Localisation of epileptic foci with multichannel magnetoencephalography, MEG.

With the development of multichannel magnetoencephalographs biomagnetic signals can be recorded over large areas at the same time. It allows determination of the magnetic field outside the head generated by spontaneous epileptic discharges. From the maxima of outward and inward magnetic fluxes the locations of the sources of epileptic discharges can be calculated. The biomagnetic signals originating from an epileptic discharge is, however, mixed with biomagnetic signals generated by the background activity of the brain. A localisation based on a single discharge will therefore be influenced by the background activity. To diminish this influence, the biomagnetic signals during repeated identical epileptic discharges have been averaged. It gives a source localisation common to all discharges instead of a widely spread cluster of dipole sources. The error of epileptic dipole source localisations varies with the site of the dipole in the head as judged from studies with implanted dipole sources but also with the direction of the dipole as seen in studies with artificial dipoles in real head volumes. The error is relatively small in areas where the head has a spherical surface if the dipole direction is tangential. At other sites or dipole directions, the error can be very large. Since the site and direction of an epileptic dipole source is unknown it is not possible to estimate the error of localisations except by using models of individual head volumes.