Gavaret M, Badier J-M, Chauvel P
Laboratoire de neurophysiologie et neuropsychologie, Inserm UMR 751, 13385 Marseille, France.
Neurochirurgie. 2008 May;54(3):185-90. doi: 10.1016/j.neuchi.2008.02.014. Epub 2008 Apr 15.
HR-EEG (high resolution EEG) and MEG (magnetoencephalography) allow the recording of cerebral electromagnetic activities with excellent temporal resolution. These tools have also considerably progressed in spatial resolution and now constitute real methods of Electric and Magnetic Source Imaging. Their limits and the precision of the results obtained are discussed in distinct types of partial epilepsy. HR-EEG and MEG allow localization of scalp-EEG interictal spikes and more rarely ictal activities. They now contribute to the presurgical evaluation of pharmacoresistant partial epilepsies. These investigations appear to be of particular importance in presurgical assessment of MRI-negative epilepsy.
高分辨率脑电图(HR-EEG)和脑磁图(MEG)能够以出色的时间分辨率记录大脑电磁活动。这些工具在空间分辨率方面也有了显著进展,如今已成为真正的电和磁源成像方法。在不同类型的局灶性癫痫中,对它们的局限性以及所获结果的精确度进行了讨论。HR-EEG和MEG能够定位头皮脑电图发作间期棘波,较少情况下也能定位发作期活动。它们现在有助于药物难治性局灶性癫痫的术前评估。这些检查在MRI阴性癫痫的术前评估中似乎尤为重要。