利用立体脑电图术外绘制中央沟图谱:成熟方法的新应用

IF 2.3 4区 医学 Q3 CLINICAL NEUROLOGY
Journal of Clinical Neurophysiology Pub Date : 2024-05-01 Epub Date: 2023-03-24 DOI:10.1097/WNP.0000000000001009
Ammar Kheder, Ruba Al-Ramadhani, Sonam Bhalla, Adam Dickey, Abdulrahman Alwaki, Joshua Chern, Nigel Pederson, Satyanarayana Gedela
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引用次数: 0

摘要

目的:术中使用硬膜下电极,通过相位反转技术,利用感觉运动皮层的躯体感觉诱发电位进行中央沟定位。术外使用立体脑电图进行中央沟定位的方法以前未曾报道过:六名儿童患者(12-18 岁,50% 为女性)接受了立体脑电图检查。方法:对六名儿童患者(12-18 岁,女性占 50%)进行了立体脑电图检查,在通过立体脑电图电极记录躯体感觉诱发电位的同时,对他们的外周正中神经和胫后神经进行了刺激:结果:通过这种新方法成功定位了中央沟,皮层刺激数据进一步补充了这一点:这是首次报告利用立体脑电图在初级运动和感觉皮层获得的体感诱发电位。结论:这是第一份利用立体脑成像技术获得初级运动皮层和感觉皮层体感诱发电位的报告,可进一步补充其他数据,以确保在能动皮层进行安全的手术切除。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mapping the Central Sulcus Extraoperatively Using Stereoelectroencephalography: A New Application of an Established Method.

Purpose: Central sulcus localization is undertaken intraoperatively with subdural electrodes through a phase reversal technique using somatosensory evoked potentials from sensorimotor cortices. Extraoperative central sulcus localization using stereoelectroencephalography has not been described previously.

Methods: Six pediatric patients (aged 12-18 years, 50% females) were investigated with stereoelectroencephalography. Peripheral median and posterior tibial nerve stimulation were performed while recording somatosensory evoked potentials from stereoelectroencephalography electrodes.

Results: Central sulcus was successfully localized by this novel method, and this was further supplemented by cortical stimulation data.

Conclusions: This is the first report of somatosensory evoked potentials gained using stereoelectroencephalography in primary motor and sensory cortices. This can further supplement other data for safe surgical resection in the eloquent cortex.

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来源期刊
Journal of Clinical Neurophysiology
Journal of Clinical Neurophysiology 医学-临床神经学
CiteScore
4.60
自引率
4.20%
发文量
198
审稿时长
6-12 weeks
期刊介绍: ​The Journal of Clinical Neurophysiology features both topical reviews and original research in both central and peripheral neurophysiology, as related to patient evaluation and treatment. Official Journal of the American Clinical Neurophysiology Society.
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