颞叶癫痫立体脑电图与头皮脑电图侧位不一致1例

IF 1.8 Q3 CLINICAL NEUROLOGY

Epilepsy and Behavior Reports Pub Date : 2025-07-05 DOI:10.1016/j.ebr.2025.100803

Spencer Gunnell, Audrey Nath, Patrick Karas, Todd Masel

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引用次数: 0

摘要

一名34岁的耐药癫痫女性同时接受了头皮和立体脑电图（sEEG）检查，并出现了7次癫痫发作，其中3次在头皮脑电图上没有可见性。在脑电图和头皮脑电图同时显示的四次癫痫发作中，头皮脑电图的癫痫发作与两次脑电图的癫痫发作同侧，与两次脑电图的癫痫发作对侧。这种头皮脑电图与sEEG异常的侧位不一致突出了双侧导联放置在立体脑电图中准确识别癫痫发作区域的重要性。

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Lateralization discordance between stereo EEG and scalp EEG in temporal epilepsy: A case report

A 34-year-old woman with drug-resistant epilepsy underwent simultaneous scalp and stereo-EEG (sEEG) and had seven seizures, three of them without visibility on the scalp EEG. Of the four seizures seen on both sEEG and scalp EEG, the seizure onset in the scalp EEG was ipsilateral to the seizure onset in the sEEG in two seizures and contralateral to the sEEG onset in two seizures. This unusual lateralization discordance of scalp EEG and sEEG highlights the importance of bilateral lead placement in stereo EEG to accurately identify the seizure onset zone.

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来源期刊

Epilepsy and Behavior Reports Medicine-Neurology (clinical)

CiteScore

2.70

自引率

13.30%

发文量

审稿时长

50 days