The DOI matches its Crossref record; 34 of the 35 references it cites were found in a registry or an index.
Parameters for direct cortical electrical stimulation in the human: histopathologic confirmation
Open accessAbstract
Safe parameters for electrical cortical stimulation in humans are difficult to estimate from the animal experimental literature. We therefore examined the light microscopic histology at a total of 11 sites of direct subdural electrical stimulation, taken as part of anterior temporal lobectomies in 3 patients. Stimulations had been done through 3.175 mm diameter electrodes, with 0.3 msec square wave pulses of alternating polarity at 50 pulses/sec. In 2 patients, one site each had been used as a common reference for stimulation, receiving over 251 stimulation trials, most of 2-5 sec duration, at currents of 12.5-15.0 mA, 1 day prior to resection. The maximum charge per phase was 4.0-4.4 microC; the maximum charge density was 52-57 microC per geometric cm2 per pulse at the electrode surfaces. Comparison of hematoxylin and eosin, periodic acid-Schiff, and cresyl violet-stained material from the electrode sites with that from other regions did not show any histologic abnormalities attributable to the electrical stimulation. The relatively brief and intermittent periods utilized for human stimulation testing do not appear to cause structural damage at the light microscopic level at charge densities that exceed the threshold for damage established in animal studies with more continuous, chronic stimulation schedules.
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EPILEPSY AND THE FUNCTIONAL ANATOMY OF THE HUMAN BRAIN
Penfield, W., & Jasper, H. (1954) · Southern Medical Journal · doi:10.1097/00007611-195407000-00024 · Cited by 4,092
Epilepsy and the functional anatomy of the human brain
Gastaut, H. (1954) · Electroencephalography and Clinical Neurophysiology · doi:10.1016/0013-4694(54)90103-0 · Cited by 781
Brain organization for language from the perspective of electrical stimulation mapping
Ojemann, G. A. (1983) · Behavioral and Brain Sciences · doi:10.1017/s0140525x00015491 · Cited by 710
Electrical Stimulation of the Brain
J.L.D. (1962) · Neurology · doi:10.1212/wnl.12.8.582 · Cited by 439
Individual variability in cortical localization of language
Ojemann, G. A. (1979) · Journal of neurosurgery · doi:10.3171/jns.1979.50.2.0164 · Cited by 419
Considerations for safety in the use of extracranial stimulation for motor evoked potentials
Agnew, W. F., & McCreery, D. B. (1987) · Neurosurgery · doi:10.1097/00006123-198701000-00030 · Cited by 265
Clinical and Surgical Studies of the Cerebral Speech Areas in Man
Rasmussen, T., & Milner, B. A. (1975) · Springer eBooks · doi:10.1007/978-3-642-66204-1_19 · Cited by 228
Risk of developing multiple sclerosis after uncomplicated optic neuritis
Rizzo, J. F., & Lessell, S. (1988) · Neurology · doi:10.1212/wnl.38.2.185 · Cited by 210
Extraoperative Cortical Functional Localization in Patients with Epilepsy
Lesser, R. P., Lüders, H. O., Klem, G. H., Dinner, D. S., Morris, H. H., Hahn, J. F., & Wyllie, E. (1987) · Journal of Clinical Neurophysiology · doi:10.1097/00004691-198701000-00003 · Cited by 197
Self-citationCortical Mapping for Defining the Limits of Tumor Resection
Black, P. M., & Ronner, S. F. (1987) · Neurosurgery · doi:10.1227/00006123-198706000-00016 · Cited by 185
Research works printed but not linked: 3
- Cusick, 1985, Introduction, Vol. 1
- Kluin, 1988, Inferior speech area in patients with temporal lobe epilepsy, Neurology, 38, 277
- Risinger, 1988, Comprehension deficits with electrical stimulation of Wernicke's area, Neurology, 38, 185
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Widi, G. A. (2009) · Europe PMC (PubMed Central)
Variability in cortical representations of speech sound perception
Boatman, D. F. (2007) · Clinical Linguistics & Phonetics · doi:10.1080/02699200701610667
Mapping of Eloquent Cortex in Focal Epilepsy with Intracranial Electrodes
Kanner, A. M., & Morcillo, M. C. A. (2015) · Springer eBooks · doi:10.1007/978-3-319-23383-3_7
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Geller, E. B., & Devinsky, O. (2005) · Neurological disease and therapy · doi:10.1201/b14113-65
