Neurophysiologie Clinique/Clinical Neurophysiology最新文献

{"title":"SEEG seizure onset patterns in mesial temporal lobe epilepsy: A cohort study with 76 patients","authors":"Du Cai ,&nbsp;Xiu Wang ,&nbsp;Wenhan Hu ,&nbsp;Jiajie Mo ,&nbsp;Baotian Zhao ,&nbsp;Zhong Zheng ,&nbsp;Lin Sang ,&nbsp;Xiaoqiu Shao ,&nbsp;Chao Zhang ,&nbsp;Jianguo Zhang ,&nbsp;Kai Zhang","doi":"10.1016/j.neucli.2024.103040","DOIUrl":"10.1016/j.neucli.2024.103040","url":null,"abstract":"<div><h3>Objectives</h3><div>In the present study with a large cohort, we aimed to characterize intracerebral seizure onset patterns (SOP) of mesial temporal lobe epilepsy (mTLE), with or without hippocampal sclerosis (HS) as identified via magnetic resonance imaging (MRI).</div></div><div><h3>Methods</h3><div>We retrospectively analyzed 255 seizures of 76 consecutive patients with mTLE explored by stereoelectroencephalography (SEEG), including HS-mTLE (<em>n</em> = 52) and non-HS- mTLE (<em>n</em> = 24). Relevant results were obtained by a combination of spectral analysis and manual review. High-frequency oscillations (HFO) were quantified across different SOP by an automatic detection method.</div></div><div><h3>Results</h3><div>We identified six SOP according to previous work by Lagarde et al.: (1) Low-voltage fast activity (LVFA); (2) Rhythmic spikes followed by LVFA; (3) Burst of spikes followed by LVFA; (4) Periodic spikes or spike-wave followed by LVFA; (5) Rhythmic spike or spike-wave; (6) Theta or alpha sharp activity. Notably, Periodic spikes or spike-wave followed by LVFA had a high prevalence in all seizures (37 %). A significant association was established between Periodic spike followed by LVFA and HS-mTLE (<span><math><mi>P</mi></math></span> &lt; 0.05). Furthermore, the counts of ripples and fast ripples were significantly higher in SOP displaying LVFA compared to those that did not (<em>P</em> &lt; 0.05). Rhythmic spikes followed by LVFA had the best prognosis (92 % seizure-free), while Burst of spikes followed by LVFA were linked to poorest prognosis (67 % SF).</div></div><div><h3>Conclusion</h3><div>HS-mTLE and non-HS-mTLE exhibit distinct SOP characteristics, which can offer valuable prognostic insights with a more informative interpretation of ictal iEEG for clinical guidance.</div></div>","PeriodicalId":19134,"journal":{"name":"Neurophysiologie Clinique/Clinical Neurophysiology","volume":"55 1","pages":"Article 103040"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The development of Stereo-Electroencephalography (SEEG) in Southeast Asia and Oceania: Challenges to equity across the region.","authors":"Michael W.K. Fong ,&nbsp;Kheng-Seang Lim ,&nbsp;Si Lei Fong ,&nbsp;Chien Chen ,&nbsp;Shang-Yeong Kwan ,&nbsp;Cheng-Chia Lee ,&nbsp;Piradee Suwanpakdee ,&nbsp;Charcrin Nagangchang ,&nbsp;Minh-An Thuy Le ,&nbsp;Yee-Mon Khine ,&nbsp;Deepak Gill ,&nbsp;Chong H. Wong","doi":"10.1016/j.neucli.2024.103033","DOIUrl":"10.1016/j.neucli.2024.103033","url":null,"abstract":"<div><h3>Background</h3><div>Invasive/ intracranial EEG forms an important component of assessment for epilepsy surgery in many patients with Drug-Resistant Epilepsy (DRE). Intracranial EEG has been poorly utilized though Southeast Asia (SEA) and Oceania. This study aimed to document the development of stereo-EEG (SEEG) across the region and highlight regional barriers to utilization and access.</div></div><div><h3>Methods</h3><div>A survey was developed by multicenter consensus. The survey captured institutional characteristics, geographic distributions, intracranial EEG utilization, and barriers to SEEG. Respondents were representative epilepsy centers across the region.</div></div><div><h3>Results</h3><div>Four epilepsy centers with established intracranial/ SEEG and two centers from a country without any access to SEEG participated. The responses identified that 1. Access to SEEG remained highly restricted across the region with an estimated one capable epilepsy center per 100 million people; 2. The region includes over half a billion people living in countries with no access to SEEG; 3. Staffing/ financial constraints were universal factors that limited growth of services or development of new services; 4. SEEG numbers have plateaued as a result of these challenges.</div></div><div><h3>Conclusion</h3><div>The study puts into real numbers the challenges faced by the region in accessing SEEG. SEEG remains highly underutilized and future approaches should focus on regional training and referral pathways.