Source:http://linkedlifedata.com/resource/pubmed/id/18782695
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2008-9-10
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pubmed:abstractText |
High-frequency activity has been described as having a role in the initiation of epileptic seizures. The case of a patient with refractory bitemporal epilepsy is presented. Extraoperative monitoring with depth and subdural electrodes revealed an ictal pattern with a build-up of high-frequency (> 80 Hz) activity originating in the cortex, with spread to both hippocampi. This observation was only revealed with the use of high-pass filtering, and represented crucial information that significantly influenced the decision about the side, localization and extent of resection. Removal of the cortex generating high-frequency activity, led to cessation of seizures in this patient. Current knowledge about the role of high-frequency activity and the case presented here support the importance of recording with equipment capable of detecting fast activity during the presurgical invasive monitoring. An active search for a high-frequency seizure onset zone in patients with structurally-unaffected hippocampi may improve the outcome beyond that possible with conventional bandwidth, invasive EEG recordings.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
1294-9361
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
10
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
231-8
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pubmed:meshHeading |
pubmed-meshheading:18782695-Cerebral Cortex,
pubmed-meshheading:18782695-Electrodes, Implanted,
pubmed-meshheading:18782695-Electroencephalography,
pubmed-meshheading:18782695-Epilepsy, Temporal Lobe,
pubmed-meshheading:18782695-Female,
pubmed-meshheading:18782695-Hippocampus,
pubmed-meshheading:18782695-Humans,
pubmed-meshheading:18782695-Magnetic Resonance Imaging,
pubmed-meshheading:18782695-Middle Aged,
pubmed-meshheading:18782695-Neurosurgical Procedures,
pubmed-meshheading:18782695-Positron-Emission Tomography,
pubmed-meshheading:18782695-Temporal Lobe
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pubmed:year |
2008
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pubmed:articleTitle |
Clinical impact of a high-frequency seizure onset zone in a case of bitemporal epilepsy.
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pubmed:affiliation |
Department of Neurophysiology, Division of Neuroscience, School of Medicine, The University of Birmingham, Birmingham, United Kingdom. p.jiruska@bham.ac.uk
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pubmed:publicationType |
Journal Article,
Case Reports,
Research Support, Non-U.S. Gov't
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