The First Invasive EEG Monitoring for Surgical Treatment of Epilepsy in Thailand
Teeradej Srikijvilaikul MD*, Chaichon Locharernkul MD**, Tayard Deesudchit MD***, Lawan Tuchinda MD****, Sukulaya Lerdlum MD*****, Supatporn Tepmongkol MD*****, Shanop Shoungshotti MD******
Affiliation : * Division of Neurosurgery, Department of Surgery, King Chulalongkorn Memorial Hospital ** Division of Neurology, Department of Medicine, King Chulalongkorn Memorial Hospital *** Department of Pediatric, King Chulalongkorn Memorial Hospital **** Department of Anesthesiology, King Chulalongkorn Memorial Hospital ***** Department of Radiology, King Chulalongkorn Memorial Hospital ****** Department of Pathology, Chulalongkorn Comprehensive Epilepsy Program (CCEP) under the patronage of Professor Doctor HRH Princess Chulabhorn, King Chulalongkorn Memorial Hospital
The authors report the first invasive electroencephalography (EEG) monitoring in Thailand in a
patient who had intractable left temporal lobe epilepsy. The seizure origin and functioning cortices were
identified. The corresponding epileptogenic zone was resected without functional deficit. The patient has
become seizure free 1 year since surgery.
Subdural EEG monitoring with cortical stimulation have been developed at this tertiary epilepsy
center. The technique provides essential evidence for the surgical decision so that the best post operative
outcome can be achieved.
Keywords : Cortical stimulation, Epilepsy, Epilepsy surgery, Invasive monitoring, Subdural electrode, Gamma knife radiosurgery
