{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:15:15Z","timestamp":1769732115892,"version":"3.49.0"},"reference-count":42,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","license":[{"start":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T00:00:00Z","timestamp":1721001600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2024,7,15]]},"abstract":"\n BACKGROUND<\/jats:title>\n Epilepsia partialis continua (EPC) is a variant of focal motor status epilepticus that can occur as a single or repetitive episode with progressive or nonprogressive characteristics.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n \n The authors describe the feasibility of identifying focal EPC in a 33-year-old woman using video electroencephalography (VEEG), electroencephalography source localization, [\n 18<\/jats:sup>\n F]fluorodeoxyglucose positron emission tomography, magnetic resonance imaging, and psychiatric and neuropsychological assessments and of treating it with stereo electroencephalography\u2013guided radiofrequency (SEEG-RF) ablation. EPC comprised recurrent myoclonus of the right thigh and iliopsoas with a progressive pain syndrome after left anterior-temporo-mesial resection. Switching between VEEG under regular and epidural block helped to define myoclonus as the presenting ictal symptom with a suspected seizure onset zone in the left parietal paramedian lobule. After the epileptic network was identified, SEEG-RF ablation abolished all seizures. No correlation was found between pain and VEEG\/SEEG abnormalities. Rehabilitation began 3 days after the SEEG-RF ablation. By 1 year of follow-up, the patient had no EPC and could walk with assistance in rehabilitation; however, due to the abrupt abolishment of EPC and underlying psychological factors, the patient perceived her pain as overriding, which prevented her from walking.\n <\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n The application of SEEG-RF ablation is an efficient therapeutic option for focal EPC with special concerns regarding concurrent nonepileptic pain.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/10.3171\/CASE23611<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case23611","type":"journal-article","created":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T02:50:45Z","timestamp":1721011845000},"source":"Crossref","is-referenced-by-count":1,"title":["Stereo electroencephalography\u2013guided radiofrequency ablation in focal epilepsia partialis continua: illustrative case"],"prefix":"10.3171","volume":"8","author":[{"given":"Mikael","family":"Levy","sequence":"first","affiliation":[{"name":"MILTA, Functional and Epilepsy Neurosurgery, Assuta Medical Center, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nir","family":"Getter","sequence":"additional","affiliation":[{"name":"MILTA, Functional and Epilepsy Neurosurgery, Assuta Medical Center, Tel Aviv, Israel"},{"name":"Department of Brain and Cognitive Sciences, Ben-Gurion University, Israel"},{"name":"Department of Psychology and Education, Open University, Ra\u2019anana, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moshe","family":"Zer-Zion","sequence":"additional","affiliation":[{"name":"MILTA, Functional and Epilepsy Neurosurgery, Assuta Medical Center, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexie","family":"Mirson","sequence":"additional","affiliation":[{"name":"MILTA, Functional and Epilepsy Neurosurgery, Assuta Medical Center, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fidda","family":"Abu Arisheh","sequence":"additional","affiliation":[{"name":"MILTA, Functional and Epilepsy Neurosurgery, Assuta Medical Center, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Kilani","sequence":"additional","affiliation":[{"name":"MILTA, Functional and Epilepsy Neurosurgery, Assuta Medical Center, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandy","family":"Madar","sequence":"additional","affiliation":[{"name":"MILTA, Functional and Epilepsy Neurosurgery, Assuta Medical