scholarly journals Real-Time Functional Mapping With Electrocorticography in Pediatric Epilepsy

2013 ◽  
Vol 45 (3) ◽  
pp. 205-211 ◽  
Author(s):  
Milena Korostenskaja ◽  
Adam J. Wilson ◽  
Douglas F. Rose ◽  
Peter Brunner ◽  
Gerwin Schalk ◽  
...  
2015 ◽  
Vol 04 (04) ◽  
pp. 184-206 ◽  
Author(s):  
Kyousuke Kamada ◽  
Christoph Guger ◽  
Christine Salinas ◽  
Michael Westerveld ◽  
Eduardo Castillo ◽  
...  

2014 ◽  
Vol 14 (3) ◽  
pp. 287-295 ◽  
Author(s):  
Milena Korostenskaja ◽  
Po-Ching Chen ◽  
Christine M. Salinas ◽  
Michael Westerveld ◽  
Peter Brunner ◽  
...  

Accurate language localization expands surgical treatment options for epilepsy patients and reduces the risk of postsurgery language deficits. Electrical cortical stimulation mapping (ESM) is considered to be the clinical gold standard for language localization. While ESM affords clinically valuable results, it can be poorly tolerated by children, requires active participation and compliance, carries a risk of inducing seizures, is highly time consuming, and is labor intensive. Given these limitations, alternative and/or complementary functional localization methods such as analysis of electrocorticographic (ECoG) activity in high gamma frequency band in real time are needed to precisely identify eloquent cortex in children. In this case report, the authors examined 1) the use of real-time functional mapping (RTFM) for language localization in a high gamma frequency band derived from ECoG to guide surgery in an epileptic pediatric patient and 2) the relationship of RTFM mapping results to postsurgical language outcomes. The authors found that RTFM demonstrated relatively high sensitivity (75%) and high specificity (90%) when compared with ESM in a “next-neighbor” analysis. While overlapping with ESM in the superior temporal region, RTFM showed a few other areas of activation related to expressive language function, areas that were eventually resected during the surgery. The authors speculate that this resection may be associated with observed postsurgical expressive language deficits. With additional validation in more subjects, this finding would suggest that surgical planning and associated assessment of the risk/benefit ratio would benefit from information provided by RTFM mapping.


Author(s):  
R. Prueckl ◽  
C. Kapeller ◽  
C. Potes ◽  
M. Korostenskaja ◽  
G. Schalk ◽  
...  

2014 ◽  
Vol 54 (10) ◽  
pp. 775-785 ◽  
Author(s):  
Kyousuke KAMADA ◽  
Hiroshi OGAWA ◽  
Masato SAITO ◽  
Yukie TAMURA ◽  
Ryogo ANEI ◽  
...  

2014 ◽  
Vol 23 (11) ◽  
pp. 862-870 ◽  
Author(s):  
Kyousuke Kamada ◽  
Hiroshi Ogawa ◽  
Yukie Tamura ◽  
Satoshi Hirosima ◽  
Masato Saito ◽  
...  

Neurosurgery ◽  
2016 ◽  
Vol 79 (4) ◽  
pp. N21-N22 ◽  
Author(s):  
Ahmad Alhourani ◽  
Thomas A. Wozny ◽  
R. Mark Richardson

PLoS ONE ◽  
2007 ◽  
Vol 2 (10) ◽  
pp. e1094 ◽  
Author(s):  
Jean-Philippe Lachaux ◽  
Karim Jerbi ◽  
Olivier Bertrand ◽  
Lorella Minotti ◽  
Dominique Hoffmann ◽  
...  

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