Mapping the Central Sulcus Extraoperatively Using Stereoelectroencephalography: A New Application of an Established Method.


Journal

Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society
ISSN: 1537-1603
Titre abrégé: J Clin Neurophysiol
Pays: United States
ID NLM: 8506708

Informations de publication

Date de publication:
24 Mar 2023
Historique:
entrez: 24 3 2023
pubmed: 25 3 2023
medline: 25 3 2023
Statut: aheadofprint

Résumé

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

Identifiants

pubmed: 36961735
doi: 10.1097/WNP.0000000000001009
pii: 00004691-990000000-00083
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023 by the American Clinical Neurophysiology Society.

Déclaration de conflit d'intérêts

The authors have no funding or conflicts of interest to disclose.

Références

Naidich TP, Brightbill TC. Systems for localizing fronto-parietal gyri and sulci on axial CT and MRI. Int J Neuroradiol 2:1996;313–338.
Lesser RP, Luders H, Klem G, et al. Extraoperative cortical functional localization in patients with epilepsy. J Clin Neurophysiol 1987;4:27–54.
Chitoku S, Otsubo H, Harada Y, et al. Extraoperative cortical stimulation of motor function in children. Pediatr Neurol 2001;24:344–350.
Wilson CL. Intracranial electrophysiological investigation of the human brain in patients with epilepsy: contributions to basic and clinical research. Exp Neurol 2004;187:240–245.
Balzamo E, Marquis P, Chauvel P, Régis J. Short-latency components of evoked potentials to median nerve stimulation recorded by intracerebral electrodes in the human pre-and postcentral areas. Clin Neurophysiol 2004; 115: 1616–1623.
Mullin JP, Shriver M, Alomar S, et al. Is SEEG safe? A systematic review and meta-analysis of stereo-electroencephalography-related complications. Epilepsia 2016;57:386–401.
Jayakar P, Gotman J, Harvey AS, et al. Diagnostic utility of invasive EEG for epilepsy surgery: indications, modalities, and techniques. Epilepsia 2016;57:1735–1747.

Auteurs

Ammar Kheder (A)

Department of Neurology, Emory University School of Medicine, Atlanta, GeorgiaU.S.A.
Children's Healthcare of Atlanta, Atlanta, Georgia, U.S.A.
Emory and Children's Pediatric Institute, Atlanta, Georgia, U.S.A.; and.

Ruba Al-Ramadhani (R)

University of Pittsburgh Medical Center Children's Hospital, Pittsburgh, Pennsylvania, U.S.A.

Sonam Bhalla (S)

Children's Healthcare of Atlanta, Atlanta, Georgia, U.S.A.
Emory and Children's Pediatric Institute, Atlanta, Georgia, U.S.A.; and.

Adam Dickey (A)

Department of Neurology, Emory University School of Medicine, Atlanta, GeorgiaU.S.A.

Abdulrahman Alwaki (A)

Department of Neurology, Emory University School of Medicine, Atlanta, GeorgiaU.S.A.

Joshua Chern (J)

Children's Healthcare of Atlanta, Atlanta, Georgia, U.S.A.

Nigel Pederson (N)

Department of Neurology, Emory University School of Medicine, Atlanta, GeorgiaU.S.A.

Satyanarayana Gedela (S)

Children's Healthcare of Atlanta, Atlanta, Georgia, U.S.A.
Emory and Children's Pediatric Institute, Atlanta, Georgia, U.S.A.; and.

Classifications MeSH