Direct electrical stimulations of the temporal pole in human

Details

Serval ID
serval:BIB_9D4329F60C6C
Type
Article: article from journal or magazin.
Collection
Publications
Title
Direct electrical stimulations of the temporal pole in human
Journal
Epileptic Disord
Author(s)
Ostrowsky K., Desestret V., Ryvlin P., Coste S., Mauguiere F.
ISSN
1294-9361 (Print)
ISSN-L
1294-9361
Publication state
Published
Issued date
09/2002
Volume
4 Suppl 1
Pages
S23-7
Language
english
Notes
Ostrowsky, Karine
Desestret, Virginie
Ryvlin, Philippe
Coste, Sebastien
Mauguiere, Francois
eng
France
Epileptic Disord. 2002 Sep;4 Suppl 1:S23-7.
Abstract
We report the results of 105 intracortical electrical stimulations of the temporo-polar cortex performed in 30 patients during stereo-electroencephalography (SEEG) investigation of drug-resistant temporal lobe epilepsy. Clinical responses were elicited in 50% of the patients during 26 of the 105 stimulations. Responses are coherent with data found in the literature with mostly psychic, viscero-sensitive, autonomic and viscero-motor phenomena being elicited. Nearly all responses were evoked by stimulation of the antero-medial part of the temporo-polar cortex whereas only once was a clinical response elicited during stimulation of the lateral part of the temporo-polar cortex. Induced auras were more frequently reported when there was an afterdischarge associated to the clinical response (60 and 75% of the stimulation followed by a localized or a diffusing after-discharge, respectively) then when there wasn't any after-discharge following stimulation. The clinical responses evoked during stimulation of the temporo-polar cortex only have a limited topographic specificity since they closely resemble symptoms elicited by stimulation of other limbic or paralimbic areas. Nonetheless these results do suggest that the antero-medial part of the temporo-polar cortex is included in the symptomatogenic zone in so-called "temporo-limbic" epilepsies.
Keywords
Electric Stimulation/instrumentation, Electroencephalography, Epilepsy, Temporal Lobe/diagnosis/metabolism, Fluorodeoxyglucose F18/pharmacokinetics, Humans, Stereotaxic Techniques, Temporal Lobe/*physiology, Tomography, X-Ray Computed
Pubmed
Create date
29/11/2018 13:37
Last modification date
20/08/2019 16:03
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