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Learn how to interpret and use intracranial EEG findings
B. Frauscher, D. Mansilla, C. Abdallah, A. Astner-Rohracher, S. Beniczky, M. Brazdil, V. Gnatkovsky, J. Jacobs, G. Kalamangalam, P. Perucca, P. Ryvlin, S. Schuele, J. Tao, Y. Wang, M. Zijlmans, A. McGonigal
Language English Country United States
Document type Journal Article
Grant support
PJT-175056
CIHR - Canada
PJT-175056
CIHR - Canada
PubMed
38116690
DOI
10.1002/epd2.20190
Knihovny.cz E-resources
- MeSH
- Child MeSH
- Electroencephalography methods MeSH
- Electrocorticography methods MeSH
- Epilepsies, Partial * diagnosis surgery MeSH
- Epilepsy * MeSH
- Humans MeSH
- Drug Resistant Epilepsy * diagnosis surgery MeSH
- Seizures diagnosis MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Publication type
- Journal Article MeSH
Epilepsy surgery is the therapy of choice for many patients with drug-resistant focal epilepsy. Recognizing and describing ictal and interictal patterns with intracranial electroencephalography (EEG) recordings is important in order to most efficiently leverage advantages of this technique to accurately delineate the seizure-onset zone before undergoing surgery. In this seminar in epileptology, we address learning objective "1.4.11 Recognize and describe ictal and interictal patterns with intracranial recordings" of the International League against Epilepsy curriculum for epileptologists. We will review principal considerations of the implantation planning, summarize the literature for the most relevant ictal and interictal EEG patterns within and beyond the Berger frequency spectrum, review invasive stimulation for seizure and functional mapping, discuss caveats in the interpretation of intracranial EEG findings, provide an overview on special considerations in children and in subdural grids/strips, and review available quantitative/signal analysis approaches. To be as practically oriented as possible, we will provide a mini atlas of the most frequent EEG patterns, highlight pearls for its not infrequently challenging interpretation, and conclude with two illustrative case examples. This article shall serve as a useful learning resource for trainees in clinical neurophysiology/epileptology by providing a basic understanding on the concepts of invasive intracranial EEG.
Aarhus University Aarhus Denmark
Analytical Neurophysiology Lab Montreal Neurological Institute and Hospital Montreal Québec Canada
Danish Epilepsy Centre Dianalund Denmark
Department of Clinical Neurosciences CHUV Lausanne University Hospital Lausanne Switzerland
Department of Epileptology University Hospital Bonn Bonn Germany
Department of Neurology Alfred Health Melbourne Victoria Australia
Department of Neurology Medical University of Innsbruck Innsbruck Austria
Department of Neurology Royal Melbourne Hospital Melbourne Victoria Australia
Department of Neurology The University of Chicago Chicago Illinois USA
Department of Neurology University of Florida Gainesville Florida USA
Department of Neuroscience Central Clinical School Monash University Melbourne Victoria Australia
Department of Neurosciences Mater Misericordiae Hospital Brisbane Queensland Australia
Epilepsy Research Centre Department of Medicine University of Melbourne Melbourne Victoria Australia
Mater Research Institute Faculty of Medicine University of Queensland St Lucia Queensland Australia
Neurophysiology Unit Institute of Neurosurgery Dr Asenjo Santiago Chile
Stichting Epilepsie Instellingen Nederland Heemstede The Netherlands
Wilder Center for Epilepsy Research University of Florida Gainesville Florida USA
References provided by Crossref.org
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