[Verse 1] Video-EEG running, semiology mapped on screen High-res MRI protocol, hippocampal scarring seen Mesial temporal sclerosis — classic Ammon's horn decay Wiebe trial proved resection beats the medication way Three drugs failed, drug-resistant — early referral is the call ERSET confirmed it, don't delay behind a waiting wall PET hypometabolism, ictal SPECT with SISCOM overlay MEG dipoles, Wada testing, lateralize before you cut away [Chorus] Selecciona con cuidado, target avec précision Engel Class One — sin convulsiones, c'est la guérison SEEG or grids, the question of the depth and the spread Program, follow, map it clean — saisir le réseau dans la tête [Verse 2] Subdural grids or SEEG now — coverage versus hemorrhage weighed SEEG goes deep, robot-guided, eloquent cortex unafraid Anterior temporal lobe — transsylvian amygdalohippocampectomy Laser thermal therapy threading LITT through mesiotemporal anatomy Focal cortical dysplasia — type two lights up on the MRI Rasmussen progresses unilateral, hemispherotomy standing by Corpus callosotomy severs drop attacks, not erasing all the haze Subpial transection threads through eloquent cortex — parallel maze [Chorus] Selecciona con cuidado, target avec précision Engel Class One — sin convulsiones, c'est la guérison SEEG or grids, the question of the depth and the spread Program, follow, map it clean — saisir le réseau dans la tête [Verse 3] Parkinson's — levodopa responsive, cognition clear, the frame aligned STN cuts the meds, GPi holds dyskinesia confined EARLYSTIM showed earlier intervention slows the functional fall Microelectrode recording — beta bursts confirm the surgical call Macrostimulation checks internal capsule, pulls the fingers tight Medial lemniscus tingling tells you shift the contact left or right MR-guided focused ultrasound burns the VIM without a blade Essential tremor, one-sided thalamotomy, no electrode placed [Bridge] Dystonie — le GPi répond lentement, DYT1 attend des mois Anterior thalamic nucleus, SANTE trial, seizures ebbed away Centromedian for generalized, RNS listening every day Vagus nerve stimulator — cyclic current, mood lifts as a side bouquet Hypothalamic hamartoma laughing seizures, stereotactic approach Tuberous sclerosis, multifocal — NEurology and surgery must encroach [Chorus] Selecciona con cuidado, target avec précision Engel Class One — sin convulsiones, c'est la guérison SEEG or grids, the question of the depth and the spread Program, follow, map it clean — saisir le réseau dans la tête [Outro] Memory risk counseled, language mapping done with care ILAE and Engel scores — quantify what surgery left there Frameless, frame-based, asleep or awake, the patient is the art Rigorous selection, accurate targeting — that's where surgeons start
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