期刊
JOURNAL OF NEUROSURGERY-PEDIATRICS
卷 7, 期 5, 页码 482-490出版社
AMER ASSOC NEUROLOGICAL SURGEONS
DOI: 10.3171/2011.2.PEDS1156
关键词
electrocorticography; language; mapping; online mapping; electrocortical stimulation
资金
- National Aeronautics and Space Administration
- National Institute of General Medical Sciences
- Div Of Chem, Bioeng, Env, & Transp Sys
- Directorate For Engineering [0930908] Funding Source: National Science Foundation
Object. Emerging research in evoked broadband electrocorticographic (ECoG) measurement from the cortical surface suggests that it might cleanly delineate the functional organization of cortex. The authors sought to demonstrate whether this could be done in a same-session, online manner to identify receptive and expressive language areas. Methods. The authors assessed the efficacy of simple integration of chi-band (76-200 Hz) change in the ECoG signal by implementing a simple band-pass filter to estimate broadband spectral change. Following a brief (less than 10-second) period to characterize baseline activity, chi-band activity was integrated while 7 epileptic patients with implanted ECoG electrodes performed a verb-generation task. Results. While the patients were performing verb-generation or noun-reading tasks, cortical activation was consistently identified in primary mouth motor area, superior temporal gyrus, and Broca and Wernicke association areas. Maps were robust after a mean time of 47seconds (using an activation overlap measure). Correlation with electrocortical stimulation was not complete and was stronger for noun reading than verb generation. Conclusions. Broadband ECoG changes can be captured online to identify eloquent cortex. This demonstrates the existence of a powerful new tool for functional mapping in the operative and chronic implant setting. (DOI: 10.3171/2011.2.PEDS1156)
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