medigraphic.com
Academia Mexicana de Neurología, A.C.

2008, Número 4

<< Anterior Siguiente >>

Rev Mex Neuroci 2008; 9 (4)


Electrocorticografía intraoperatoria en la cirugía de epilepsia del lóbulo temporal

Morales CLM

Idioma: Español
Referencias bibliográficas: 71
Paginas: 303-309
Archivo PDF: 135.94 Kb.


RESUMEN

El electrocorticograma (ECoG) intraoperatorio agudo se ha utilizado tradicionalmente en el manejo de pacientes con epilepsia fármaco resistente; esta técnica ofrece una oportunidad única para evaluar la epileptogenicidad de las áreas corticales expuestas durante la cirugía, cuya utilidad básicamente radica en la localización de la zona irritativa, mapeo de funciones corticales, y en la predicción de los resultados de la cirugía. Es objetivo de este trabajo revisar aspectos generales sobre la metodología para el registro del ECoG, el efecto de la anestesia en los registros de ECoG, así como algunos datos sobre la estimulación cerebral. Finalmente se presenta un resumen de los hallazgos ECoGráficos reportados en los pacientes con epilepsia del lóbulo temporal (ELT) sometidos a diferentes modalidades de cirugías resectivas, se evalúa su utilidad como predictor de evolución posquirúrgica. Se hace énfasis en los patrones EcoGráficos encontrados en las displasias corticales y en los tumores glioneuronales de localización en el lóbulo temporal. Conclusiones: La utilidad del ECoG intraoperatorio durante las resecciones temporales estandarizadas anatómicas es limitada, en tanto el registro intraoperatorio de las estructuras mesiales puede definir la extensión de la resección hipocampal y maximizar los resultados de la evolución posquirúrgica. El ECoG intraoperatorio permite guiar la resección, mapear zonas elocuentes y determinar la extensión de la zona epileptogénica no visualizada por técnicas de neuroimagen. La relación entre los patrones del ECoG y los tipos histopatológicos de displasia cortical focal (DCF) avalan el extraordinario valor de esta técnica en las malformaciones del desarrollo de la corteza temporal en pacientes con epilepsia del lóbulo temporal con patología dual.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Feindel W, Penfield W, Jasper H. Localization of epileptic discharge in temporal lobe automatism. Trans Am Neurol Assoc 1952; 56(77th Meeting): 14-7.

  2. Makarova LG. Electroencephalographic data in the analysis of epilepsy in works of Penfield and Jasper. Zh Nevropatol Psikhiatr Im S S Korsakova 1956; 56(8): 675-9.

  3. Cascino GD, Trenerry MR, Jack CRJr, Dodick D, Sharbrough FW, et al. Electrocorticography and temporal lobe epilepsy: relationship to quantitative MRI and operative outcome. Epilepsia 1995; 36(7): 692-6.

  4. Quesney LF, bou-Khalil B, Cole A, Olivier A. Pre-operative extracranial and intracranial EEG investigation in patients with temporal lobe epilepsy: trends, results and review of pathophysiologic mechanisms. Acta Neurol Scand 1988; (Suppl. 117): 52-60.

  5. Engel JJr. Surgery for seizures. N Engl J Med 1996; 334(10): 647-52.

  6. Engel JJr. The timing of surgical intervention for mesial temporal lobe epilepsy: a plan for a randomized clinical trial. Arch Neurol 1999; 56(11): 1338-41.

  7. Keene DL, Whiting S, Ventureyra EC. Electrocorticography. Epileptic Disord 2000; 2(1): 57-63.

  8. Mustaki JP, Villemure JG, Ravussin P. Anesthesia for epilepsy surgery. Ann Fr Anesth Reanim 2001; 20(2): 145-58.

  9. Miller KJ, Makeig S, Hebb AO, Rao RP, denNijs M, Ojemann JG. Cortical electrode localization from X-rays and simple mapping for electrocorticographic research: The Location on Cortex (LOC) package for MATLAB. J Neurosci Methods 2007; 162(1-2): 303-8.

  10. Dubeau F, Sherwin A, Olivier A, Villemure J, Leblanc R, Quesney LF, Andermann E, Andermann F. Excitatory amino acids modulate phosphoinositide signal transduction in human epileptic neocortex. Epilepsia 1992; 33(2): 255-62.

  11. Burchiel KJ, Clarke H, Ojemann GA, Dacey RG, Winn HR. Use of stimulation mapping and corticography in the excision of arteriovenous malformations in sensorimotor and language-related neocortex. Neurosurgery 1989; 24(3): 322-7.

