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本文引用的文献

1
Localizing value of scalp EEG spikes: a simultaneous scalp and intracranial study.头皮脑电图尖峰的定位价值:一项头皮与颅内同步研究
Clin Neurophysiol. 2007 Jan;118(1):69-79. doi: 10.1016/j.clinph.2006.09.010. Epub 2006 Nov 27.
2
Magnetic source imaging versus intracranial electroencephalogram in epilepsy surgery: a prospective study.癫痫手术中磁源成像与颅内脑电图的对比:一项前瞻性研究。
Ann Neurol. 2006 May;59(5):835-42. doi: 10.1002/ana.20857.
3
Single and multiple clusters of magnetoencephalographic dipoles in neocortical epilepsy: significance in characterizing the epileptogenic zone.新皮质癫痫中脑磁图偶极子的单个和多个簇:对癫痫灶特征化的意义
Epilepsia. 2006 Feb;47(2):355-64. doi: 10.1111/j.1528-1167.2006.00428.x.
4
Intracranial EEG substrates of scalp EEG interictal spikes.头皮脑电图发作间期棘波的颅内脑电图基质
Epilepsia. 2005 May;46(5):669-76. doi: 10.1111/j.1528-1167.2005.11404.x.
5
Differences in MEG/EEG epileptic spike yields explained by regional differences in signal-to-noise ratios.由信噪比的区域差异所解释的脑磁图/脑电图癫痫棘波产生的差异。
J Clin Neurophysiol. 2005 Apr;22(2):153-8. doi: 10.1097/01.wnp.0000158947.68733.51.
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What does an epileptiform spike look like in MEG? Comparison between coincident EEG and MEG spikes.
J Clin Neurophysiol. 2005 Jan-Feb;22(1):68-73. doi: 10.1097/01.wnp.0000150999.67749.6d.
7
Detection of epileptiform activity by human interpreters: blinded comparison between electroencephalography and magnetoencephalography.人工判读癫痫样活动:脑电图与脑磁图的盲法比较
Epilepsia. 2005 Jan;46(1):59-68. doi: 10.1111/j.0013-9580.2005.21104.x.
8
EEG and MEG source analysis of single and averaged interictal spikes reveals intrinsic epileptogenicity in focal cortical dysplasia.对单次和平均发作间期棘波进行脑电图(EEG)和脑磁图(MEG)源分析,揭示了局灶性皮质发育异常中的内在致痫性。
Epilepsia. 2004 Jun;45(6):621-31. doi: 10.1111/j.0013-9580.2004.56503.x.
9
Does magnetoencephalography add to scalp video-EEG as a diagnostic tool in epilepsy surgery?在癫痫手术中,脑磁图作为一种诊断工具,相对于头皮视频脑电图有何优势?
Neurology. 2004 Mar 23;62(6):943-8. doi: 10.1212/01.wnl.0000115122.81621.fe.
10
Cortical dysplastic lesions in children with intractable epilepsy: role of complete resection.难治性癫痫患儿的皮质发育异常病变:完全切除的作用。
J Neurosurg. 2004 Feb;100(2 Suppl Pediatrics):110-7. doi: 10.3171/ped.2004.100.2.0110.

脑磁图能帮助癫痫手术吗?

Can magnetoencephalography aid epilepsy surgery?

机构信息

UAB Seizure Monitoring Unit, Department of Neurology University of Alabama at Birmingham Epilepsy Center, Birmingham, Alabama, USA.

出版信息

Epilepsy Curr. 2008 Jan-Feb;8(1):1-5. doi: 10.1111/j.1535-7511.2007.00215.x.

DOI:10.1111/j.1535-7511.2007.00215.x
PMID:18265877
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2238648/
Abstract

Magnetoencephalography (MEG) has a long history of development for the application of epilepsy. Technical and clinical validation of spike source estimation has been demonstrated in most partial epilepsies. The question that needs to be clarified concerns clinical value: Do identification and localization of epileptiform discharges play an important role in the determination of epilepsy localization for surgery? EEG is the mainstay in the investigation of seizure disorders and will remain so because it alone possesses the attribute of long-term recordings that can capture seizures. In contrast, MEG has the unique capability of nearly instantaneous high-resolution recording, with detection sensitivity and spike localization precision beyond that of EEG. Do these distinctions matter from a clinical standpoint?

摘要

脑磁图(MEG)在癫痫的应用中有很长的发展历史。在大多数部分性癫痫中,已经证明了尖峰源估计的技术和临床验证。需要澄清的问题是临床价值:癫痫样放电的识别和定位是否在手术定位癫痫中起重要作用?EEG 是癫痫发作障碍研究的主要手段,而且仍将如此,因为它独自具有能够捕获发作的长期记录的属性。相比之下,MEG 具有近乎瞬时的高分辨率记录的独特能力,具有优于 EEG 的检测灵敏度和尖峰定位精度。从临床角度来看,这些区别重要吗?