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 (203 Česká republika, garant, domácí), Martin PAIL (203 Česká republika, domácí), J. HALAMEK (203 Česká republika), F. PLESINGER (203 Česká republika), J. CIMBALNIK (203 Česká republika), Robert ROMAN (203 Česká republika, domácí), P. KLIMES (203 Česká republika), Pavel DANIEL (203 Česká republika, domácí), Jan CHRASTINA (203 Česká republika, domácí), Eva BRICHTOVÁ (203 Česká republika, domácí), Ivan REKTOR (203 Česká republika, domácí), G.A. WORRELL (203 Česká republika) a P. JURAK (203 Česká republika)
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
Kód RIV
RIV/00216224:14110/17:00099070
Organizační jednotka
Lékařská fakulta
UT WoS
000408080300014
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 |
| ||
ROZV/25/LF/2017, interní kód MU |
|