Britton Jeffrey W
Epilepsy Division and Professor of Neurology, Mayo Clinic, Rochester, Minnesota, U.S.A.
J Clin Neurophysiol. 2018 Mar;35(2):110-114. doi: 10.1097/WNP.0000000000000443.
The practice of stereo-EEG (SEEG) is expanding. Electrical stimulation mapping remains an important part of the surgical evaluation process in SEEG, as it is in subdural electrocorticography cases. Because the technique and electrodes used in SEEG and electrocorticography are distinct, the clinician needs to be aware of the important differences between these techniques when performing electrical stimulation mapping. In this review, the advantages, disadvantages, and potential safety concerns related to electrical stimulation mapping in SEEG are discussed. A case is presented illustrating the utility of SEEG cortical stimulation and safety concerns that need to be considered when performing these evaluations.
立体定向脑电图(SEEG)的应用正在不断扩展。与硬膜下皮质脑电图情况一样,电刺激图谱仍是SEEG手术评估过程的重要组成部分。由于SEEG和皮质脑电图所使用的技术及电极不同,临床医生在进行电刺激图谱绘制时需要了解这些技术之间的重要差异。在本综述中,我们讨论了与SEEG电刺激图谱相关的优点、缺点及潜在安全问题。本文还介绍了一个病例,说明了SEEG皮质刺激的实用性以及进行这些评估时需要考虑的安全问题。