</div></div>","PeriodicalId":19134,"journal":{"name":"Neurophysiologie Clinique/Clinical Neurophysiology","volume":"55 1","pages":"Article 103033"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Refining computer-assisted SEEG planning with spatial priors – A novel comparison of implantation strategies across adult and paediatric centres","authors":"Debayan Dasgupta ,&nbsp;Aswin Chari ,&nbsp;Mehdi Khan ,&nbsp;Friederike Moeller ,&nbsp;Zubair Tahir ,&nbsp;Andrew W McEvoy ,&nbsp;Anna Miserocchi ,&nbsp;John S Duncan ,&nbsp;Rachel E. Sparks ,&nbsp;Martin Tisdall","doi":"10.1016/j.neucli.2024.103038","DOIUrl":"10.1016/j.neucli.2024.103038","url":null,"abstract":"<div><h3>Objectives</h3><div>Computer-assisted planning (CAP) allows faster SEEG planning and improves grey matter sampling, orthogonal drilling angles to the skull, reduces risk scores and minimises intracerebral electrode length. Incorporating prior SEEG trajectories enhances CAP planning, refining output with centre-specific practices. This study significantly expands on the previous work, compares priors libraries between two centres, and describes differences between SEEG in adults and children in these centres.</div></div><div><h3>Methods</h3><div>98 adults and 61 children who underwent SEEG implantation as part of epilepsy surgery investigations were included. Priors libraries were created for each population, clustered by target regions and subdivided by cortical approaches. The libraries were coregistered and quantitatively and qualitatively compared.</div></div><div><h3>Results</h3><div>The average number of implanted electrodes per patient was higher in paediatric patients than adults (13.6 vs 8.0). Paediatric implantations focused more on the insula than adult implantations (38.0 % vs 13.5 %), with similar proportions of electrodes implanted in the temporal and parietal lobes, and a higher proportion of adult electrodes in the frontal and orbitofrontal regions (40.6 % vs 24.0 %). Correspondence between the priors libraries was high. We present an example of a complex insular implantation planned with paediatric spatial priors and illustrate resultant SEEG recordings.</div></div><div><h3>Discussion</h3><div>The use of centre-specific spatial priors allows the incorporation of surgeon-specific and unit-specific preferences into automated planning. We compare implantation styles between a paediatric and an adult centre, discussing similarities and differences. This tool allows centres to compare practice and represents an effective way to analyse implantation strategies that is agnostic to method of implantation.</div></div>","PeriodicalId":19134,"journal":{"name":"Neurophysiologie Clinique/Clinical Neurophysiology","volume":"55 1","pages":"Article 103038"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between stages of diabetic polyneuropathy and quality of life, neuropathic pain, and well-being: A multicenter, cross-sectional analysis based on electroneuromyographic findings","authors":"Emine Kılıçparlar Cengiz ,&nbsp;Yasemin Ekmekyapar Fırat ,&nbsp;Sibel Karşıdağ ,&nbsp;Abdurrahman Neyal ,&nbsp;Ali Kemal Erdemoğlu ,&nbsp;Nilgün Çınar ,&nbsp;Tuba Ekmekyapar ,&nbsp;Sibel Canbaz Kabay ,&nbsp;Fatma Akkoyun Arıkan ,&nbsp;Gönül Akdağ ,&nbsp;Gülsüm Çomruk ,&nbsp;Miruna Ateş ,&nbsp;Sude Kendirli Aslan ,&nbsp;Burcu Gökçe Çokal ,&nbsp;Bünyamin Tosunoğlu ,&nbsp;Naci Emre Bolu ,&nbsp;Ece Yanık ,&nbsp;Feray Savrun ,&nbsp;Zeliha Tülek ,&nbsp;Kimya Kılıçaslan ,&nbsp;Ayşe Münife Neyal","doi":"10.1016/j.neucli.2024.103025","DOIUrl":"10.1016/j.neucli.2024.103025","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to investigate the relationship between electrophysiological findings of diabetic neuropathy (DN) and patients' quality of life, neuropathic pain levels, and well-being.</div></div><div><h3>Materials and Methods</h3><div>A cross-sectional study was conducted in 12 centers in Turkey. DN patients were categorized into four stages based on electrophysiological findings using the Baba classification. Scales such as Short Form-36 (SF-36), Douleur Neuropathique 4-Questions (DN4), Brief Pain Inventory (BPI), and WHO-5 Well-Being (WHO-5 WB) were used to assess quality of life, pain, and well-being. Additional factors like HbA1c levels and diabetes duration were analyzed.</div></div><div><h3>Results</h3><div>Among 323 DN patients, 90 were in stage 1, 84 in stage 2, 72 in stage 3, and 77 in stage 4. There were no significant differences in age or gender between the stages. Diabetes duration and HbA1c levels were significantly lower in stage 1 compared to later stages. SF-36 and WHO-5 WB scores declined, while DN4 and BPI pain interference scores increased in the later stages. These findings persisted after adjusting for confounders such as age, BMI, comorbidities, and diabetes duration.</div></div><div><h3>Conclusion</h3><div>Patients with advanced-stage DN experienced a poorer quality of life, greater pain, and more frequent comorbidities compared to early-stage patients. Electrophysiological findings should be considered in the clinical management of DN.