机构:[a]Department of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China神经外科首都医科大学宣武医院[b]Beijing Institute of Functional Neurosurgery, Beijing 100053, China
Objective: To investigate the properties of afterdischarges (ADs) from intracerebral electrical stimulation (ES) in patients with epilepsy who underwent stereotactic electroencephalography (SEEG) and determine the relationship between epileptogenic zone (EZ) or irritative zone (IZ) and ADs. Methods: We retrospectively analyzed 10 patients with intractable epilepsy who underwent SEEG. ESs were delivered following the given parameters: bipolar, biphasic, 50 Hz, 0.2 ms pulse duration, 0.5-10 mA. The properties of ADs were documented, including their incidence, location, threshold, morphology and evolution. Results: A total of 213 ADs (5%) were elicited by 4701 trains of ES. Stimulation through contacts implanted in the hippocampus (59%) generally evoked more ADs than contacts elsewhere (19%). AD thresholds for hippocampal stimulation were significantly lower than those for stimulation in grey matter. Polyspikes (58%) were the most common AD morphology. Evolution occurred more commonly with sequential spikes (47%) than with other AD morphologies (14%). There was no significant correlation between the location of ADs and EZ. However, ADs were significantly more frequently localized to IZ than areas outside IZ (P < 0.05). Conclusions: There seemed to be a lack of correlation between the location of ADs and EZ. However, ADs were more likely to be elicited in IZ.
基金:
Capital Health Research and Development of Special Funds (2014-01-2014 and 2016-1-2011).
第一作者机构:[a]Department of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China[b]Beijing Institute of Functional Neurosurgery, Beijing 100053, China
通讯作者:
通讯机构:[*1]Department of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, 45 Changchun Avenue, Xicheng District, Beijing 100053, China.
推荐引用方式(GB/T 7714):
Chang Liu,Tao Yu,Zhi-Wei Ren,et al.Properties of afterdischarges from electrical stimulation in patients with epilepsy[J].EPILEPSY RESEARCH.2017,137:39-44.doi:10.1016/j.eplepsyres.2017.09.002.
APA:
Chang Liu,Tao Yu,Zhi-Wei Ren,Cui-Ping Xu,Xue-Yuan Wang...&Yong-Jie Li.(2017).Properties of afterdischarges from electrical stimulation in patients with epilepsy.EPILEPSY RESEARCH,137,
MLA:
Chang Liu,et al."Properties of afterdischarges from electrical stimulation in patients with epilepsy".EPILEPSY RESEARCH 137.(2017):39-44