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Intracranial EEG

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https://www.readbyqxmd.com/read/29334039/refractory-epilepsy-the-role-of-positron-emission-tomography
#1
Tommy L H Chan, Jonathan Romsa, David A Steven, Jorge G Burneo
RATIONALE: Presurgical localization of the epileptogenic focus is critical to successful surgery. Traditionally, localization of the epileptogenic focus depends on seizure semiology, scalp video-electroencephalography (vEEG), magnetic resonance imaging (MRI), neuropsychological assessment, and, when needed, intracranial EEG (iEEG). We aimed to explore the role of positron emission tomography (PET) in the presurgical evaluation of patients with refractory epilepsy. METHODS: A retrospective review was conducted on patients from London Health Sciences Centre (London, Ontario) with refractory epilepsy who underwent PET from September of 2011 to April of 2016...
January 2018: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://www.readbyqxmd.com/read/29330327/signal-complexity-of-human-intracranial-eeg-tracks-successful-associative-memory-formation-across-individuals
#2
Timothy C Sheehan, Vishnu Sreekumar, Sara K Inati, Kareem A Zaghloul
Memory performance is highly variable between individuals. Most studies examining human memory, however, have largely focused on the neural correlates of successful memory formation within individuals, rather than the differences between them. As such, what gives rise to this variability is poorly understood. Here, we examined intracranial EEG (iEEG) recordings captured from 43 participants (23 male) implanted with subdural electrodes for seizure monitoring as they performed a paired-associates verbal memory task...
January 12, 2018: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/29329250/blood-flow-and-continuous-eeg-changes-during-symptomatic-plateau-waves
#3
Natalie Kreitzer, Maggie Huynh, Brandon Foreman
Benign meningiomas uncommonly lead to significant cerebral edema, with only a few cases previously reported in the medical literature. The present study describes the case of a 49-year-old female who had a meningioma resection. She subsequently developed malignant cerebral edema and had episodes that were initially concerning for seizure activity. However, transient blood flow changes concerning for intracranial pressure (ICP) crises, were demonstrated on electroencephalogram (EEG) as well as noninvasive cerebral blood flow monitoring...
January 12, 2018: Brain Sciences
https://www.readbyqxmd.com/read/29322500/seizure-onset-predicts-its-type
#4
Cristian Donos, Mihai Dragos Maliia, Matthias Dümpelmann, Andreas Schulze-Bonhage
OBJECTIVE: Epilepsy is characterized by transient alterations in brain synchronization resulting in seizures with a wide spectrum of manifestations. Seizure severity and risks for patients depend on the evolution and spread of the hypersynchronous discharges. With standard visual inspection and pattern classification, this evolution could not be predicted early on. It is still unclear to what degree the seizure onset zone determines seizure severity. Such information would improve our understanding of ictal epileptic activity and the existing electroencephalogram (EEG)-based warning and intervention systems, providing specific reactions to upcoming seizure types...
January 11, 2018: Epilepsia
https://www.readbyqxmd.com/read/29299677/compression-of-a-giant-pseudomeningocele-causing-transient-anoxic-seizures-a-case-report
#5
Alhafidz Hamdan, A Saxena, G Rao, M Ivanov
Transient anoxic seizure upon application of pressure on a giant pseudomeningocele has never been reported in the literature; such abrupt changes in intracranial pressure due to large volume of cerebrospinal fluid (CSF) translocation, if left untreated may lead to permanent cerebral hypoxic injury and death. Here we describe a case of a 26-year-old woman who had undergone lumbar disc surgery in another unit few months ago and developed a large lump around her back. Any pressure on the lump resulted in headaches and at times episodes of seizures...
January 3, 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29291239/seizure-forecasting-from-idea-to-reality-outcomes-of-the-my-seizure-gauge-epilepsy-innovation-institute-workshop
#6
Sonya B Dumanis, Jaqueline A French, Christophe Bernard, Gregory A Worrell, Brandy E Fureman
The Epilepsy Innovation Institute (Ei2) is a new research program of the Epilepsy Foundation designed to be an innovation incubator for epilepsy. Ei2 research areas are selected based on community surveys that ask people impacted by epilepsy what they would like researchers to focus on. In their 2016 survey, unpredictability was selected as a top issue regardless of seizure frequency or severity. In response to this need, Ei2 launched the My Seizure Gauge challenge, with the end goal of creating a personalized seizure advisory system device...
