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Properties of afterdischarges from electrical stimulation in patients with epilepsy

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机构: [a]Department of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China [b]Beijing Institute of Functional Neurosurgery, Beijing 100053, China
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关键词: Electrical stimulation Afterdischarges Threshold Morphology Epilepsy Stereotactic electroencephalography

摘要:
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.

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出版当年[2016]版:
大类 | 3 区 医学
小类 | 4 区 临床神经病学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学
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出版当年[2015]版:
Q3 CLINICAL NEUROLOGY
最新[2023]版:
Q3 CLINICAL NEUROLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2015版] 出版当年五年平均 出版前一年[2014版] 出版后一年[2016版]

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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
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通讯机构: [*1]Department of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, 45 Changchun Avenue, Xicheng District, Beijing 100053, China.
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