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North Shore-LIJ Epilepsy Center is Among the First in US and the First in New York Metro Area to Offer Combined Minimally-Invasive Surgical Procedures
Date:11/5/2013

irector of epilepsy surgery at North Shore-LIJ’s Comprehensive Epilepsy Care Center, who recently performed the SEEG and laser ablation procedures on Mr. Ruiz. “SEEG, which offers an alternative to craniotomy, is a minimally invasive surgical procedure that involves placing depth electrodes within the brain to precisely identify seizure-producing brain areas with minimal discomfort to the patient.”

During the SEEG procedure, the neurosurgeon places electrodes in targeted brain areas of the anesthetized patient through small, two-millimeter pinholes that allow seizures to be recorded directly from the brain. The patient is then observed in the EEG video monitoring unit for about a week to determine the exact origin of seizures.

“Once we are able to reveal the abnormal brain areas that are causing a patient’s epilepsy, a second surgery can be performed to remove those pathological brain areas and render the patient free of disabling seizures,” said Dr. Mehta. “In Mr. Ruiz’s case, his seizures were located in the mesial temporal lobe and as such, he was an ideal candidate for the laser ablation procedure which is another minimally-invasive laser-based surgery to disable seizure-producing areas of the brain.”

In the laser ablation procedure, a one-quarter-inch incision is made through which the laser probe is placed and it delivers energy to heat the diseased, seizure-producing regions deep within the brain. The treatment is focused and MRI temperature maps provide neurosurgeons with a real-time view of the disease tissue being destroyed, while ensuring that normal, healthy tissue is spared from damage. The laser probe is then removed and the small incision is closed. Patients who undergo traditional open craniotomy typically spend three-to-four days in the hospital with a three-to-six week recovery period. On the other hand, after the minimally invasive laser ablation procedure, patients typically go home the following day and recover m
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