Wetin na SEEG tɛst fɔ fit? (Stiriɔɛlektroɛnsɛfalografi) Lɛ wi ɔndastand am simpul wan

Yu ɔ pɔsin we yu sabi gɛt wan sik we dɛn kɔl ɛpilepsi we at fɔ kɔntrol pan ɔl we dɛn de tek mɛrɛsin? Sɔntɛnde, i nɔ kin izi fɔ dɔktɔ dɛn fɔ no usay na di bren di sik kin bigin. Na da tɛm de wi go tɔk bɔt wan tɛst we kɔmplikt smɔl bɔt we rili impɔtant we kin ɛp. Dɛn kɔl am SEEG. Nɔ wɔri, di nem kin tan lɛk se i lɔng smɔl. Mek wi kip am simpul.

Wetin SEEG jɔs min?

Fɔ tɔk am simpul wan, Stereoelectroencephalography (SEEG) na ɔspitul tɛst we de go dip insay yu bren ɛn yuz smɔl smɔl say dɛn fɔ no usay di epileptic seizures (fit) we nɔ go ebul fɔ sɔlv kin bigin.

Yu go mɔs dɔn yɛri bɔt EEG tɛst. I min fɔ put smɔl smɔl ilɛktrɔd dɛn na di ed, dat na, na di skel, fɔ no di ilɛktrik wok we di bren de du. Bɔt insay SEEG, nyurosɔjɔn dɛn nɔ kin put dɛn ilɛktrɔd ya na di bren, bɔt dɛn kin put dip ɛn difrɛn say dɛn na di bren. dis de alaw fכ gεt infכmeshכn frכm εria dεm we tu dip fכ wan rεgulεr EEG fכ kech.

Afta dɛn dɔn put di ilɛktrɔd dɛn, dɛn go kip yu na wan spɛshal yunit na di ɔspitul fɔ sɔm dez. Insay dis tɛm, wan mɛdikal tim go de wach aw yu bren de wok fayn fayn wan we yu de sik.

Insay us kes dɛn dɛn kin du di SEEG tɛst?

Dɔktɔ dɛn kin yuz SEEG tɛst mɔ fɔ sɔm spɛshal sityueshɔn dɛn.

• Epilepsy we nɔ de tek drɔgs: Sɔm pipul dɛn nɔ kin ebul fɔ kɔntrol di sik we dɛn kin gɛt ivin afta dɛn dɔn yuz tu ɔ tri kayn mɛrɛsin. Wi kin kɔl dis sik we dɛn kɔl ɛpilepsi we nɔ de tek drɔgs. pan pikin dεm we pas 2 ia εn big pipul dεm we gεt dis kכndyushכn, SEEG rili imכtant fכ no if i pכsibul כpεrayshכn.

• Bren map: Imajin se di sik de kɔmɔt frɔm wan impɔtant pat na di bren we de kɔntrol aw pɔsin de tɔk, muv, ɔ aw i de fil. If yu go du ɔpreshɔn, yu nid fɔ tek tɛm mek yu nɔ pwɛl dɛn impɔtant pat dɛn de. Yuz SEEG εlektrod dεm, yu kin map dεn krεs εria dεm ya prεsis bifo yu כpεrayshכn.

• Gayd ɔda tritmɛnt dɛm: Sɔntɛnde dɛn kin yuz SEEG tɛst bak as pat pan tritmɛnt. Fɔ ɛgzampul:
• Radiofrequency thermocoagulation: Dis de yuz redio wev ɛn ɔt fɔ pwɛl di bren sɛl dɛm we de mek di sik. Dis tritmεnt kin bi yuz SEEG εlektrod dεm.
• Tɛmoablashɔn (LITT): .Wan we fɔ disable di pat dɛm na di bren we de mek pɔsin gɛt sik we dɛn kɔl laser thermal energy.
• rεspכnsiv nyurostimulashכn: insay dis, dεn de put wan divays insay di bren we de gi sכm sכm ilektrikal stimulus to di say we di sik bigin fכ stכp am. SEEG de ɛp fɔ fɛn di rayt say we di divays de.

Udat fit fɔ gɛt dis tɛst?

