Focal Cortical Dysplasias (FCDs) are neurodevelopmental disorders that represent a major cause of early onset drug-resistant epilepsies with cognitive and behavioral impairments, carrying a lifelong perspective of disability and reduced quality of life. Despite a major medical and socio-economic burden, rationale therapeutic strategies are still under debate. Surgical removal of the epileptogenic brain area (Epileptogenic Zone) is the most successful treatment, yet it fails to control FCD-associated seizures in as much as 40% of cases. Precise definition and complete resection of the Epileptogenic Zone are the main determinants of outcome. In current practice of French centers, up to 80% FCD-patients require an intracranial EEG (icEEG) recording to accurately define the epileptogenic zone. However, the indications for icEEG in MRI-visible FCD remain empirical and are essentially based on expert opinion.
Study Type
OBSERVATIONAL
Enrollment
240
signal SEEG analysis
Surgical removal of the epileptogenic brain area
Michallon Hospital
Grenoble, France
RECRUITINGHôpital Roger Salengro
Lille, France
RECRUITINGHospices Civils de Lyon
Lyon, France
RECRUITINGTimone Hospital
Marseille, France
RECRUITINGUniversity Hospital of Nancy
Nancy, France
RECRUITINGGH Pitie-Salpêtrière-Charles Foix
Paris, France
RECRUITINGNecker-Enfants Malades Hospital
Paris, France
RECRUITINGRothschild Foundation
Paris, France
RECRUITINGCHU Rennes
Rennes, France
RECRUITINGLes Hôpitaux Universitaires de Strasbourg
Strasbourg, France
RECRUITING...and 1 more locations
Percentage of seizure-free patients (Engel class I) at 12-months follow-up after resective surgery.
Time frame: 12 month
Proportion of each of six seizure-onset pattern types within each of three histologically defined subgroups (FCD type I, FCD type II, non-pathologic findings).
Time frame: 12 month
Duration of epilepsy before surgery in patients with focal and network epileptogenic zone (defined by EI)
Time frame: 12 month
Topographic distribution of structures that disclose high Epileptogenicity Index values (EI>0.4), of structures with maximal interictal HFO rates and of structures showing interictal/preictal functional connectivity alterations
Time frame: 12 month
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