  12. Mazziotta JC. Mapping human brain activity in vivo. West J Med 1994; 161(3): 273-8.

  13. Stefan H, Quesney LF, bou-Khalil B, Olivier A. Electrocorticography in temporal lobe epilepsy surgery. Acta Neurol Scand 1991; 83(2): 65-72.

  14. Ojemann GA. Surgical therapy for medically intractable epilepsy. J Neurosurg 1987; 66(4): 489-99.

  15. Engel JJr, Driver MV, Falconer MA. Electrophysiological correlates of pathology and surgical results in temporal lobe epilepsy. Brain 1975; 98(1): 129-56.

  16. Engel JJr. Research on the human brain in an epilepsy surgery setting. Epilepsy Res 1998; 32(1-2): 1-11.

  17. Hennessy MJ, Elwes RD, Honavar M, Rabe-Hesketh S, Binnie CD, Polkey CE. Predictors of outcome and pathological considerations in the surgical treatment of intractable epilepsy associated with temporal lobe lesions. J Neurol Neurosurg Psychiatry 2001; 70(4): 450-8.

  18. Ortega GJ, Menendez de la PL, Sola RG, Pastor J. Synchronization Clusters of Interictal Activity in the Lateral Temporal Cortex of Epileptic Patients: Intraoperative Electrocorticographic Analysis. Epilepsia 2007.

  19. Schwartz TH, Bazil CW, Walczak TS, Chan S, Pedley TA, Goodman RR. The predictive value of intraoperative electrocorticography in resections for limbic epilepsy associated with mesial temporal sclerosis. Neurosurgery 1997; 40(2): 302-9.

  20. Schwartz TH, Bazil CW, Forgione M, Bruce JN, Goodman RR. Do reactive post-resection injury spikes exist? Epilepsia 2000; 41(11): 1463-8.

  21. Kirkpatrick PJ, Honavar M, Janota I, Polkey CE. Control of temporal lobe epilepsy following en bloc resection of low-grade tumors. J Neurosurg 1993; 78(1): 19-25.

  22. Germano IM, Poulin N, Olivier A. Reoperation for recurrent temporal lobe epilepsy. J Neurosurg 1994; 81(1): 31-6.

  23. Engel JJr, Wiebe S, French J, Sperling M, et al. Practice parameter: temporal lobe and localized neocortical resections for epilepsy: report of the Quality Standards Subcommittee of the American Academy of Neurology, in association with the American Epilepsy Society and the American Association of Neurological Surgeons. Neurology 2003; 60(4): 538-47.

  24. Tellez-Zenteno JF, Wiebe S. Long-term seizure and psychosocial outcomes of epilepsy surgery. Curr Treat Options Neurol 2008; 10(4): 253-9.

  25. McKhann GM, Schoenfeld-McNeill J, Born DE, Haglund MM, Ojemann GA. Intraoperative hippocampal electrocorticography to predict the extent of hippocampal resection in temporal lobe epilepsy surgery. J Neurosurg 2000; 93(1): 44-52.

  26. Abrahams S, Morris RG, Polkey CE, Jarosz JM, Cox TCS, Graves M, Pickering A. Hippocampal involvement in spatial and working memory: a structural MRI analysis of patients with unilateral mesial temporal lobe sclerosis. Brain and Cognition 1999; 41(1): 39-65.

  27. Tsai ML, Chatrian GE, Holubkov AL, Temkin NR, Shaw CM, Ojemann GA. Electrocorticography in patients with medically intractable temporal lobe seizures. II. Quantification of epileptiform discharges following successive stages of resective surgery. Electroencephalogr Clin Neurophysiol 1993; 87(1): 25-37.

  28. MacDonald DB, Pillay N. Intraoperative electrocorticography in temporal lobe epilepsy surgery. Can J Neurol Sci 2000; (Suppl. 1): S85- 91; discussion S92-6: S85-S91.

  29. Gomez UE, Sanchez AA, Alijarde MT, Navarrete EG. Prognostic value of electrocorticography in temporal lobe epilepsy: patterns of relationing mesial and neocortical activity]. Rev Neurol 2001; 33(9): 801-8.

  30. Raymond AA, Fish DR. EEG features of focal malformations of cortical development. J Clin Neurophysiol; 13(6): 495-506.

  31. Cascino GD. Neuroimaging in Partial Epilepsy: Structural Magnetic Resonance Imaging. Journal of Epilepsy 1998; 11(3): 121-9.

  32. Cendes F, Andermann F, Gloor P, Evans A, et al. Mri Volumetric Measurement of Amygdala and Hippocampus in Temporal-Lobe Epilepsy. Neurology 1993; 43(4): 719-25.

