侵入性脑电图在癫痫手术中的诊断价值:适应证、形式及技术_Journal of Epilepsy

Authors：

 JayakarP , GotmanJ , HarveyAS , PalminiA , TassiL , SchomerD , DubeauF , BartolomeiF , YuA , KršekP , VelisD , KahaneP , 吴梦倩 , 慕洁

Corresponding author：

JayakarP, Email: prasanna.jayakar@mch.com

Keywords：

癫痫手术; 颅内脑电图; 适应证; 效用

DOI：

10.7507/2096-0247.20170012

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许多难治性癫痫的患者经过非侵入性检查评估及可成功完成手术，但颅内脑电图(Intracranial electroencephalography，IEEG)在越来越多的复杂病例的手术治疗中有着重要地位。在不同的癫痫中心，IEEG的适应证及应用方式不同，每种方式有其优势也有其局限性。IEEG可以在相同的术中背景下使用，即术中皮质脑电图，或者通过独立的植入步骤在术后长期记录，后者不仅占用资源而且会带来风险。对IEEG的局限性缺乏认识容易导致信息的错误解读，可能会使有适应证的病例不进行手术或不适当的切除后带来更不利的后果。考虑到IEEG缺乏1级和2级推荐证据，故提出一份关于IEEG诊断价值的专家共识，强调其在特定部位、不同方式的应用，同时考虑它的疗效、安全性、舒适度以及增加的成本效益。这些建议可以规范IEEG的过度利用或利用不足，同时保留灵活性，以符合癫痫中心的大多数实践标准，也可以满足资源匮乏地区的一些需求。

Citation： JayakarP, GotmanJ, HarveyAS, PalminiA, TassiL, SchomerD, DubeauF, BartolomeiF, YuA, KršekP, VelisD, KahaneP, 吴梦倩, 慕洁. 侵入性脑电图在癫痫手术中的诊断价值:适应证、形式及技术. Journal of Epilepsy, 2017, 3(1): 80-90. doi: 10.7507/2096-0247.20170012 Copy