November 2017: ENeuro
https://www.readbyqxmd.com/read/29288992/the-effect-of-increased-intracranial-eeg-sampling-rates-in-clinical-practice
#7
Kathryn A Davis, Seth P Devries, Abba Krieger, Temenuzhka Mihaylova, Daniela Minecan, Brian Litt, Joost B Wagenaar, William C Stacey
OBJECTIVE: Recent research suggests that high frequency intracranial EEG (iEEG) may improve localization of epileptic networks. This study aims to determine whether recording macroelectrode iEEG with higher sampling rates improves seizure localization in clinical practice. METHODS: 14 iEEG seizures from 10 patients recorded with >2000 Hz sampling rate were downsampled to four sampling rates: 100, 200, 500, 1000 Hz. In the 56 seizures, seizure onset time and location was marked by 5 independent, blinded EEG experts...
November 16, 2017: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/29288902/diagnostic-evaluation-and-surgical-management-of-pediatric-insular-epilepsy-utilizing-magnetoencephalography-and-invasive-eeg-monitoring
#8
Raheel Ahmed, Hiroshi Otsubo, Carter Snead, Elizabeth Donner, Elysa Widjaja, Ayako Ochi, James M Drake, James T Rutka
INTRODUCTION: The diagnosis and surgical management of pediatric patients with insular epilepsy is challenging due to variable and indistinct seizure semiology arising within the insular cortex. In addition, surgical approaches are associated with potential morbidity given the regional neurosurgical and vascular anatomy. Our institutional experience in evaluation and surgical management of insular epilepsy patients is presented. Diagnostic evaluation, surgical treatment and seizures outcomes are highlighted...
December 20, 2017: Epilepsy Research
https://www.readbyqxmd.com/read/29243976/stereotactic-eeg-via-multiple-single-path-omnidirectional-trajectories-within-a-single-platform-institutional-experience-with-a-novel-technique
#9
Michael C Dewan, Robert Shults, Andrew T Hale, Vishad Sukul, Dario J Englot, Peter Konrad, Hong Yu, Joseph S Neimat, William Rodriguez, Benoit M Dawant, Srivatsan Pallavaram, Robert P Naftel
OBJECTIVE Stereotactic electroencephalography (SEEG) is being used with increasing frequency to interrogate subcortical, cortical, and multifocal epileptic foci. The authors describe a novel technique for SEEG in patients with suspected epileptic foci refractory to medical management. METHODS In the authors' technique, standard epilepsy evaluation and neuroimaging are used to create a hypothesis-driven SEEG plan, which informs the 3D printing of a novel single-path, multiple-trajectory, omnidirectional platform...
December 15, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29230808/dopamine-drives-left-hemispheric-lateralization-of-neural-networks-during-human-speech
#10
Stefan Fuertinger, Joel C Zinn, Ashwini D Sharan, Farid Hamzei-Sichani, Kristina Simonyan
Although the concept of left-hemispheric lateralization of neural processes during speech production has been known since the times of Broca, its physiological underpinnings still remain elusive. We sought to assess the modulatory influences of a major neurotransmitter, dopamine, on hemispheric lateralization during real-life speaking using a multimodal analysis of functional MRI, intracranial EEG recordings, and large-scale neural population simulations based on diffusion-weighted MRI. We demonstrate that speech-induced phasic dopamine release into the dorsal striatum and speech motor cortex exerts direct modulation of neuronal activity in these regions and drives left-hemispheric lateralization of speech production network...