  33. Nakken KO, Eriksson AS, Kostov H, Lossius R, Haakonsen M, Server A, Roste GK. Epilepsia partialis continua (Kojevnikov’s syndrome). Tidsskr Nor Laegeforen 2005; 125(6): 746-9.

  34. Mitchell LA, Jackson GD, Kalnins RM, Saling MM, et al. Anterior temporal abnormality in temporal lobe epilepsy: a quantitative MRI and histopathologic study. Neurology 1999; 52(2): 327-36.

  35. Tassi L, Colombo N, Garbelli R, Francione S, et al. Focal cortical dysplasia: neuropathological subtypes, EEG, neuroimaging and surgical outcome. Brain 2002; 125(Pt 8): 1719-32.

  36. Tassi L, Pasquier B, Minotti L, Garbelli R, Kahane P, Benabid AL, et al. Cortical dysplasia: electroclinical, imaging, and neuropathologic study of 13 patients. Epilepsia 2001; 42(9): 1112-23.

  37. Srikijvilaikul T, Najm IM, Hovinga CA, Prayson RA, Gonzalez-Martinez J, Bingaman WE. Seizure outcome after temporal lobectomy in temporal lobe cortical dysplasia. Epilepsia 2003; 44(11): 1420-4.

  38. Engel JJr. Update on surgical treatment of the epilepsies. Clin Exp Neurol 1992; 29: 32-48.

  39. Palmini A, Andermann F, Olivier A, Tampieri D, Robitaille Y. Focal neuronal migration disorders and intractable partial epilepsy: results of surgical treatment. Ann Neurol 1991; 30(6): 750-7.

  40. Thom M, Sisodiya S, Harkness W, Scaravilli F. Microdysgenesis in temporal lobe epilepsy. A quantitative and immunohistochemical study of white matter neurones. Brain 2001; 124(Pt 11): 2299-309.

  41. Fauser S, Huppertz HJ, Bast T, Strobl K, Pantazis G, Altenmueller DM, et al. Clinical characteristics in focal cortical dysplasia: a retrospective evaluation in a series of 120 patients. Brain 2006; 129(Pt 7): 1907-16.

  42. Estupinan-Diaz B, Morales-Chacon LM, Lorigados-Pedre L, Garcia- Maeso I, et al. Pathological neocortical findings in patients with medication-resistant medial temporal lobe epilepsy submitted to surgery. Rev Neurol 2008; 46(4): 203-9.

  43. Kalnins RM, McIntosh A, Saling MM, Berkovic SF, Jackson GD, Briellmann RS. Subtle microscopic abnormalities in hippocampal sclerosis do not predict clinical features of temporal lobe epilepsy. Epilepsia 2004; 45(8): 940-7.

  44. Fauser S, Bast T, Altenmuller DM, Schulte-Monting J, Strobl K, Steinhoff BJ, et al. Factors influencing surgical outcome in patients with focal cortical dysplasia. J Neurol Neurosurg Psychiatry 2008; 79(1): 103-5.

  45. Devlin AM, Cross JH, Harkness W, Chong WK, Harding B, et al. Clinical outcomes of hemispherectomy for epilepsy in childhood and adolescence. Brain 200; 126(Pt 3): 556-66.

  46. Luders H, Schuele SU. Epilepsy surgery in patients with malformations of cortical development. Curr Opin Neurol 2006; 19(2): 169-74.

  47. Buoni S, Zannolli R, Miracco C, Macucci F, et al. Focal cortical dysplasia type 1b as a cause of severe epilepsy with multiple independent spike foci. Brain Dev 2008; 30(1): 53-8.

  48. Fauser S, Schulze-Bonhage A. Epileptogenicity of cortical dysplasia in temporal lobe dual pathology: an electrophysiological study with invasive recordings. Brain 2006; 129(Pt 1): 82-95.

  49. Fauser S, Huppertz HJ, Bast T, Strobl K, Pantazis G, Altenmueller DM, et al. Clinical characteristics in focal cortical dysplasia: a retrospective evaluation in a series of 120 patients. Brain 2006; 129(Pt 7): 1907-16.

  50. Privitera MD, Yeh HS, Blisard K, Sanchez N. Detection of epileptogenic focal cortical dysplasia by depth, not subdural electrodes. Neurosurg Rev 2000; 23(1): 49-51.

  51. Fauser S, Schulze-Bonhage A. Epileptogenicity of cortical dysplasia in temporal lobe dual pathology: an electrophysiological study with invasive recordings. Brain 2006; 129(Pt 1): 82-95.

  52. Ferrier CH, Aronica E, Leijten FS, Spliet WG, Van Huffelen AC, et al. Electrocorticographic discharge patterns in glioneuronal tumors and focal cortical dysplasia. Epilepsia 2006; 47(9): 1477-86.

