Neurophysiologie Clinique/Clinical Neurophysiology最新文献

{"title":"Relationships between arm nerve signals measured by somatosensory evoked potentials and functional testing in unilateral cerebral palsy","authors":"Guillaume Zavard , Laura Routier , Fabrice Wallois , Jean-François Catanzariti , Séverine Fritot , Emeline Cailliau , Laurent Béghin , Laurence Gottrand","doi":"10.1016/j.neucli.2025.103089","DOIUrl":"10.1016/j.neucli.2025.103089","url":null,"abstract":"","PeriodicalId":19134,"journal":{"name":"Neurophysiologie Clinique/Clinical Neurophysiology","volume":"55 4","pages":"Article 103089"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481431","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":"Late-onset brachial plexopathy following an implantable cardioverter defibrillator placement: Expect the unexpected","authors":"Berkay Yalçınkaya, Ahmet Furkan Çolak, Alp Çetin","doi":"10.1016/j.neucli.2025.103088","DOIUrl":"10.1016/j.neucli.2025.103088","url":null,"abstract":"","PeriodicalId":19134,"journal":{"name":"Neurophysiologie Clinique/Clinical Neurophysiology","volume":"55 4","pages":"Article 103088"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144364474","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":"Evaluating postoperative motor function using postoperative navigated transcranial magnetic stimulation motor mapping","authors":"Thomas Eibl,&nbsp;Adrian Liebert,&nbsp;Leonard Ritter,&nbsp;Karl-Michael Schebesch","doi":"10.1016/j.neucli.2025.103072","DOIUrl":"10.1016/j.neucli.2025.103072","url":null,"abstract":"<div><h3>Objective</h3><div>Navigated transcranial magnetic stimulation (nTMS) motor mapping has been established in the preoperative workflow of brain tumor patients. This study aimed to evaluate the use of postoperative nTMS motor mapping, which has been rarely performed to evaluate surgery-associated corticospinal tract injuries and functional outcome.</div></div><div><h3>Methods</h3><div>Patients undergoing resection of brain tumors, who received pre- and postoperative nTMS motor mapping were retrospectively evaluated. Further inclusion criteria were postoperative deterioration in motor function or the presence of a preoperative motor deficit MRC ≤3/5 without significant improvement after surgery. Postoperative nTMS was conducted within 14 days after tumor surgery. Corticospinal tracts (CST) were visualized using pre- and postoperative diffusion tensor imaging (DTI). Distances between the tumor and the CST as well as the resection cavity and the CST were measured. Primary outcome was a functionally adequate (MRC ≥4/5) motoric status after 3 months.</div></div><div><h3>Results</h3><div>Seventeen patients were included, mean age was 59.5 ± 14.9 years. Motor evoked potentials (MEP) of at least one extremity were recorded in 14 cases (82.4 %). The positive predictive value (PPV) for motor recovery of postoperative nTMS mapping was 90.5 %, the negative predictive value (NPV) was 38.5 %. Motor thresholds of the operated hemisphere increased significantly after surgery (<em>p</em> = 0.008), whereas the motor thresholds of the contralateral hemisphere remained stable (<em>p</em> = 0.11). Pre- and postoperative CST-visualizations did not differ concerning the distance between CST and lesion or resection cavity.</div></div><div><h3>Conclusion</h3><div>nTMS potentially predicts functional recovery of transient postoperative motor deficits. Further studies are warranted to prove this effect. Motor deficits significantly improved if it was possible to elicit MEPs with nTMS postoperatively.</div></div>","PeriodicalId":19134,"journal":{"name":"Neurophysiologie Clinique/Clinical Neurophysiology","volume":"55 4","pages":"Article 103072"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828613","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":"Does hyperventilation increase the diagnostic sensitivity of routine electroencephalography in adults with suspected epilepsy?","authors":"Seyda Erdoğan,&nbsp;Gökhan Pek,&nbsp;Canan Duman İlki,&nbsp;Cem Dinler,&nbsp;İlke Şahin,&nbsp;Ali Cem Ekşi,&nbsp;Musap Rasim Ceylan,&nbsp;Nijat Abbaszade,&nbsp;Eray Ergül,&nbsp;Özden Şener","doi":"10.1016/j.neucli.2025.103060","DOIUrl":"10.1016/j.neucli.2025.103060","url":null,"abstract":"<div><h3>Objective</h3><div>We aimed to explore the role of hyperventilation (HV) during routine EEG recordings in the diagnosis of adults with epilepsy.</div></div><div><h3>Methods</h3><div>During the COVID-19 pandemic we removed HV from routine EEG recordings due to the transmission risks. Routine EEGs conducted in the year before and after the COVID-19 pandemic were re-evaluated.</div></div><div><h3>Results</h3><div>A total of 167 HV + and 199 HV - EEGs were analyzed. To ensure comparability between the two groups with respect to age and conditions that could contraindicate HV, patients ≥ 55 years and with any conditions contraindicating HV were excluded from both groups. In patients with a diagnosis of epilepsy the prevalence of epileptiform abnormalities was 26.7 % in the HV + and 24.5 % in the HV - group (<em>p</em> = 0.727).