</div></div>","PeriodicalId":19134,"journal":{"name":"Neurophysiologie Clinique/Clinical Neurophysiology","volume":"55 1","pages":"Article 103025"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142794973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The pleasantness of foods","authors":"Agnès JACQUIN-PIQUES","doi":"10.1016/j.neucli.2024.103031","DOIUrl":"10.1016/j.neucli.2024.103031","url":null,"abstract":"<div><div>Food pleasantness is largely based on the palatability of food and is linked to taste. Along with homeostatic and cognitive control, it forms part of the control of food intake (hedonic control), and does not only correspond to the pleasure that can be described of food intake. There are many factors that cause variations in eating pleasantness between individuals, such as age, sex, culture, co-morbidities, treatments, environmental factors or the specific characteristics of foods. The control of food intake is based on four determinants: conditioned satiety, the reward system, sensory specific satiety and alliesthesia. These four determinants follow one another over time, in the per-prandial and inter-prandial periods, and complement one another. There are many cerebral areas involved in the hedonic control of food intake. The most involved brain areas are the orbitofrontal and anterior cingulate cortices, which interact with deep neural structures (amygdala, striatum, substantia nigra) for the reward circuit, with the hippocampi for memorising pleasant foods, and even with the hypothalamus and insula, brain areas more recently involved in the physiology of food pleasantness. Changes in brain activity secondary to modulation of food pleasantness can be measured objectively by recording taste-evoked potentials, an electroencephalography technique with very good temporal resolution.</div></div>","PeriodicalId":19134,"journal":{"name":"Neurophysiologie Clinique/Clinical Neurophysiology","volume":"55 1","pages":"Article 103031"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Standalone tDCS for tinnitus treatment: Is it a good choice?","authors":"Mariana Lopes Martins ,&nbsp;Melyssa Kellyane Cavalcanti Galdino ,&nbsp;Daniel Soares Ferreira Silva ,&nbsp;Eliza Carolina Dantas Valença ,&nbsp;Mariana Braz dos Santos ,&nbsp;Jessica Figueiredo de Medeiros ,&nbsp;Daniel Gomes da Silva Machado ,&nbsp;Marine Raquel Diniz da Rosa","doi":"10.1016/j.neucli.2024.103035","DOIUrl":"10.1016/j.neucli.2024.103035","url":null,"abstract":"","PeriodicalId":19134,"journal":{"name":"Neurophysiologie Clinique/Clinical Neurophysiology","volume":"55 1","pages":"Article 103035"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stereo-EEG around the world: State of the art in Italy","authors":"Laura Tassi ,&nbsp;Veronica Pelliccia ,&nbsp;Francesca Bisulli ,&nbsp;Matteo Martinoni ,&nbsp;Lorenzo Ferri ,&nbsp;Flavio Giordano ,&nbsp;Federico Melani ,&nbsp;Luca de Palma ,&nbsp;Nicola Specchio ,&nbsp;Carlo Efisio Marras ,&nbsp;Francesco Cardinale ,&nbsp;Carmen Barba","doi":"10.1016/j.neucli.2024.103041","DOIUrl":"10.1016/j.neucli.2024.103041","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":19134,"journal":{"name":"Neurophysiologie Clinique/Clinical Neurophysiology","volume":"55 1","pages":"Article 103041"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Establishing a stereo-electroencephalography center for epilepsy in Iran","authors":"Farzad Sina ,&nbsp;Helia Hemasian ,&nbsp;Asad Abdi ,&nbsp;Vahid Heidari ,&nbsp;Mohammad Ghadirivasfi ,&nbsp;Erfan Sheikhbahaei ,&nbsp;Razieh Salehian ,&nbsp;Hamid Karimi-Rouzbahani","doi":"10.1016/j.neucli.2024.103032","DOIUrl":"10.1016/j.neucli.2024.103032","url":null,"abstract":"","PeriodicalId":19134,"journal":{"name":"Neurophysiologie Clinique/Clinical Neurophysiology","volume":"55 1","pages":"Article 103032"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142794974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter in response to Martins et al., tDCS for tinnitus modulation","authors":"Hinpetch Daungsupawong ,&nbsp;Viroj Wiwanitkit","doi":"10.1016/j.neucli.2024.103034","DOIUrl":"10.1016/j.neucli.2024.103034","url":null,"abstract":"","PeriodicalId":19134,"journal":{"name":"Neurophysiologie Clinique/Clinical Neurophysiology","volume":"55 1","pages":"Article 103034"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acknowledgments to reviewers","authors":"","doi":"10.1016/j.neucli.2025.103047","DOIUrl":"10.1016/j.neucli.2025.103047","url":null,"abstract":"","PeriodicalId":19134,"journal":{"name":"Neurophysiologie Clinique/Clinical Neurophysiology","volume":"55 1","pages":"Article 103047"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143136641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}