Single and paired-pulse electrical stimulation during invasive EEG recordings.

Details

Serval ID
serval:BIB_8D30554A9E7C
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Single and paired-pulse electrical stimulation during invasive EEG recordings.
Journal
Revue neurologique
Author(s)
Boulogne S., Ryvlin P., Rheims S.
ISSN
0035-3787 (Print)
ISSN-L
0035-3787
Publication state
Published
Issued date
03/2016
Peer-reviewed
Oui
Volume
172
Number
3
Pages
174-181
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Invasive EEG recordings are frequently required during the presurgical exploration of patients with drug-resistant focal epilepsy in order to clarify the epileptic zone location. Intracranial direct electrical stimulations (DES) induce EEG and/or clinical responses that participate in this evaluation. Clinical DES protocols (1Hz and/or 50Hz) trigger massive cortical activation that can elicit seizures, after-discharges or complex clinical signs. In contrast, low-energy (<1Hz) protocols activate more localized cortical regions using single-pulse electrical stimulations (SPES). SPES can elicit two main types of responses. Cortico-cortical evoked potentials (CCEPs) correspond to highly consistent early responses, appearing before 100ms after stimulation, with fixed latency; they are considered physiological and assess the effective connectivity between the recorded regions. Late responses appear after 100ms; they are rare, inconsistent with variable latency and are suggestive of an underlying epileptogenic cortex. Paired-pulse stimulation paradigm associates a conditioning and a test stimulation to induce intracortical inhibition or facilitation by modifying the response amplitude. Largely used in transcranial magnetic stimulation, it has rarely been applied to CCEP although the mechanisms put in place seem highly similar. Low frequency intracerebral stimulations allow analysing brain connectivity and cortical excitability with a high temporal and spatial resolution. The development of new stimulation protocols and the combination with imaging or statistical techniques recently offered promising results.

Keywords
Electric Stimulation/methods, Electroencephalography/instrumentation, Electroencephalography/methods, Epilepsy/diagnosis, Epilepsy/surgery, Humans, Neurosurgical Procedures
Pubmed
Create date
01/04/2016 14:55
Last modification date
20/08/2019 15:51
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