Stefan H, Quesney L F, Abou-Khalil B, Olivier A
Department of Neurology, University Erlangen, Nürnberg.
Acta Neurol Scand. 1991 Feb;83(2):65-72. doi: 10.1111/j.1600-0404.1991.tb04651.x.
The results of intra-operative cortical EEG recordings (ECoG) were assessed in 30 patients with medically refractory complex partial seizures submitted to temporal lobectomy. Interictal spiking was most frequently recorded from mesial temporal lobe structures (amygdaloid-hippocampal region) and from the temporal neocortex synchronously, as observed in 21/30 patients. In 7 patients, the interictal spiking involved the temporal neocortex exclusively. Electrical stimulation of mesial temporal lobe structures reproduced the patient's habitual warning in 10 patients. The results of this study confirms that ECoG provides reliable intra-operative mapping of the epileptogenic brain tissue to be excised.
对30例接受颞叶切除术的药物难治性复杂部分性癫痫患者的术中皮质脑电图记录（ECoG）结果进行了评估。如在21/30例患者中观察到的那样，发作间期棘波最常同步记录于颞叶内侧结构（杏仁核-海马区）和颞叶新皮质。在7例患者中，发作间期棘波仅累及颞叶新皮质。对颞叶内侧结构的电刺激在10例患者中重现了患者的习惯性先兆。本研究结果证实，ECoG可为待切除的致痫脑组织提供可靠的术中定位。
