Risinger M W, Engel J, Van Ness P C, Henry T R, Crandall P H
Department of Neurology, University of California, Los Angeles.
Neurology. 1989 Oct;39(10):1288-93. doi: 10.1212/wnl.39.10.1288.
We assessed the reliability and accuracy of scalp/sphenodial recordings for ictal localization by retrospectively analyzing 706 noninvasive ictal recordings from 110 patients who subsequently underwent stereoencephalographic evaluation. Strictly defined unilateral temporal/sphenoidal ictal patterns correctly predicted findings of depth electrode examination in 82 to 94% of cases. These strictly defined predictive patterns could be detected with excellent interrater reliability. The patterns are misleading in only a minority of cases, but cannot be used in isolation for definite ictal localization.
我们通过回顾性分析110例随后接受立体脑电图评估患者的706份无创发作期记录，评估头皮/蝶骨电极记录用于发作期定位的可靠性和准确性。严格定义的单侧颞叶/蝶骨发作期模式在82%至94%的病例中正确预测了深部电极检查结果。这些严格定义的预测模式具有极佳的评分者间可靠性。这些模式仅在少数病例中会产生误导，但不能单独用于明确的发作期定位。