Center, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mordechai","family":"Lorberboym","sequence":"additional","affiliation":[{"name":"Nuclear Medicine Unit, Shamir Medical Center, Beer Ya\u2019akov, Israel"},{"name":"Nuclear Medicine Unit, Assuta Medical Centers, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frida","family":"Shemesh","sequence":"additional","affiliation":[{"name":"Reuth Rehabilitation Hospital, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jehuda","family":"Sepkuty","sequence":"additional","affiliation":[{"name":"MILTA, Functional and Epilepsy Neurosurgery, Assuta Medical Center, Tel Aviv, Israel"},{"name":"Department of Neurology, Johns Hopkins University, Baltimore, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"10","key":"bib1","series-title":"Epilepsia","first-page":"1515","article-title":"A definition and classification of status epilepticus--Report of the ILAE Task Force on Classification of Status Epilepticus","volume":"56","author":"Trinka","year":"2015","unstructured":"Trinka ECock HHesdorffer D, et al. A definition and classification of status epilepticus--Report of the ILAE Task Force on Classification of Status Epilepticus. Epilepsia. 2015;56(10):1515-1523."},{"key":"bib2","series-title":"Seizure","first-page":"74","article-title":"Epilepsia partialis continua: a review","volume":"44","author":"Mameni\u0161kien\u0117","year":"2017","unstructured":"Mameni\u0161kien\u0117 RWolf P. Epilepsia partialis continua: a review. Seizure. 2017;44:74-80."},{"issue":"2","key":"bib3","series-title":"Brain","first-page":"393","article-title":"Clinical and physiological features of epilepsia partialis continua. Cases ascertained in the UK","volume":"119","author":"Cockerell","year":"1996","unstructured":"Cockerell OCRothwell JThompson PDMarsden CDShorvon SD. Clinical and physiological features of epilepsia partialis continua. Cases ascertained in the UK. Brain. 1996;119(2):393-407."},{"issue":"1-2","key":"bib4","series-title":"Epilepsy Res","first-page":"112","article-title":"Etiology, clinical features and outcome of epilepsia partialis continua in cohort of 51 children","volume":"104","author":"Kravljanac","year":"2013","unstructured":"Kravljanac RDjuric MJovic NDjordjevic MZamurovic DPekmezovic T. Etiology, clinical features and outcome of epilepsia partialis continua in cohort of 51 children. Epilepsy Res. 2013;104(1-2):112-117."},{"issue":"4","key":"bib5","series-title":"Electroencephalogr Clin Neurophysiol","first-page":"304","article-title":"Distinction between the myoclonus-related potential and the epileptic spike in epilepsia partialis continua","volume":"64","author":"Chauvel","year":"1986","unstructured":"Chauvel PLiegeois-Chauvel CMarquis PBancaud J. Distinction between the myoclonus-related potential and the epileptic spike in epilepsia partialis continua. 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Neurology. 2000;54(11):2163-2165."},{"issue":"1-2","key":"bib8","series-title":"Epilepsy Res","first-page":"163","article-title":"Vagus nerve stimulation for drug-resistant epilepsia partialis continua: report of four cases","volume":"107","author":"De Benedictis","year":"2013","unstructured":"De Benedictis AFreri ERizzi M, et al. Vagus nerve stimulation for drug-resistant epilepsia partialis continua: report of four cases. Epilepsy Res. 2013;107(1-2):163-171."},{"issue":"1","key":"bib9","series-title":"Epilepsy Behav","first-page":"253","article-title":"Repetitive transcranial magnetic stimulation in the treatment of epilepsia partialis continua","volume":"14","author":"Rotenberg","year":"2009","unstructured":"Rotenberg ABae EHTakeoka MTormos JMSchachter SCPascual-Leone A. Repetitive transcranial magnetic stimulation in the treatment of epilepsia partialis continua. 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Electroencephalogr Clin Neurophysiol. 1978;44(1):14-22."