</div></div><div><h3>Conclusions</h3><div>This study did not reveal any evidence indicating that HV improves the diagnostic sensitivity of routine EEG in adults with epilepsy. In adults, hyperventilation during routine EEG recordings may be most useful in incre in patients with a history of absence seizures or seizures triggered by hyperventilation.</div></div>","PeriodicalId":19134,"journal":{"name":"Neurophysiologie Clinique/Clinical Neurophysiology","volume":"55 4","pages":"Article 103060"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429812","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 potential of OPM-based magnetoencephalography in pre-surgical evaluation of drug-resistant epilepsy","authors":"Congyan Chen ,&nbsp;Pengfei Teng ,&nbsp;Qiujian Meng ,&nbsp;Yuying Jiang ,&nbsp;Rui Li ,&nbsp;Jing Wang ,&nbsp;Jiangfen Wu ,&nbsp;Yuguang Guan ,&nbsp;Mengyang Wang ,&nbsp;Jian Zhou ,&nbsp;Tianfu Li ,&nbsp;Jingwei Sheng ,&nbsp;Jia-Hong Gao ,&nbsp;Xiongfei Wang ,&nbsp;Guoming Luan","doi":"10.1016/j.neucli.2025.103087","DOIUrl":"10.1016/j.neucli.2025.103087","url":null,"abstract":"","PeriodicalId":19134,"journal":{"name":"Neurophysiologie Clinique/Clinical Neurophysiology","volume":"55 4","pages":"Article 103087"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144307475","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":"Temporal lobectomy in bilateral temporal lobe epilepsy: A relook at factors in selection, invasive evaluation and seizure outcome","authors":"Harish Jayakumar ,&nbsp;Siby Gopinath ,&nbsp;Sreelakshmi Narayanan ,&nbsp;Srinath Rajeevan ,&nbsp;Ramaih Rajeshkannan ,&nbsp;Harilal Parasuram ,&nbsp;Ashok Pillai","doi":"10.1016/j.neucli.2025.103064","DOIUrl":"10.1016/j.neucli.2025.103064","url":null,"abstract":"<div><h3>Objectives</h3><div>We sought retrospectively to assess outcomes in bilateral temporal lobe epilepsy (BTLE) patients undergoing resective temporal lobe surgery following invasive EEG lateralization in comparison to unilateral TLE (UTLE).</div></div><div><h3>Methods</h3><div>Patients undergoing surgical intervention for TLE (the vast majority being mesial temporal lobe epilepsy) during a 7-year period were retrospectively categorized as suspected BTLE (sBTLE) or UTLE. Temporal lobectomy was performed in the sBTLE group on the side of maximum number of intracranial EEG seizure onsets. EEG, MRI, laterality of iEEG ictal onset (in sBTLE), seizure outcome and drug tapering data were retrospectively analyzed.</div></div><div><h3>Results</h3><div>Of 148 adult patients undergoing temporal lobe epilepsy surgery, 24 (16.2 %) fit the criteria of sBTLE, amongst whom iEEG ictal onset proved to be unilateral in 14 (uBTLE, 58.3 %) and bilateral in 10 (dBTLE, 41.7 %). Of operated patients in the dBTLE group, the first seizure onset was ipsilateral to the resection in 4 patients (57.1 %) and contralateral in 3 (42.9 %). In the UTLE group, seizure freedom (Engel 1) was achieved in 87.8 % at mean follow-up of 59.2 ± 27.9 months. Seizure freedom was achieved in 92.9 % of uBTLE patients at 52.8 ± 36.6 months. Seven of 10 dBTLE patients underwent resection on the side of maximum number of iEEG seizure onset, and 6 (85.7 %) remained seizure-free at 40.14 ± 25 months. There was no statistically significant difference in seizure-free outcome between UTLE and sBTLE (Pearson Chi-Square test, p-value = 0.67).</div></div><div><h3>Conclusion</h3><div>High seizure freedom rates were observed in both unilateral and bilateral disease following standard temporal lobectomy. However, the study lacks pre- and post-resection neuropsychological data to conclude on the cognitive sequelae of resective surgery in established bilateral mesiotemporal epilepsy.</div></div>","PeriodicalId":19134,"journal":{"name":"Neurophysiologie Clinique/Clinical Neurophysiology","volume":"55 3","pages":"Article 103064"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550085","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":"Stereoelectroencephalography at Sainte-Anne Hospital, Paris, France","authors":"Cristina Filipescu ,&nbsp;Elisabeth Landré ,&nbsp;Marc Zanello ,&nbsp;Alessandro Moiraghi ,&nbsp;Charles Mellerio ,&nbsp;Magali Boutin ,&nbsp;Benoît Crépon ,&nbsp;Estelle Pruvost-Robieux ,&nbsp;Anaïs Llorens ,&nbsp;Johan Pallud ,&nbsp;Martine Gavaret","doi":"10.1016/j.neucli.2025.103057","DOIUrl":"10.1016/j.neucli.2025.103057","url":null,"abstract":"<div><div>Stereoelectroencephalography (SEEG), which combines the exploration of identified intracerebral structures using depth electrodes and provides direct recording of local field potentials from multiple brain sites, was designed and developed in the 1950s by Jean Talairach and Jean Bancaud, in Sainte-Anne Hospital, Paris.