Jayakar P, Duchowny M, Resnick T J, Alvarez L A
Comprehensive Epilepsy Center, Miami Children's Hospital, Florida 33155.
J Clin Neurophysiol. 1991 Oct;8(4):414-31. doi: 10.1097/00004691-199110000-00006.
The pitfalls and difficulties in accurately localizing seizure foci are reviewed. Basic issues regarding modeling, volume conduction, inhomogeneities, and corticocortical propagation are discussed, and the limitations of scalp and intracranial recordings are outlined. The ambiguities in interpreting patterns and their significance are highlighted with a concluding commentary on pitfalls in defining the epileptogenic region.
本文回顾了准确确定癫痫发作灶的陷阱与困难。讨论了关于建模、容积传导、不均匀性和皮质间传播的基本问题,并概述了头皮和颅内记录的局限性。文中强调了解释脑电图模式及其意义时的模糊性,并对定义致痫区的陷阱进行了总结性评论。