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1. Jayakar P, Gaillard WD, Tripathi M, et al. Diagnostic test utilization in evaluation for resective epilepsy surgery in children.Recommendations on behalf of the Task Force for Paediatric Epilepsy Surgery and the Diagnostic Commission of the ILAE.Epilepsia, 2014, 55(11):507-518.
2. Bulacio JC, Jehi L, Wong C, et al. Long-term seizure outcome after resective surgery in patients evaluated with intracranial electrodes. Epilepsia, 2012, 53(9):1722-1730.
3. Wellmer J, von der Groeben F, Klarmann U, et al. Risks and benefits of invasive epilepsy surgery workup with implanted subdural and depth electrodes. Epilepsia, 2012, 53(7):1322-1332.
4. Arya R, Mangano FT, Horn PS, et al. Adverse events related to extraoperative invasive EEG monitoring with subdural grid electrodes:a systematic review and meta-analysis. Epilepsia, 2013, 54(6):828-839.
5. American Academy of Neurology. Clinical practice guideline process manual. 2011 Ed. St. Paul, MN. Available at:http://tools.aan.com/glob-als/axon/assets/9023.pdf. Accessed December.2014:10.
6. Gloor P.Contributions of electroencephalography and electrocortico graphy to the neurosurgical treatment of the epilepsies. Adv Neurol, 1975, 8(7):59-105.
7. Lachaux JP, Rudrauf D, Kahane P. Intracranial EEG and human brain mapping. J Physiol, 2003, 97(5):613-628.
8. Von Ellenrieder N, Beltrachini L, Muravchik CH. Electrode and brain modeling in stereo-EEG. Clin Neurophysiol, 2012, 123(10):1745-1754.
9. Singh S, Sandy S, Wiebe S. Ictal onset on intracranial EEG:do we know it when we see it? State of the evidence.Epilepsia, 2015, 56(3):1629-1638.
10. Giulioni M, Rubboli G, Marucci G, et al. Seizure outcome of epilepsy surgery in focal epilepsies associated with temporomesialglioneuronal tumors:lesionectomy compared with tailored resection. J Neurosurg, 2009, 111(12):1275-1282.
11. Chang EF, Christie C, Sullivan JE, et al. Seizure control outcomes after resection of dysembryoplasticneuroepithelial tumor in 50 patients. J NeurosurgPediatr, 2010, 5(2):123-130.
12. Ogiwara H, Nordli DR, DiPatri AJ, et al. Pediatric epileptogenic gangliogliomas:seizure outcome and surgical results. J Neurosurg Pediatr, 2010, 5(2):271-276.
13. Tripathi M, Garg A, Gaikwad S, et al. Intra-operative electrocorticography in lesional epilepsy. Epilepsy Res, 2010, 89(7):133-141.
14. Gelinas JN, Battison AW, Smith S, et al. Electrocorticography and seizure outcomes in children with lesional epilepsy. Childs NervSyst, 2011, 27(7):381-390.
15. Englot DJ, Berger MS, Barbaro NM, et al. Factors associated with seizure freedom in the surgical resection of glioneuronal tumors. Epilepsia, 2012, 53(7):51-57.
16. Palmini A, Gambardella A, Andermann F, et al. Intrinsic epileptogenicity of human dysplastic cortex as suggested by corticography and surgical results. Ann Neurol, 1995, 37(5):476-487.
17. Mohamed AR, Bailey CA, Freeman JL, et al. Intrinsic epileptogenicity of cortical tubers revealed by intracranial EEG monitoring. Neurology, 2012, 79(7):2249-2257.
18. Pascoal T, Paglioli E, Palmini A, et al. Immediate improvement of motor function after epilepsy surgery in congenital hemiparesis. Epilepsia, 2013, 54(7):109-111.
19. Schilling LP, Kieling RR, Pascoal TA, et al. Bilateral perisylvianulegyria:an under-recognized, surgically remediable epileptic syndrome. Epilepsia, 2013, 54(3):1360-1367.
20. Harvey AS, Mandelstam SA, MaixnerWJ, et al. The surgically remediable syndrome of epilepsy associated with bottom-of-sulcus dysplasia. Neurology, 2015, 84(3):2021-2028.
21. Heoller Y, Kutil R, Klaffenbeock L, et al. High frequency oscillations in epilepsy and surgical outcome:a meta-analysis. Front Hum Neurosci, 2015, 9(3):574.
22. vanKlooster MA, Leijten FS, Huiskamp G, et al. High frequency oscillations in the intra-operative ECoG to guide epilepsy surgery ("The HFO Trial"):study protocol for a randomized controlled trial. Trials, 2015, 16(4):422.
23. Kahane P, LandreE, Minotti L, et al. The Bancaud and Talairach view on the epileptogenic zone:a working hypothesis. Epileptic Disord, 2006, 8(Suppl 1):16-26.
