Prior to surgical treatment, most patients undergo several stages of evaluation, which include:
Pre-surgical Evaluation: At this point, many relatively safe and easy tests are performed. Tests may include routine EEGs, MRI, and PET scans. A critical part of the evaluation is video-EEG monitoring, which actually records seizures. It is performed in the hospital setting.
Neuropsychological Evaluation: Another essential step, this evaluation can usually be done on an outpatient basis.
Wada Test: This outpatient exam tests the brain for speech and memory function.
Intracranial Electrode Evaluation: While not necessary for all patients, this more invasive evaluation involves the surgical placement of electrodes to further localize the site of seizure activity.
If testing determines that the seizure focus can be safely removed, surgery is scheduled. Recordings take place in the operating room to confirm the location of the seizure activity.
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