December 12, 2017: Journal of Comparative Neurology
https://www.readbyqxmd.com/read/29204347/impairment-of-consciousness-induced-by-bilateral-electrical-stimulation-of-the-frontal-convexity
#11
Imran H Quraishi, Christopher F Benjamin, Dennis D Spencer, Hal Blumenfeld, Rafeed Alkawadri
We report a case of impairment of consciousness (IOC) induced by electrical cortical stimulation (ECS) of homologous regions within the lateral frontal convexities in a patient with medically intractable epilepsy. The patient had mixed features of idiopathic generalized and focal epilepsy. On intracranial EEG recording, interictal and ictal discharges showed a high degree of synchrony across widespread bilateral fronto-parietal areas. We identified regions in the lateral frontal lobes that reliably and produced loss of consciousness by ECS...
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/29190788/non-invasive-assessment-of-pulsatile-intracranial-pressure-with-phase-contrast-magnetic-resonance-imaging
#12
Geir Ringstad, Erika Kristina Lindstrøm, Svein Are Sirirud Vatnehol, Kent-André Mardal, Kyrre Eeg Emblem, Per Kristian Eide
Invasive monitoring of pulsatile intracranial pressure can accurately predict shunt response in patients with idiopathic normal pressure hydrocephalus, but may potentially cause complications such as bleeding and infection. We tested how a proposed surrogate parameter for pulsatile intracranial pressure, the phase-contrast magnetic resonance imaging derived pulse pressure gradient, compared with its invasive counterpart. In 22 patients with suspected idiopathic normal pressure hydrocephalus, preceding invasive intracranial pressure monitoring, and any surgical shunt procedure, we calculated the pulse pressure gradient from phase-contrast magnetic resonance imaging derived cerebrospinal fluid flow velocities obtained at the upper cervical spinal canal using a simplified Navier-Stokes equation...
2017: PloS One
https://www.readbyqxmd.com/read/29190523/electromagnetic-source-imaging-using-simultaneous-scalp-eeg-and-intracranial-eeg-an-emerging-tool-for-interacting-with-pathological-brain-networks
#13
Seyed Amir Hossein Hosseini, Abbas Sohrabpour, Bin He
OBJECTIVE: The goal of this study is to investigate the performance, merits and limitations of source imaging using intracranial EEG (iEEG) recordings and to compare its accuracy to the results of EEG source imaging. Accuracy in this study, is measured both by determining the location and inter-nodal connectivity of underlying brain networks. METHODS: Systematic computer simulation studies are conducted to evaluate iEEG-based source imaging vs. EEG-based source imaging, and source imaging using both EEG and iEEG...
November 7, 2017: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/29179993/dissociable-effects-of-reward-and-expectancy-during-evaluative-feedback-processing-revealed-by-topographic-erp-mapping-analysis
#14
Davide Gheza, Katharina Paul, Gilles Pourtois
Evaluative feedback provided during performance monitoring (PM) elicits either a positive or negative deflection ~250-300ms after its onset in the event-related potential (ERP) depending on whether the outcome is reward-related or not, as well as expected or not. However, it remains currently unclear whether these two deflections reflect a unitary process, or rather dissociable effects arising from non-overlapping brain networks. To address this question, we recorded 64-channel EEG in healthy adult participants performing a standard gambling task where valence and expectancy were manipulated in a factorial design...
November 24, 2017: International Journal of Psychophysiology
https://www.readbyqxmd.com/read/29163118/semi-automated-anatomical-labeling-and-inter-subject-warping-of-high-density-intracranial-recording-electrodes-in-electrocorticography
#15
Liberty S Hamilton, David L Chang, Morgan B Lee, Edward F Chang
In this article, we introduce img_pipe, our open source python package for preprocessing of imaging data for use in intracranial electrocorticography (ECoG) and intracranial stereo-EEG analyses. The process of electrode localization, labeling, and warping for use in ECoG currently varies widely across laboratories, and it is usually performed with custom, lab-specific code. This python package aims to provide a standardized interface for these procedures, as well as code to plot and display results on 3D cortical surface meshes...
