九十年的皮质脑电图:硬膜外和硬膜下记录的比较。

Nine decades of electrocorticography: A comparison between epidural and subdural recordings.

作者信息

Branco Mariana P, Geukes Simon H, Aarnoutse Erik J, Ramsey Nick F, Vansteensel Mariska J

机构信息

Department of Neurology and Neurosurgery, University Medical Center Utrecht Brain Center, Utrecht University, Utrecht, The Netherlands.

出版信息

Eur J Neurosci. 2023 Apr;57(8):1260-1288. doi: 10.1111/ejn.15941. Epub 2023 Mar 12.

Abstract

In recent years, electrocorticography (ECoG) has arisen as a neural signal recording tool in the development of clinically viable neural interfaces. ECoG electrodes are generally placed below the dura mater (subdural) but can also be placed on top of the dura (epidural). In deciding which of these modalities best suits long-term implants, complications and signal quality are important considerations. Conceptually, epidural placement may present a lower risk of complications as the dura is left intact but also a lower signal quality due to the dura acting as a signal attenuator. The extent to which complications and signal quality are affected by the dura, however, has been a matter of debate. To improve our understanding of the effects of the dura on complications and signal quality, we conducted a literature review. We inventorized the effect of the dura on signal quality, decodability and longevity of acute and chronic ECoG recordings in humans and non-human primates. Also, we compared the incidence and nature of serious complications in studies that employed epidural and subdural ECoG. Overall, we found that, even though epidural recordings exhibit attenuated signal amplitude over subdural recordings, particularly for high-density grids, the decodability of epidural recorded signals does not seem to be markedly affected. Additionally, we found that the nature of serious complications was comparable between epidural and subdural recordings. These results indicate that both epidural and subdural ECoG may be suited for long-term neural signal recordings, at least for current generations of clinical and high-density ECoG grids.

摘要

近年来,在临床可行的神经接口开发中,皮质脑电图(ECoG)已成为一种神经信号记录工具。ECoG电极通常放置在硬脑膜下方(硬膜下),但也可以放置在硬脑膜上方(硬膜外)。在决定哪种方式最适合长期植入时,并发症和信号质量是重要的考虑因素。从概念上讲,硬膜外放置可能并发症风险较低,因为硬脑膜保持完整,但由于硬脑膜起到信号衰减器的作用,信号质量也较低。然而,硬脑膜对并发症和信号质量的影响程度一直存在争议。为了更好地理解硬脑膜对并发症和信号质量的影响,我们进行了一项文献综述。我们梳理了硬脑膜对人类和非人类灵长类动物急性和慢性ECoG记录的信号质量、可解码性和寿命的影响。此外,我们比较了采用硬膜外和硬膜下ECoG的研究中严重并发症的发生率和性质。总体而言,我们发现,尽管硬膜外记录的信号幅度相对于硬膜下记录有所衰减,特别是对于高密度网格,但硬膜外记录信号的可解码性似乎并未受到明显影响。此外,我们发现硬膜外和硬膜下记录的严重并发症性质相当。这些结果表明,硬膜外和硬膜下ECoG都可能适用于长期神经信号记录,至少对于当前一代的临床和高密度ECoG网格是如此。

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