Di SEEG tɛst nɔto fɔ ɔlman. Yu dɔktɔ go tink bɔt sɔm tin dɛn bifo i tɛl yu fɔ du am.

Imajin se yu gɛt sik we de bigin na wan patikyula say na yu bren (`(focal epilepsy)`). Bɔt ivin we dɛn du MRI skan, dɛn nɔ kin si da say de klia wan. Na da tɛm de SEEG kin bi mɔs yusful.

Bɔt if yu gɛt sik we de bigin na bɔku say dɛn na yu bren wan tɛm (`(generalized epilepsy)`), yu nɔ fit fɔ dis tɛst.

Wetin na di men difrɛns bitwin EEG ɛn SEEG?

Pan ɔl we dɛn tu tɛst ya de mɛzhɔ di ilɛktrik wok we di bren de du, big difrɛns de. Tipikli, dɔktɔ go fɔs du EEG. Na if di infɔmeshɔn we dɛn gɛt frɔm dat nɔ inof nɔmɔ dɛn go go bifo pan sɛkɔn stej tɛst, lɛk SEEG.

Di men chenj dɛn we dɛn dɔn mek na:

• usay dεn de put di εlektrod dεm: Insay EEG, dεn de put di ilektrod dεm na di skin sεf, oba di sכkul. insay SEEG, dεn de put di εlektrod dεm dip insay di bren.
• infכmeshכn we dεn gεt: EEG de כnli gi infכmeshכn bכt di sכfayz aktiviti fכ di bren. SEEG kin gεt infכmeshכn na difrεn dip dεm na di tu εmisfya dεm na di bren. Dis kin mek wi ebul fɔ no di rayt say we di sik de.

Wan stɔdi sho se pipul dɛn we dɛn du ɔpreshɔn pan ɛpilepsi afta dɛn dɔn du SEEG skan, nɔ kin spɛn bɔku tɛm na di ɔpreshɔn rum pas di wan dɛn we dɛn du ɔda we dɛn (lɛk fɔ opin di skel ɛn put ilɛktrɔd dɛn na di bren in fes). Dɛn nɔ bin de spɛn bɔku tɛm bak na ɔspitul ɛn dɛn nɔ bin de yuz bɔku mɛrɛsin fɔ mek dɛn fil pen.

Wetin fɔ ɛkspɛkt bifo SEEG?

Bikɔs dis na tɛst we gɛt fɔ du wit ɔpreshɔn, dɛn go du bɔku tɛst dɛn fɔ chɛk yu wɛlbɔdi biznɛs bifo tɛm.

• Blɔd tɛst dɛn
• Wan EKG (Electrocardiogram) tɛst we de chɛk aw di at de bit
• Imej tɛst dɛn lɛk CT skan (kɔmpyuta tomografi skan) ɛn MRI skan (magnɛtik rɛsɔnans imej) .

Wan pan di tin dɛn we bɔku pipul dɛn kin fred, mɔ di mama ɛn papa dɛn, we dɛn de du sɔntin lɛk dis to dɛn pikin na , "Dɛn go kɔt ɔl dɛn ia?" Kwɛshɔn kin de bak bɔt if dɛn go gɛt fɔ stɔp fɔ tek di mɛrɛsin we dɛn de tek fɔ di fit fɔ sɔm tɛm.

Aw dɛn kin du SEEG ɔpreshɔn?

Bɔku tɛm, di ɔpreshɔn we dɛn kin du na di SEEG kin tek lɛk 4 to 6 awa so. Di de we dɛn go du di ɔpreshɔn, di dɔktɔ we de mɛn yu go gi yu mɛrɛsin. Yu go slip ɔl di tɛm we dɛn de du di prɔsidyu. So yu nɔ go fil ɛni pen.

Afta yu dɔn slip, di ɔspitul tim go fala dɛn tin ya:

1. Fɔs, dɛn kin tay wan spɛshal freym (`(stereotactic frame)`) na yu ed fɔ mek yu ed kɔntinyu fɔ de na wan ples.

2. Neks, dɛn kin drɔ lɛk 10 to 20 rili smɔl ol dɛn, we gɛt lɛk wan strɛch we dɛn kɔl spaghetti, na di skel. Dɛn tin ya nɔ kin mek pɔsin blɔd bɔku.