  53. Palmini A, Gambardella A, Andermann F, et al. Intrinsic epileptogenicity of human dysplastic cortex as suggested by corticography and surgical results. Ann Neurol 1995; 37(4): 476-87.

  54. Chassoux F, Devaux B, Landre E, Turak B, et al. Stereoelectroencephalography in focal cortical dysplasia: a 3D approach to delineating the dysplastic cortex. Brain 2000; 123 (Pt 8): 1733-51.

  55. Ferrier CH, Alarcon G, Engelsman J, Binnie CD, Koutroumanidis M, et al. Relevance of residual histologic and electrocorticographic abnormalities for surgical outcome in frontal lobe epilepsy. Epilepsia 2001; 42(3): 363-71.

  56. Kameyama S, Fukuda M, Tomikawa M, Morota N, Oishi M, et al. Surgical strategy and outcomes for epileptic patients with focal cortical dysplasia or dysembryoplastic neuroepithelial tumor. Epilepsia 2001; 42(Suppl 6): 37-41.

  57. Morioka T, Nishio S, Ishibashi H, Muraishi M, Hisada K, Shigeto H, et al. Intrinsic epileptogenicity of focal cortical dysplasia as revealed by magnetoencephalography and electrocorticography. Epilepsy Res 1999; 33(2-3): 177-87.

  58. Rosenow F, Luders HO, Dinner DS, Prayson RA, Mascha E, Wolgamuth BR, et al. Histopathological correlates of epileptogenicity as expressed by electrocorticographic spiking and seizure frequency. Epilepsia 1998; 39(8): 850-6.

  59. Ferrier CH, Aronica E, Leijten FS, Spliet WG, et al. Electrocorticographic discharge patterns in glioneuronal tumors and focal cortical dysplasia. Epilepsia 2006; 47(9): 1477-86.

  60. Rosenow F, Luders HO, Dinner DS, Prayson RA, Mascha E, et al. Histopathological correlates of epileptogenicity as expressed by electrocorticographic spiking and seizure frequency. Epilepsia 1998; 39(8): 850-6.

  61. Marusic P, Najm IM, Ying Z, Prayson R, Rona S, Nair D, Hadar E, et al. Focal cortical dysplasias in eloquent cortex: functional characteristics and correlation with MRI and histopathologic changes. Epilepsia 2002; 43(1): 27-32.

  62. Cepeda C, Andre VM, Flores-Hernandez J, et al. Pediatric cortical dysplasia: correlations between neuroimaging, electrophysiology and location of cytomegalic neurons and balloon cells and glutamate/ GABA synaptic circuits. Dev Neurosci 2005; 27(1): 59-76.

  63. Jacobs J, Rohr A, Moeller F, Boor R, Kobayashi E, et al. Evaluation of epileptogenic networks in children with tuberous sclerosis complex using EEG-fMRI. Epilepsia 2008.

  64. Jansen FE, Huiskamp G, Van Huffelen AC, Bourez-Swart M, et al. Identification of the epileptogenic tuber in patients with tuberous sclerosis: a comparison of high-resolution EEG and MEG. Epilepsia 2006; 47(1): 108-14.

  65. Madhavan D, Weiner HL, Carlson C, Devinsky O, Kuzniecky R. Local epileptogenic networks in tuberous sclerosis complex: a case review. Epilepsy Behav 2007; 11(1): 140-6.

  66. Fukuda M, Kameyama S, Tomikawa M, Wachi M, Sasagawa M, Kanazawa O, et al. Epilepsy surgery for focal cortical dysplasia and dysembryoplastic neuroepithelial tumor]. No Shinkei Geka 2000; 28(2): 135-44.

  67. Ferrier CH, Aronica E, Leijten FS, Spliet WG, et al. Electrocorticographic discharge patterns in glioneuronal tumors and focal cortical dysplasia. Epilepsia 2006; 47(9): 1477-86.

  68. Jasper H, Pertuisset B, Flanigin H. EEG and cortical electrograms in patients with temporal lobe seizures. AMA Arch Neurol Psychiatry 1951; 65(3): 272-90.

  69. Rasmussen T. Characteristics of a pure culture of frontal lobe epilepsy. Epilepsia 1983; 24(4): 482-93.

  70. Wennberg R, Quesney F, Olivier A, Rasmussen T. Electrocorticography and outcome in frontal lobe epilepsy. Electroencephalogr Clin Neurophysiol 1998; 106(4): 357-68.

  71. Guerreiro MM, Quesney LF, Salanova V, Snipes GJ. Continuous electrocorticogram epileptiform discharges due to brain gliosis. J Clin Neurophysiol 2003; 20(4): 239-42.




2020     |     www.medigraphic.com