2017
Very High-Frequency Oscillations: Novel Biomarkers of the Epileptogenic Zone
BRÁZDIL, Milan; Martin PAIL; J. HALAMEK; F. PLESINGER; J. CIMBALNIK et al.Základní údaje
Originální název
Very High-Frequency Oscillations: Novel Biomarkers of the Epileptogenic Zone
Autoři
BRÁZDIL, Milan; Martin PAIL; J. HALAMEK; F. PLESINGER; J. CIMBALNIK; Robert ROMAN ORCID; P. KLIMES; Pavel DANIEL ORCID; Jan CHRASTINA; Eva BRICHTOVÁ; Ivan REKTOR; G.A. WORRELL a P. JURAK
Vydání
Annals of neurology, Hoboken, John Wiley & Sons, 2017, 0364-5134
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30103 Neurosciences
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 10.250
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/17:00099070
Organizační jednotka
Lékařská fakulta
UT WoS
EID Scopus
Klíčová slova anglicky
Biomarkers of the Epileptogenic Zone
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 11. 12. 2018 12:49, Soňa Böhmová
Anotace
V originále
Objective: In the present study, we aimed to investigate depth electroencephalographic (EEG) recordings in a large cohort of patients with drug-resistant epilepsy and to focus on interictal very high-frequency oscillations (VHFOs) between 500Hz and 2kHz. We hypothesized that interictal VHFOs are more specific biomarkers for epileptogenic zone compared to traditional HFOs. Methods: Forty patients with focal epilepsy who underwent presurgical stereo-EEG (SEEG) were included in the study. SEEG data were recorded with a sampling rate of 25kHz, and a 30-minute resting period was analyzed for each patient. Ten patients met selected criteria for analyses of correlations with surgical outcome: detection of interictal ripples (Rs), fast ripples (FRs), and VHFOs; resective surgery; and at least 1 year of postoperative follow-up. Using power envelope computation and visual inspection of power distribution matrixes, electrode contacts with HFOs and VHFOs were detected and analyzed. Results: Interictal very fast ripples (VFRs; 500-1,000Hz) were detected in 23 of 40 patients and ultrafast ripples (UFRs; 1,000-2,000Hz) in almost half of investigated subjects (n=19). VFRs and UFRs were observed only in patients with temporal lobe epilepsy and were recorded exclusively from mesiotemporal structures. The UFRs were more spatially restricted in the brain than lower-frequency HFOs. When compared to R oscillations, significantly better outcomes were observed in patients with a higher percentage of removed contacts containing FRs, VFRs, and UFRs. Interpretation: Interictal VHFOs are relatively frequent abnormal phenomena in patients with epilepsy, and appear to be more specific biomarkers for epileptogenic zone when compared to traditional HFOs.
Návaznosti
| LQ1601, projekt VaV |
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| ROZV/25/LF/2017, interní kód MU |
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