24. Bartolomei F, Bettus G, Stam CJ, et al. Interictal network properties in mesial temporal lobe epilepsy:a graph theoretical study from intracerebral recordings. ClinNeurophysiol, 2013, 124(4):2345-2353.
25. Placantonakis DG, Shariff S, Lafaille F, et al. Bilateral intracranial electrodes for lateralizing intractable epilepsy:efficacy, risk, and outcome. Neurosurgery, 2010, 66(7):274-283.
26. Gonzalez-Martinez J, Mullin J, Bulacio J, et al. Stereoelectroencephalography in children and adolescents with difficult-to-localize refractory focal epilepsy. Neurosurgery, 2014, 75(2):258-268.
27. Weiner HL, Ferraris N, LaJoie J, et al. Epilepsy surgery for children with tuberous sclerosis complex. J Child Neurol, 2004, 19(1):687-689.
28. Chen PC, Baumgartner J, Seo JH, et al. Bilateral intracranial EEG withcorpuscallosotomy may uncover seizure focus in nonlocalizing focalepilepsy. Seizure, 2015, 24(3):63-69.
29. Jayakar P, Dunoyer C, Dean P, et al. Epilepsy surgery in patients withnormal or non-focal MRI scans:integrative strategies offer long-termseizure relief. Epilepsia, 2008, 49(7):758-764.
30. Kahane P, Barba C, Rheims S, et al. The concept of temporal 'plus' epilepsy. Rev Neurol, 2015, 171(3):267-272.
31. So N, Olivier A, Andermann F, et al. Results of surgical treatment inpatients with bitemporalepileptiform abnormalities. Ann Neurol, 1989, 25(7):432-439.
32. Aubert S, Wendling F, Regis J, et al. Local and remote epileptogenicity in focal cortical dysplasias and neurodevelopmental tumours. Brain, 2009, 132(4):3072-3086.
33. Wang DD, Knox R, Rolston JD, et al. Surgical management ofmedically refractory epilepsy in patients with polymicrogyria. Epilepsia, 2016, 57(7):151-161.
34. Marusic P, Najm IM, Ying Z, et al. Focal cortical dysplasias in eloquent cortex:functional characteristics and correlation with MRI and histopathologic changes. Epilepsia, 2002, 43(11):27-32.
35. Janszky J, Ebner A, Kruse B, et al. Functional organization of the brain with malformations of cortical development. Ann Neurol, 2003, 53(4):759-767.
36. Burneo JG, Kuzniecky RI, Bebin M, et al. Cortical reorganization in malformations of cortical development:a magnetoencephalographic study. Neurology, 2004, 63(2):1818-1824.
37. Gaillard WD, Berl MM, Moore EN, et al. Atypical language in lesional and nonlesional complex partial epilepsy. Neurology, 2007, 69(7):1761-1771.
38. Brna P, Duchowny M, Jayakar P, et al. The diagnostic utility of intracranial EEG monitoring for epilepsy surgery in children.Epilepsia, 2015, 56(6):1065-1070.
39. Kovac S, Kahane P, Diehl B. Seizures induced by direct electrical cortical stimulation-mechanisms and clinical considerations. ClinNeurophysiol, 2014, S1:388-2457.
40. Guenot M, Isnard J, Catenoix H, et al. SEEG-guided RF-thermocoagulation of epileptic foci:a therapeutic alternative for drug-resistantnon-operable partial epilepsies. Adv Tech Stand Neurosurg, 2011, 36(8):61-78.
41. Cossu M, Fuschillo D, Cardinale F, et al. Stereo-EEG-guided radio-frequency thermocoagulations of epileptogenic grey-matter nodularheterotopy. J NeurolNeurosurg Psychiatry, 2014, 85(9):611-617.
42. Catenoix H, Maugui ere F, Montavont A, et al. Seizures outcome after stereoelectroencephalography-guided thermocoagulations in malformations of cortical development poorly accessible to surgical resection. Neurosurgery, 2015, 77(5):9-14.
43. Breshears JD, Roland JL, Sharma M, et al. Stable and dynamic corticalelectrophysiology of induction and emergence with propofol anesthesia. ProcNatlAcadSci, 2010, 107(10):21170-21175.
44. Fukui K, Morioka T, Hashiguchi K, et al. Relationship between regional cerebral blood flow and electrocorticographic activities under sevoflurane and isoflurane anesthesia. J ClinNeurophysiol, 2010, 27(4):110-115.
45. Turkdogan D, Jayakar P, Duchowny M, et al. Subdural EEG patterns in children with Taylor-type cortical dysplasia:comparison with nondysplastic lesions. J ClinNeurophysiol, 2005, 22(2):37-42.
46. Tran TA, Spencer SS, Marks D, et al. Significance of spikes recorded on electrocorticography in nonlesional medial temporal lobe epilepsy. Ann Neurol, 1995, 38(4):763-770.
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