Virtual reality-based 3-dimensional localization of stereotactic EEG (SEEG) depth electrodes and related brain anatomy in pediatric epilepsy surgery

Authors

Tiffany N. Phan, Department of Neurosurgery, Children's National Hospital, 111 Michigan Ave NW, Washington, DC, 20010, USA.
Kavita J. Prakash, Howard University College of Medicine, Washington, DC, USA.
Ross-Jordon S. Elliott, Department of Neurological Surgery, George Washington University, Washington, DC, USA.
Archana Pasupuleti, Department of Neurology, Children's National Hospital, Washington, DC, USA.
William D. Gaillard, Department of Neurology, Children's National Hospital, Washington, DC, USA.
Robert F. Keating, Department of Neurosurgery, Children's National Hospital, 111 Michigan Ave NW, Washington, DC, 20010, USA.
Chima O. Oluigbo, Department of Neurosurgery, Children's National Hospital, 111 Michigan Ave NW, Washington, DC, 20010, USA. coluigbo@childrensnational.org.

Document Type

Journal Article

Publication Date

3-1-2022

Journal

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery

Volume

38

Issue

3

DOI

10.1007/s00381-021-05403-5

Keywords

Medically refractory epilepsy; Patient education; Pediatric; Stereoelectroencephalography (SEEG); Virtual reality

Abstract

INTRODUCTION: The increasing use of stereoelectroencephalography (SEEG) in the USA and the need for three-dimensional (3D) appreciation of complex spatial relationships between implanted stereotactic EEG depth electrodes and surrounding brain and cerebral vasculature are a challenge to clinicians who are used to two-dimensional (2D) appreciation of cortical anatomy having been traditionally trained on 2D radiologic imaging. Virtual reality and its 3D renderings have grown increasingly common in the multifaceted practice of neurosurgery. However, there exists a paucity in the literature regarding this emerging technology in its utilization of epilepsy surgery. METHODS: An IRB-approved, single-center retrospective study identifying all SEEG pediatric patients in which virtual reality was applied was observed. RESULTS: Of the 46 patients identified who underwent an SEEG procedure, 43.5% (20/46) had a 3D rendering (3DR) of their SEEG depth electrodes. All 3DRs were used during patient-family education and discussion among the Epilepsy multidisciplinary team meetings, while 35% (7/20) were used during neuronavigation in surgery. Three successful representative cases of its application were presented. DISCUSSION: Our institution's experience regarding virtual reality in the 3D representation of SEEG depth electrodes and the application to pre-surgical planning, patient-family education, multidisciplinary communication, and intraoperative neuronavigation demonstrate its applicability in comprehensive epilepsy patient care.

APA Citation

Phan, Tiffany N.; Prakash, Kavita J.; Elliott, Ross-Jordon S.; Pasupuleti, Archana; Gaillard, William D.; Keating, Robert F.; and Oluigbo, Chima O., "Virtual reality-based 3-dimensional localization of stereotactic EEG (SEEG) depth electrodes and related brain anatomy in pediatric epilepsy surgery" (2022). GW Authored Works. Paper 654.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/654

Department

Neurological Surgery