Stimulation Mapping Using Stereoelectroencephalography: Current and Future Directions

被引：27

作者：

George, Derek D. ^{[1
]}

Ojemann, Steven G. ^{[2
]}

Drees, Cornelia ^{[3
]}

Thompson, John A. ^{[2
,3
]}

机构：

[1] Univ Colorado, Sch Med, Aurora, CO USA

[2] Univ Colorado, Sch Med, Dept Neurosurg, Aurora, CO 80045 USA

[3] Univ Colorado, Sch Med, Dept Neurol, Aurora, CO 80045 USA

来源：

FRONTIERS IN NEUROLOGY | 2020年 / 11卷

关键词：

epilepsy; stereoelectroencephalography; electrical stimulation mapping; epileptogenic zone; subdural grid; review; functional neurosurgery; PULSE ELECTRICAL-STIMULATION; FOCAL CORTICAL DYSPLASIA; HUMAN BRAIN; INTRACEREBRAL STIMULATION; EFFECTIVE CONNECTIVITY; RESPONSES; SEIZURES; EPILEPSY; CORTEX; LOBE;

D O I：

10.3389/fneur.2020.00320

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Electrical stimulation mapping (ESM) using stereoelectroencephalography (SEEG) is an essential component in the workup of surgical epilepsy. Since the initial application of ESM in the mid-1960s, it remains unparalleled in defining eloquent brain areas and delimiting seizure foci for the purposes of surgical planning. Here, we briefly review the current state of SEEG stimulation, with a focus on the techniques used for identifying the epileptogenic zone and eloquent cortex. We also summarize clinical data on the efficacy of SEEG stimulation in surgical outcomes and functional mapping. Finally, we briefly highlight future applications of SEEG ESM, including novel functional mapping approaches, identifying rare seizure semiologies, neurophysiologic investigations for understanding cognitive function, and its role in SEEG-guided radiofrequency thermal coagulation.

引用

页数：7

共 76 条

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