Standardized robotic SEEG workflow: 952 electrodes in 68 patients with 1.7 mm registration error

A standardized robotic SEEG protocol using the Neuromate system implanted 952 electrodes in 68 patients, achieving a mean registration error of 1.7 mm and 14.1 min per electrode implant time. Only one symptomatic hemorrhage occurred (1.47%), and it was during electrode removal,…

• Retrospective single-center series of 68 drug-resistant focal epilepsy patients (mean 14 electrodes/patient).
• No intracranial hemorrhage during robotic insertion; 3 patients (4.4%) had hemorrhage overall, one requiring evacuation during removal.
• Primary limitation: single-institution experience without external validation or comparison arm.

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