},{"key":"bib14","series-title":"Chronic Encephalitis and Epilepsy: Rasmussen\u2019s Syndrome","first-page":"37","article-title":"Electroencephalographic and electrocorticographic findings in chronic encephalitis of Rasmussen type","author":"So","year":"1991","unstructured":"So NKGloor P. Electroencephalographic and electrocorticographic findings in chronic encephalitis of Rasmussen type. In: Andermann F, ed. Chronic Encephalitis and Epilepsy: Rasmussen\u2019s Syndrome. Butterworth-Heinemann; 1991:37-45."},{"key":"bib15","series-title":"Front Neurol","first-page":"325","article-title":"EEG source imaging: a practical review of the analysis steps","volume":"10","author":"Michel","year":"2019","unstructured":"Michel CMBrunet D. EEG source imaging: a practical review of the analysis steps. Front Neurol. 2019;10:325."},{"issue":"2","key":"bib16","series-title":"Electroencephalogr Clin Neurophysiol","first-page":"93","article-title":"Improving source reconstructions by combining bioelectric and biomagnetic data","volume":"107","author":"Fuchs","year":"1998","unstructured":"Fuchs MWagner MWischmann HA, et al. Improving source reconstructions by combining bioelectric and biomagnetic data. Electroencephalogr Clin Neurophysiol. 1998;107(2):93-111."},{"issue":"7","key":"bib17","series-title":"Neural Comput","first-page":"1483","article-title":"A fast fixed-point algorithm for independent component analysis","volume":"9","author":"Hyv\u00e4rinen","year":"1997","unstructured":"Hyv\u00e4rinen AOja E. A fast fixed-point algorithm for independent component analysis. Neural Comput. 1997;9(7):1483-1492."},{"key":"bib18","series-title":"NeuroImage","first-page":"S168","article-title":"Automatic generation of BEM and FEM meshes from 3D MR data","volume":"3","author":"Wagner","year":"2000","unstructured":"Wagner MFuchs MDrenckhahn RWischmann HAK\u00f6hler TThei\u00dfen A. Automatic generation of BEM and FEM meshes from 3D MR data. NeuroImage. 2000;3:S168."},{"issue":"suppl D","key":"bib19","series-title":"Methods Find Exp Clin Pharmacol","first-page":"5","article-title":"Standardized low-resolution brain electromagnetic tomography (sLORETA): technical details","volume":"24","author":"Pascual-Marqui","year":"2002","unstructured":"Pascual-Marqui RD. Standardized low-resolution brain electromagnetic tomography (sLORETA): technical details. 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Neurophysiol Clin. 2018;48(1):5-13."},{"issue":"10","key":"bib1","series-title":"Epilepsia","first-page":"1515","article-title":"A definition and classification of status epilepticus--Report of the ILAE Task Force on Classification of Status Epilepticus","volume":"56","author":"Trinka","year":"2015","unstructured":"Trinka ECock HHesdorffer D, et al. A definition and classification of status epilepticus--Report of the ILAE Task Force on Classification of Status Epilepticus. Epilepsia. 2015;56(10):1515-1523."},{"key":"bib2","series-title":"Seizure","first-page":"74","article-title":"Epilepsia partialis continua: a review","volume":"44","author":"Mameni\u0161kien\u0117","year":"2017","unstructured":"Mameni\u0161kien\u0117 RWolf P. Epilepsia partialis continua: a review. Seizure. 2017;44:74-80."},{"issue":"2","key":"bib3","series-title":"Brain","first-page":"393","article-title":"Clinical and physiological features of epilepsia partialis continua. Cases ascertained in the UK","volume":"119","author":"Cockerell","year":"1996","unstructured":"Cockerell OCRothwell JThompson PDMarsden CDShorvon SD. Clinical and physiological features of epilepsia partialis continua. Cases ascertained in the UK. Brain. 1996;119(2):393-407."},{"issue":"1-2","key":"bib4","series-title":"Epilepsy Res","first-page":"112","article-title":"Etiology, clinical features and outcome of epilepsia partialis continua in cohort of 51 children","volume":"104","author":"Kravljanac","year":"2013","unstructured":"Kravljanac RDjuric MJovic NDjordjevic MZamurovic DPekmezovic T. Etiology, clinical features and outcome of epilepsia partialis continua in cohort of 51 children. Epilepsy Res. 2013;104(1-2):112-117."