Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2009
When is electrical cortical stimulation more likely to produce afterdischarges?
Оценочное исследованиеСтатьяПоддержка NIH: внешняя программаПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
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Lee Hyang Woon, Webber W R S, Crone Nathan, Miglioretti Diana L, Lesser Ronald P
Аннотация
OBJECTIVE: To study when afterdischarges (ADs) are more likely to occur during cortical stimulation.
METHODS: We examined 6250 electrical stimulation trials in 13 patients with subdural electrodes, studying whether AD occurrence during a trial was influenced by electrode pair stimulated or AD occurrence during the previous trial. In total 545 electrodes were stimulated, 119 frontal (pre-perirolandic), 289 perirolandic, 36 parietal (post-perirolandic), 95 temporal, and 6 occipital.
RESULTS: When the same electrode pair was stimulated as the prior trial, 19% produced ADs compared to 5% of trials when a different electrodes pair was stimulated (p<0.0001). When trials showed ADs, and the next trial stimulated the same electrode pair, ADs occurred in 46% of cases, compared to 13% of trials following trials without ADs (p<0.0001). AD probability decreased with increased inter-trial interval length only when the prior trial was at the same electrode pair and had produced an AD (p=0.001). AD probability increased with stimulation duration, whether the trial followed a trial with (p<0.001) or without (p<0.0001) an AD.
CONCLUSIONS: ADs were more likely to occur when an electrode pair showed ADs and was stimulated again, especially when stimulating after short inter-trial intervals or for longer duration.
SIGNIFICANCE: When ADs occur, waiting about a minute before resuming stimulation might lessen the likelihood of AD recurrence.
METHODS: We examined 6250 electrical stimulation trials in 13 patients with subdural electrodes, studying whether AD occurrence during a trial was influenced by electrode pair stimulated or AD occurrence during the previous trial. In total 545 electrodes were stimulated, 119 frontal (pre-perirolandic), 289 perirolandic, 36 parietal (post-perirolandic), 95 temporal, and 6 occipital.
RESULTS: When the same electrode pair was stimulated as the prior trial, 19% produced ADs compared to 5% of trials when a different electrodes pair was stimulated (p<0.0001). When trials showed ADs, and the next trial stimulated the same electrode pair, ADs occurred in 46% of cases, compared to 13% of trials following trials without ADs (p<0.0001). AD probability decreased with increased inter-trial interval length only when the prior trial was at the same electrode pair and had produced an AD (p=0.001). AD probability increased with stimulation duration, whether the trial followed a trial with (p<0.001) or without (p<0.0001) an AD.
CONCLUSIONS: ADs were more likely to occur when an electrode pair showed ADs and was stimulated again, especially when stimulating after short inter-trial intervals or for longer duration.
SIGNIFICANCE: When ADs occur, waiting about a minute before resuming stimulation might lessen the likelihood of AD recurrence.