2017: Frontiers in Neuroinformatics
https://www.readbyqxmd.com/read/29159065/train-of-four-stimulation-artifact-mimicking-a-seizure-during-computerized-automated-icu-eeg-monitoring
#16
Laxmi P Dhakal, William O Tatum, William D Freeman
A 54-year-old man was admitted to the intensive care unit with an aneurysmal subarachnoid hemorrhage and subsequently underwent mechanical ventilation and received neuromuscular blocking drugs to control refractory elevated intracranial pressure. During quantitative EEG monitoring, an automated alert was triggered by the train of four peripheral nerve stimulation artifacts. Real-time feedback was made possible due to remote monitoring. This case illustrates how computerized, automated artificial intelligence algorithms can be used beyond typical seizure detection in the intensive care unit for remote monitoring to benefit patient care...
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/29143307/considerations-in-performing-and-analyzing-the-responses-of-cortico-cortical-evoked-potentials-in-stereo-eeg
#17
REVIEW
David Prime, David Rowlands, Steven O'Keefe, Sasha Dionisio
This review aims to highlight key considerations when performing cortico-cortical evoked potentials (CCEPs) using stereo-electroencephalography (SEEG) for network mapping and show its clinical applicability to presurgical evaluations. The parameters for performing stimulation and safety aspects have been investigated in electrocorticography (ECoG) and deep brain stimulation (DBS), but not as extensively in SEEG. A review of current literature was performed, with an attempt made to emphasize practical insights from all modalities of intracranial stimulation...
November 16, 2017: Epilepsia
https://www.readbyqxmd.com/read/29129151/false-positive-diagnosis-of-brain-death-following-the-pediatric-guidelines-case-report-and-discussion
#18
D Alan Shewmon
A 2-year-old boy with severe head trauma was diagnosed brain dead according to the 2011 Pediatric Guidelines. Computed tomographic (CT) scan showed massive cerebral edema with herniation. Intracranial pressures were extremely high, with cerebral perfusion pressures around 0 for several hours. An apnea test was initially contraindicated; later, one had to be terminated due to oxygen desaturation when the Pco2 had risen to 57.9 mm Hg. An electroencephalogram (EEG) was probably isoelectric but formally interpreted as equivocal...
December 2017: Journal of Child Neurology
https://www.readbyqxmd.com/read/29122445/a-method-for-the-topographical-identification-and-quantification-of-high-frequency-oscillations-in-intracranial-electroencephalography-recordings
#19
Zachary J Waldman, Shoichi Shimamoto, Inkyung Song, Iren Orosz, Anatol Bragin, Itzhak Fried, Jerome Engel, Richard Staba, Michael R Sperling, Shennan A Weiss
OBJECTIVE: To develop a reliable software method using a topographic analysis of time-frequency plots to distinguish ripple (80-200 Hz) oscillations that are often associated with EEG sharp waves or spikes (RonS) from sinusoid-like waveforms that appear as ripples but correspond with digital filtering of sharp transients contained in the wide bandwidth EEG. METHODS: A custom algorithm distinguished true from false ripples in one second intracranial EEG (iEEG) recordings using wavelet convolution, identifying contours of isopower, and categorizing these contours into sets of open or closed loop groups...
October 21, 2017: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/29113719/utilization-of-independent-component-analysis-for-accurate-pathological-ripple-detection-in-intracranial-eeg-recordings-recorded-extra-and-intra-operatively
#20
Shoichi Shimamoto, Zachary J Waldman, Iren Orosz, Inkyung Song, Anatol Bragin, Itzhak Fried, Jerome Engel, Richard Staba, Ashwini Sharan, Chengyuan Wu, Michael R Sperling, Shennan A Weiss
OBJECTIVE: To develop and validate a detector that identifies ripple (80-200 Hz) events in intracranial EEG (iEEG) recordings in a referential montage and utilizes independent component analysis (ICA) to eliminate or reduce high-frequency artifact contamination. Also, investigate the correspondence of detected ripples and the seizure onset zone (SOZ). METHODS: iEEG recordings from 16 patients were first band-pass filtered (80-600 Hz) and Infomax ICA was next applied to derive the first independent component (IC1)...
October 25, 2017: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
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