},{"issue":"4","key":"bib5","series-title":"Electroencephalogr Clin Neurophysiol","first-page":"304","article-title":"Distinction between the myoclonus-related potential and the epileptic spike in epilepsia partialis continua","volume":"64","author":"Chauvel","year":"1986","unstructured":"Chauvel PLiegeois-Chauvel CMarquis PBancaud J. Distinction between the myoclonus-related potential and the epileptic spike in epilepsia partialis continua. Electroencephalogr Clin Neurophysiol. 1986;64(4):304-307."},{"issue":"12","key":"bib6","series-title":"Neurology","first-page":"1807","article-title":"Experience with immunomodulatory treatments in Rasmussen's encephalitis","volume":"61","author":"Granata","year":"2003","unstructured":"Granata TFusco LGobbi G, et al. Experience with immunomodulatory treatments in Rasmussen's encephalitis. Neurology. 2003;61(12):1807-1810."},{"issue":"11","key":"bib7","series-title":"Neurology","first-page":"2163","article-title":"Status epilepticus with neuron-reactive serum antibodies: response to plasma exchange","volume":"54","author":"Lousa","year":"2000","unstructured":"Lousa MSanchez-Alonso SRodriguez-Diaz RDalmau J. Status epilepticus with neuron-reactive serum antibodies: response to plasma exchange. Neurology. 2000;54(11):2163-2165."},{"issue":"1-2","key":"bib8","series-title":"Epilepsy Res","first-page":"163","article-title":"Vagus nerve stimulation for drug-resistant epilepsia partialis continua: report of four cases","volume":"107","author":"De Benedictis","year":"2013","unstructured":"De Benedictis AFreri ERizzi M, et al. Vagus nerve stimulation for drug-resistant epilepsia partialis continua: report of four cases. Epilepsy Res. 2013;107(1-2):163-171."},{"issue":"1","key":"bib9","series-title":"Epilepsy Behav","first-page":"253","article-title":"Repetitive transcranial magnetic stimulation in the treatment of epilepsia partialis continua","volume":"14","author":"Rotenberg","year":"2009","unstructured":"Rotenberg ABae EHTakeoka MTormos JMSchachter SCPascual-Leone A. Repetitive transcranial magnetic stimulation in the treatment of epilepsia partialis continua. Epilepsy Behav. 2009;14(1):253-257."},{"issue":"8","key":"bib10","series-title":"Epilepsia","first-page":"e104","article-title":"Epilepsia partialis continua responsive to neocortical electrical stimulation","volume":"56","author":"Valentin","year":"2015","unstructured":"Valentin AUghratdar ICheserem BMorris RSelway RAlarcon G. Epilepsia partialis continua responsive to neocortical electrical stimulation. Epilepsia. 2015;56(8):e104-e109."},{"issue":"1","key":"bib11","series-title":"Epilepsy Res","first-page":"104","article-title":"Hemispherotomy and functional hemispherectomy: indications and outcome","volume":"89","author":"Marras","year":"2010","unstructured":"Marras CEGranata TFranzini A, et al. Hemispherotomy and functional hemispherectomy: indications and outcome. Epilepsy Res. 2010;89(1):104-112."},{"issue":"3","key":"bib12","series-title":"Neurology","first-page":"232","article-title":"Big epilepsy surgery for little people: what's the full story on hemispherectomy?","volume":"80","author":"Wiebe","year":"2013","unstructured":"Wiebe SBerg AT. Big epilepsy surgery for little people: what's the full story on hemispherectomy?Neurology. 2013;80(3):232-233."},{"issue":"1","key":"bib13","series-title":"Electroencephalogr Clin Neurophysiol","first-page":"14","article-title":"Quantitative analysis of intracerebral recordings in epilepsia partialis continua","volume":"44","author":"Wieser","year":"1978","unstructured":"Wieser HGGraf HPBernoulli CSiegfried J. Quantitative analysis of intracerebral recordings in epilepsia partialis continua. Electroencephalogr Clin Neurophysiol. 1978;44(1):14-22."},{"key":"bib14","series-title":"Chronic Encephalitis and Epilepsy: Rasmussen\u2019s Syndrome","first-page":"37","article-title":"Electroencephalographic and electrocorticographic findings in chronic encephalitis of Rasmussen type","author":"So","year":"1991","unstructured":"So NKGloor P. Electroencephalographic and electrocorticographic findings in chronic encephalitis of Rasmussen type. In: Andermann F, ed. 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