RT颅内相关期刊文章SR电子T1的头皮脑电图猝发的排放基于同步Stereo-EEG录音摩根富林明神经病学神经学乔FD Lippincott Williams &威尔金斯SP e2045 OP e2059 10.1212 / WNL。首页100签证官0000000000207135是20 A1之费兰德A1塞德里克·鲍曼A1 Olivier Aron A1 jean - pierre Vignal A1雅克·乔纳斯A1路易丝Tyvaert A1苏菲Colnat-Coulbois A1 Laurent Koessler A1路易斯·拉德年2023 UL //www.ez-admanager.com/content/100/20/e2045.abstract AB背景和目标仍然是未知首页的猝发的头皮脑电图在多大程度上能够准确地预测那些将要动手术的颅内癫痫发作的定位评价耐药癫痫病。在这项研究中,我们旨在定义均匀猝发的头皮脑电图(基于他们的第一次发作的异常)和评估他们使用同时记录头皮脑电图和stereo-EEG本地化值。方法回顾性包括连续耐药局灶性癫痫患者曾同时stereo-EEG和头皮脑电图记录癫痫学单位至少1发作的南希,法国。我们分析每个病人1发作和层次聚类分析用于集团类似发作在头皮脑电图资料,然后进行了描述性分析颅内关联。我们招收了129名病人在这个研究结果。层次聚类分析显示6概要头皮脑电图第一次修改。没有特定于单个颅内本地化。“正常脑电图”和“模糊脑电图”集群(早期肌肉工件)只占5例颅内本地化,与没有优惠。“时间放电”集群(46例)表现为θ或δ排放于同侧前颞头皮电极和与中央的优惠时间颅内本地化。“后放电”集群(n = 42)同侧或对侧的特点是后节奏α排放或慢波头皮和对应优惠时间定位。 However, this profile was the statistically most frequent scalp EEG correlate of occipital and parietal seizures. The “diffuse suppression” cluster (n = 9) was characterized by a bilateral and diffuse background activity suppression on scalp and corresponded to mesial, and particularly insulo-opercular, localization. Finally, the “frontal discharge” cluster (n = 22) was characterized by bilateral frontal rhythmic fast activity or preictal spike on scalp and corresponded to preferential ventrodorsal frontal intracerebral localizations.Discussion The hierarchical cluster analysis identified 6 seizure profiles regarding the first abnormality on scalp EEG. None of them were specific of a single intracerebral localization. Nevertheless, the strong relationships between the “temporal,” “frontal,” “diffuse suppression,” and “posterior” profiles and intracerebral discharge localizations may contribute to hierarchize hypotheses derived from ictal scalp EEG analysis regarding intracerebral seizure onset.DNET=dysembrioplastic neuroepithelial tumor; EZ=epileptogenic zone; IQR=interquartile range; LVFA=low-voltage fast activity; M=motor; PF=prefrontal; PM=premotor; RFA=rhythmic fast activity; RSA=rhythmic slow activity; SEEG=stereo-EEG