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重新定义磁共振脑电图在耐药性癫痫中的作用。

Redefining the role of Magnetoencephalography in refractory epilepsy.

机构信息

Department of Clinical and Experimental Epilepsy, Institute of Neurology, Queen Square, UCL, WC1N 3BG, United Kingdom.

出版信息

Seizure. 2020 Dec;83:70-75. doi: 10.1016/j.seizure.2020.10.010. Epub 2020 Oct 17.

DOI:10.1016/j.seizure.2020.10.010
PMID:33096459
Abstract

Magnetoencephalography (MEG) possesses a number of features, including excellent spatiotemporal resolution, that lend itself to the functional imaging of epileptic activity. However its current use is restricted to specific scenarios, namely in the diagnosis refractory focal epilepsies where electroencephalography (EEG) has been inconclusive. This review highlights the recent progress of MEG within epilepsy, including advances in the technique itself such as simultaneous EEG/MEG and intracranial EEG/MEG recording and room temperature MEG recording using optically pumped magnetometers, as well as improved post processing of the data during interictal and ictal activity for accurate source localisation of the epileptogenic focus. These advances should broaden the scope of MEG as an important part of epilepsy diagnostics in the future.

摘要

脑磁图(MEG)具有许多特点,包括出色的时空分辨率,非常适合癫痫活动的功能成像。然而,它的当前用途仅限于特定情况,即在脑电图(EEG)结果不确定的情况下,用于诊断难治性局灶性癫痫。本综述强调了 MEG 在癫痫中的最新进展,包括该技术本身的进步,例如同时进行 EEG/MEG 和颅内 EEG/MEG 记录,以及使用光泵磁力计进行室温 MEG 记录,以及在发作间期和发作期对数据进行改进的后处理,以准确定位致痫灶。这些进展应该扩大 MEG 的范围,使其成为未来癫痫诊断的重要组成部分。

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引用本文的文献

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Effect of Lamotrigine on Refractory Epilepsy: Clinical Outcomes and EEG Changes.拉莫三嗪对难治性癫痫的影响:临床结果和脑电图变化
Int J Gen Med. 2025 Jan 21;18:281-290. doi: 10.2147/IJGM.S505040. eCollection 2025.
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Epileptic brain network mechanisms and neuroimaging techniques for the brain network.癫痫脑网络机制及脑网络神经成像技术
Neural Regen Res. 2024 Dec 1;19(12):2637-2648. doi: 10.4103/1673-5374.391307. Epub 2023 Dec 21.
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Tri-axial rubidium and helium optically pumped magnetometers for on-scalp magnetoencephalography recording of interictal epileptiform discharges: a case study.
用于头皮脑电图记录发作间期癫痫样放电的三轴铷和氦光泵磁力仪:一项病例研究
Front Neurosci. 2023 Nov 27;17:1284262. doi: 10.3389/fnins.2023.1284262. eCollection 2023.