Nicklaus Children's Hospital, 3100 SW 62nd Ave, Miami, FL, 33155, United States; Florida International University Herbert Wortheim College of Medicine, 11200 SW 8th St, Miami, FL, 33199, United States.
Nicklaus Children's Hospital, 3100 SW 62nd Ave, Miami, FL, 33155, United States; Florida International University Herbert Wortheim College of Medicine, 11200 SW 8th St, Miami, FL, 33199, United States; University of Miami Miller School of Medicine, 1600 NW 10th Ave, Miami, FL, 33136, United States.
Seizure. 2020 Apr;77:59-63. doi: 10.1016/j.seizure.2019.07.023. Epub 2019 Aug 7.
Electrical stimulation mapping is a longstanding practice that aids in identification and delineation of eloquent cortex. Initially used to expand our understanding of the typical human cortex, it now plays a significant role in mapping cortical function in individuals with atypical structural and functional tissue organization undergoing epilepsy surgery. This review discusses the unique challenges that arise in the functional testing of the immature cortex of a child and the parameters of stimulation that optimize accurate results in conventional open implantation and in stereo-electroencephalography. The prerequisite baseline evaluation and preparation recommended to increase the yield from pediatric stimulation mapping sessions is described, as are ideal approaches to the mapping of the sensory, motor, language, and visual cortices.
电刺激映射是一种长期存在的实践，有助于识别和描绘语言相关皮质。最初用于扩展我们对典型人类皮质的理解，现在在接受癫痫手术的具有非典型结构和功能组织的个体中，它在映射皮质功能方面发挥着重要作用。这篇综述讨论了在对儿童未成熟皮质进行功能测试中出现的独特挑战，以及在常规开放性植入和立体脑电图中优化准确结果的刺激参数。描述了推荐的基本评估和准备前提，以增加儿科刺激映射会话的产量，以及描述了理想的感觉、运动、语言和视觉皮质映射方法。
