Temporal stability of intracranial electroencephalographic abnormality maps for localizing epileptogenic tissue.
Epilepsia
; 64(8): 2070-2080, 2023 08.
Article
em En
| MEDLINE
| ID: mdl-37226553
ABSTRACT
OBJECTIVE:
Identifying abnormalities on interictal intracranial electroencephalogram (iEEG), by comparing patient data to a normative map, has shown promise for the localization of epileptogenic tissue and prediction of outcome. The approach typically uses short interictal segments of approximately 1 min. However, the temporal stability of findings has not been established.METHODS:
Here, we generated a normative map of iEEG in nonpathological brain tissue from 249 patients. We computed regional band power abnormalities in a separate cohort of 39 patients for the duration of their monitoring period (.92-8.62 days of iEEG data, mean = 4.58 days per patient, >4800 hours recording). To assess the localizing value of band power abnormality, we computed D RS -a measure of how different the surgically resected and spared tissue was in terms of band power abnormalities-over time.RESULTS:
In each patient, the D RS value was relatively consistent over time. The median D RS of the entire recording period separated seizure-free (International League Against Epilepsy [ILAE] = 1) and not-seizure-free (ILAE > 1) patients well (area under the curve [AUC] = .69). This effect was similar interictally (AUC = .69) and peri-ictally (AUC = .71).SIGNIFICANCE:
Our results suggest that band power abnormality D_RS, as a predictor of outcomes from epilepsy surgery, is a relatively robust metric over time. These findings add further support for abnormality mapping of neurophysiology data during presurgical evaluation.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Epilepsia
/
Eletrocorticografia
Tipo de estudo:
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Epilepsia
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Reino Unido