3. Tru dεn sכm sכm ol dεm, dεn kin put fleksibul εlektrod dεm we lεk plastic we kכnekt to tint waya dεm insay di bren.

4. dεn de put dεn εlektrod dεm ya prεsis na di εria dεm na di bren usay dεn sכspεkt se di sik de stat, lεk aw dεn bin no insay di skan dεm we dεn bin dכn du bifo.

5. Fɔ dɔn, dɛn kin pul di ed freym ɛn bandej di ed tayt tayt wan.

6. Dɔn dɛn go kɛr yu go na di rikavari rum ɛn dɛn go tek CT skan ɛn ɛkstrem rayt fɔ mek shɔ se di ilɛktrɔd dɛn de na di rayt ples.

Wetin kin apin afta SEEG?

Afta dɛn dɔn du di ɔpreshɔn, dɛn go ɔltɛm transfa yu to wan Epilepsy Monitoring Unit. Na de, wan tim we gɛt spɛshal pipul dɛn go de wach yu 24/7. Di ilɛktrɔd dɛn we de na yu ed go kɔnɛkt to mashin dɛn we de rayt di tin dɛn we yu bren de du. We yu gɛt sik we de mek yu sik, kɔmpyuta kin sho yu usay i bigin na yu bren ɛn aw i kin skata, ɛn i kin yuz 3D pikchɔ dɛn.

Yu kin nid fɔ de na ɔspitul fɔ sɔm dez to wan ɔr tu wik, i go dipen pan aw ɔltɛm yu gɛt di fit.

We di tɛst tɛm dɔn, dɛn go pul di ilɛktrɔd dɛn na yu ed. Nɔ wɔri, dis nɔto big ɔpreshɔn. na jכs wan simpul prכsidכs we de numb dεn εria dεm εn tek lεk 10-15 minit.

Ɛni risk de fɔ di SEEG tɛst?

Jɛnɛral wan dɛn kin tek SEEG as sɔntin we rili sef, bɔt lɛk ɛni ɔpreshɔn na di bren, smɔl smɔl prɔblɛm dɛn de.

• Blɔd we de kɔmɔt insay di bren (intracranial hemorrhage) .
• Sik we de prɛd
• Strok

Aw lɔng i kin tek fɔ mek i wɛl?

Yu fɔ ɔltɛm kam bak to nɔmal insay wan ɔ tu de (24-48 awa). Bɔt, tɔk to yu mɛdikal tim bɔt ustɛm yu go ebul fɔ du yu nɔmal tin dɛn bak.

Wetin yu kin ɛkspɛkt frɔm SEEG rizɔlt?

Bɔku tɛm, wan SEEG tɛst kin fayn fɔ no di ɔndalayn kɔz fɔ di sik we de mek pɔsin sik. Dɔn di dɔktɔ dɛn go tek tɛm stɔdi di data we dɛn rayt frɔm di tin dɛn we yu bren de du ɛn disayd if yu fit fɔ gɛt ɔpreshɔn ɔ ɔda tritmɛnt.

Ɔpreshɔn fɔ trit ɛpilepshi kin apin 4 to et wik afta di SEEG tɛst, fɔ gi yu tɛm fɔ wɛl fayn fayn wan.

Yu kin gɛt di fɔs tɛst rizɔlt bifo yu kɔmɔt na ɔspitul. Dis go gi yu ɛn yu famili tɛm fɔ tɔk bɔt dɛn rizɔlt ya wit di mɛdikal tim ɛn disayd bifo dɛn disayd fɔ du di las tritmɛnt plan.

Fɔ liv wit wan sik wae nɔr kin ebul fɔ stɔp wit mɛrɛsin kin rili tranga. Bɔt wit di mɔdan tɛst we dɛn de du lɛk SEEG, i pɔsibul naw fɔ no di rayt tin we mek di sik de kam ɛn bigin di rayt tritmɛnt. Dɛn tritmɛnt ya kin ɛp yu fɔ ridyus yu sik ɛn liv nɔrmal layf.