Department of Neurosurgery, Osaka University Graduate School of Medicine.
Department of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, McGill University.
Neurol Med Chir (Tokyo). 2020 Dec 15;60(12):565-580. doi: 10.2176/nmc.st.2020-0176. Epub 2020 Nov 6.
Stereo-electroencephalography (SEEG) has gained global popularity in recent years. In Japan, a country in which invasive studies using subdural electrodes (SDEs) have been the mainstream, SEEG has been approved for insurance coverage in 2020 and is expected to gain in popularity. Some concepts supporting SEEG methodology are fundamentally different from that of SDE studies. Clinicians interested in utilizing SEEG in their practice should be aware of those aspects in which they differ. Success in utilizing the SEEG methodology relies heavily on the construction of an a priori hypothesis regarding the putative seizure onset zone (SOZ) and propagation. This article covers the technical and theoretical aspects of SEEG, including the surgical techniques and precautions, hypothesis construction, and the interpretation of the recording, all with the aim of providing an introductory guide to SEEG.
立体定向脑电图（SEEG）近年来在全球范围内得到普及。在日本，使用硬膜下电极（SDEs）的侵袭性研究一直是主流，SEEG 于 2020 年获得了保险覆盖，并有望获得更多的关注。一些支持 SEEG 方法的概念与 SDE 研究有根本的不同。对在实践中使用 SEEG 感兴趣的临床医生应该了解这些不同之处。成功使用 SEEG 方法在很大程度上依赖于对假定的起始区（SOZ）和传播的先验假设的构建。本文涵盖了 SEEG 的技术和理论方面，包括手术技术和注意事项、假设构建以及记录的解释，旨在为 SEEG 提供一个入门指南。