</div><div>For patients with focal drug-resistant epilepsy, when the non-invasive phase is insufficiently concordant or when relationships between the epileptogenic network and eloquent areas remain to be defined, the main purpose of SEEG is the optimal electrode implantation based on a main hypothesis and questions formulated during the non-invasive phase.</div><div>Following an initial historical overview, the different steps of this non-invasive phase are described. Some of these steps, like semiology analysis, have remained relatively preserved, while others have considerably evolved, such as positron emission tomography combined with 3 Tesla magnetic resonance imaging (MRI), functional MRI (fMRI) and high-resolution EEG.</div><div>We then outline the different steps of the SEEG procedure as performed in our institution. Here also, some steps remain quite unchanged such as intracerebral stimulation, amitriptyline and benzodiazepine tests while some others have strikingly evolved such as frameless robot-assisted, MRI-based implantation, depth-signal analyses and quantifications, and radio-frequency thermocoagulation.</div></div>","PeriodicalId":19134,"journal":{"name":"Neurophysiologie Clinique/Clinical Neurophysiology","volume":"55 3","pages":"Article 103057"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143134078","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":"SEEG guided hippocampus-sparing resection in mesial temporal lobe epilepsy","authors":"Mathieu Dhoisne ,&nbsp;Maxime Chochoi ,&nbsp;Morgane Gérard ,&nbsp;Iulia Peciu-Florianu ,&nbsp;Nicolas Reyns ,&nbsp;Hélène Catenoix ,&nbsp;Lucie Plomhause ,&nbsp;Philippe Derambure","doi":"10.1016/j.neucli.2025.103073","DOIUrl":"10.1016/j.neucli.2025.103073","url":null,"abstract":"<div><h3>Objectives</h3><div>Describe the clinical, neurophysiological, and radiological characteristics of patients with mesial temporal lobe epilepsy (TLE) who underwent hippocampus-sparing anterior temporal lobectomy with a particular emphasis on the stereoelectroencephalographic (SEEG) findings that guided the decision to spare the hippocampus.</div></div><div><h3>Methods</h3><div>We included patients who underwent hippocampus-sparing anterior temporal lobectomy and stereoelectroencephalography at Lille University Hospital. We reported their clinical, characteristics as well as the results of their presurgical evaluation, neuroimaging data, and SEEG findings.</div></div><div><h3>Results</h3><div>We report four patients with mesial TLE (three with dominant hemisphere TLE and one with non-dominant hemisphere TLE). In three patients, SEEG captured several seizures originating from the amygdala, with a consistent delay before hippocampal involvement. In the fourth patient, no spontaneous seizure was recorded during monitoring. However, stimulation of the amygdala successfully reproduced a full habitual seizure. All patients underwent hippocampus-sparing anterior temporal lobectomy and have been seizure-free since surgery (two Engel IA and two Engel IB). Post-surgery neuropsychological evaluations were stable or showed improvement in pre-surgical deficits.</div></div><div><h3>Discussion</h3><div>Hippocampus-sparing anterior temporal lobectomy is a safe and effective treatment for patients in whom the hippocampus is not part of the seizure onset zone. SEEG is invaluable when considering hippocampus-sparing resection, as it provides definitive evidence that the hippocampus is not the primary site of seizure onset. Thorough and meticulous SEEG exploration is essential to accurately delineate the seizure onset zone. The decision-making process should integrate SEEG findings with neuroimaging and neuropsychological assessments, relying on a multidisciplinary approach tailored to each patient.</div></div>","PeriodicalId":19134,"journal":{"name":"Neurophysiologie Clinique/Clinical Neurophysiology","volume":"55 3","pages":"Article 103073"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791049","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":"Effect of electrode size in phrenic nerve CMAP","authors":"José Castro ,&nbsp;Miguel Oliveira Santos ,&nbsp;Mamede de Carvalho","doi":"10.1016/j.neucli.2025.103078","DOIUrl":"10.1016/j.neucli.2025.103078","url":null,"abstract":"","PeriodicalId":19134,"journal":{"name":"Neurophysiologie Clinique/Clinical Neurophysiology","volume":"55 3","pages":"Article 103078"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144070693","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":"Differential electroencephalogram findings depending on type of praxis in reflex epilepsy","authors":"Ryota Sasaki ,&nbsp;Masako Kinoshita ,&nbsp;Nahomi Osugi ,&nbsp;Kentaro Tamura ,&nbsp;Kiyoshi Nagata ,&nbsp;Ichiro Nakagawa","doi":"10.1016/j.neucli.2025.103077","DOIUrl":"10.1016/j.neucli.2025.103077","url":null,"abstract":"","PeriodicalId":19134,"journal":{"name":"Neurophysiologie Clinique/Clinical Neurophysiology","volume":"55 3","pages":"Article 103077"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143911789","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}