Stereo-EEG around the world: State of the art in Italy

IF 2.7 4区医学 Q2 CLINICAL NEUROLOGY

Neurophysiologie Clinique/Clinical Neurophysiology Pub Date : 2025-01-01 DOI:10.1016/j.neucli.2024.103041

Laura Tassi , Veronica Pelliccia , Francesca Bisulli , Matteo Martinoni , Lorenzo Ferri , Flavio Giordano , Federico Melani , Luca de Palma , Nicola Specchio , Carlo Efisio Marras , Francesco Cardinale , Carmen Barba

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Abstract

Stereo-EEG is not just a diagnostic examination but a complex methodology, requiring an accurate synthesis of many data (anatomical, clinical, neurophysiological, cognitive, metabolic, and genetic). The implantation scheme is decided based on a hypothesis (or hypotheses) of epileptogenic zone localization. Subsequently, intracerebral electrical stimulation is used to define the extent of highly functional cortical regions and to reproduce the clinical symptoms and signs associated with seizures. Finally, stereo-EEG-guided thermocoagulation is used, with the dual purpose of stopping/reducing the seizures and determining the prognosis of possible resective (curative) surgery. The centers in Italy that use stereo-EEG derive from the French school of Bancaud and Talairach. Nevertheless, each one has interpreted, on the basis of its own specificity and talent, a new methodology and philosophy of implantation. The present work presents the state of the art of stereo-EEG use in Italy, with detail of the stereo-EEG program of the Munari center in Milano, as well as those of Florence, Bologna and Rome.

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世界各地的立体脑电图：意大利最先进的技术。

立体脑电图不仅是一种诊断检查，而且是一种复杂的方法，需要准确地综合许多数据（解剖学、临床、神经生理学、认知、代谢和遗传）。植入方案是根据一个（或多个）癫痫区定位的假设来决定的。随后，使用脑内电刺激来确定高功能皮质区域的范围，并重现与癫痫发作相关的临床症状和体征。最后，使用立体脑电图引导的热凝，具有停止/减少癫痫发作和确定可能的切除（治愈）手术预后的双重目的。意大利使用立体脑电图的中心源于法国的班科德和塔拉拉赫学派。然而，每个人都根据自己的特殊性和天赋，诠释了一种新的植入方法和哲学。目前的工作介绍了立体脑电图技术在意大利的应用现状，详细介绍了米兰穆纳里中心的立体脑电图程序，以及佛罗伦萨、博洛尼亚和罗马的立体脑电图程序。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurophysiologie Clinique/Clinical Neurophysiology 医学-临床神经学

CiteScore

5.20

自引率

3.30%

发文量

审稿时长

60 days

期刊介绍： Neurophysiologie Clinique / Clinical Neurophysiology (NCCN) is the official organ of the French Society of Clinical Neurophysiology (SNCLF). This journal is published 6 times a year, and is aimed at an international readership, with articles written in English. These can take the form of original research papers, comprehensive review articles, viewpoints, short communications, technical notes, editorials or letters to the Editor. The theme is the neurophysiological investigation of central or peripheral nervous system or muscle in healthy humans or patients. The journal focuses on key areas of clinical neurophysiology: electro- or magneto-encephalography, evoked potentials of all modalities, electroneuromyography, sleep, pain, posture, balance, motor control, autonomic nervous system, cognition, invasive and non-invasive neuromodulation, signal processing, bio-engineering, functional imaging.