ICTAL LOCALIZATION OF TEMPORAL-LOBE SEIZURES WITH SCALP SPHENOIDAL RECORDINGS
ICTAL LOCALIZATION OF TEMPORAL-LOBE SEIZURES WITH SCALP SPHENOIDAL RECORDINGS
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DOI：
10.1212/wnl.39.10.1288
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发表时间：
1989-10-01
期刊：
影响因子：
9.9
通讯作者：
CRANDALL, PH
中科院分区：
文献类型：
--
作者：
RISINGER, MW;ENGEL, J;CRANDALL, PH
我们通过回顾性分析 110 名随后接受立体脑描记评估的患者的 706 个无创发作记录，评估了头皮/蝶骨记录用于发作定位的可靠性和准确性。严格定义的单侧颞叶/蝶骨发作模式可以正确预测 82% 至 94% 病例的深度电极检查结果。这些严格定义的模式可以以出色的人际可靠性来检测。这些模式仅在少数情况下具有误导性，但不能单独用于明确的发作定位。
We assessed the reliability and accuracy of scalp/sphenoidal recordings for ictal localization by retrospectively analyzing 706 noninvasive ictal recordings from 110 patients who subsequently underwent stereoencephalographic evaluation. Strictly defined unilateral temporal/sphenoidal ictal patterns correctly predicted findings of depth electrode examination of 82 to 94% of cases. These strictly defined patterns could be detected with excellent interrater reliability. The patterns are misleading in only a minority of cases, but cannot be used in isolation for definite ictal localization.