refractory epilepsy that gives the most gratifying results in any epilepsy surgery program, with a minimum use of resources. Correlation of clinical behavior and the ictal patterns during ictal behavior is mandatory for success at epilepsy surgery. Video electroencephalogram (EEG) telemetry achieves this goal and hence plays a pivotal role in pre-surgical assessment. The role of telemetry is continuously evolving with the advent of digital EEG technology, of high-resolution volumetric magnetic resonance imaging and other functional imaging techniques. Most of surgical selection in patients with TLE can be done with a scalp video EEG monitoring. However, the limitations of the scalp EEG technique demand invasive recordings in a selected group of TLE patients. This subset of the patients can be a challenge to the epileptologist.


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