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Ryvlin, P., Montavont, A., Ostrowsky‐Coste, K., & Guénot, M. (2015) · Cambridge University Press eBooks · doi:10.1017/cbo9781139525312.012
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Bhatnagar, S. C., & Mandybur, G. T. (2006) · Elsevier eBooks · doi:10.1016/b0-08-044854-2/04172-9
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Santini, B., Talacchi, A., Casagrande, F., Sala, F., Savazzi, S., Marzi, C. A., Monti, A., Capasso, R., Miceli, G., Casartelli, M., et al. (2009)
Yu, T., Guo, L., Russell, J. S., & Sall, J. W. (2021) · Research Square · doi:10.21203/rs.3.rs-181181/v1
Safety of electrical stimulation on cerebral cortex
Lee, S.-E., Park, D., & Jeong, E. (2021) · Journal of Intraoperative Neurophysiology · doi:10.33523/join.2021.3.1.1
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(2017) · De Boeck Supérieur eBooks · doi:10.3917/dbu.briss.2017.01.0132
Guo, L. (2021) · Techniques in Neurosurgery & Neurology · doi:10.31031/tnn.2021.04.000589
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Олегович, И. Н., Gordeyeva, E., Павлович, У. Н., & Зуев, А. А. (2024) · S S Korsakov Journal of Neurology and Psychiatry · doi:10.17116/jnevro20241240917
Electrical Stimulation for Functional Mapping During SEEG Exploration
Trébuchon, A., & Drane, D. L. (2024) · Elsevier eBooks · doi:10.1016/b978-0-443-10877-8.00001-2
Олегович, И. Н., Gordeyeva, E., Павлович, У. Н., & Зуев, А. А. (2025) · Neuroscience and Behavioral Physiology · doi:10.1007/s11055-025-01781-4
Tariciotti, L., Zohdy, Y. M., Bono, B., Riva, M., & Pessina, F. (2025) · Springer eBooks · doi:10.1007/978-3-031-81850-9_14
Role of Scalp and Invasive EEG in Epilepsy Surgery
Pelliccia, V., & Tassi, L. (2025) · Springer eBooks · doi:10.1007/978-3-031-86878-8_14
Potenciais evocados motores em cirurgia da aorta toracoabdominal
Magro, C., Nora, D., Marques, M. C. T., & Alves, A. (2012) · Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT)
Sicherheitsaspekte und Kontraindikationen
Meyer, B.-U. (1992) · Springer eBooks · doi:10.1007/978-3-642-47601-3_4
Kuo, C.-W., Nguyen, T. X. D., Chen, K., Liu, H.-L., Wu, C.-K., Peng, C., Chang, M., & Hsieh, T.-H. (2026) · Journal of Integrative Neuroscience · doi:10.31083/jin48187
Indication and Interpretation of Stereo SEEG
Robin, A., Minotti, L., Hoffmann, D., & Kahane, P. (2026) · Springer eBooks · doi:10.1007/978-3-032-04182-1_14
Rôle du cortex operculo-insulaire dans la somesthésie et la douleur chez l'homme
Mazzola, L. (2011) · theses.fr (ABES) · doi:10.70675/f9645b1az7f3ez481cz837cze0e7ac24a2a2
The Physics and Physiology of Electrical Stimulation of the Brain
Conrad, E. C., & Sinha, S. R. (2025) · Journal of Clinical Neurophysiology · doi:10.1097/wnp.0000000000001228
Hardian, R. F., Kodama, K., Kanaya, K., Goto, T., Hongo, K., & Horiuchi, T. (2026) · Experimental Brain Research · doi:10.1007/s00221-026-07347-1
Disruption of the claustrum-ACC pathway contributes to human mind blanking
Cheng, Y., Zheng, Y., Wang, W., Ai, H., Wang, X. J., Xu, C., Wang, X. J., Hu, D., Wang, Z., Lu, R., et al. (2026) · Neurobiology of Disease · doi:10.1016/j.nbd.2026.107520
Ihnen, S. K. Z., & Trébuchon, A. (2026) · Journal of Clinical Neurophysiology · doi:10.1097/wnp.0000000000001297
Metadata
- Authors
- Gordon, B., Lesser, R. P., Rance, N. E., Hart, J., Webber, R., Uematsu, S., & Fisher, R. S.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- Gordon, Barry
- Venue
- Electroencephalography and Clinical Neurophysiology
- Publisher
- Elsevier BV
- Published
- 1990-05
- Volume
- 75
- Issue
- 5
- Pages
- 371-377
- ISSN
- 0013-4694 (ISSN-L)
- OpenAlex
- W2084399712
- Cited by
- 232
- References
- 35
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 8 · 2023: 11 · 2022: 7 · 2021: 10 · 2020: 8 · 2019: 5 · 2018: 8 · 2017: 10 · 2016: 7 · 2015: 8 · 2014: 8 · 2013: 6 · 2012: 6
- FWCI
- 1.28
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Electroencephalography and Clinical Neurophysiology (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01ns026553-05)
- National Institute of Neurological Disorders and Stroke (1-RO1-NS26553)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neural Engineering
- Health Sciences › Medicine › Clinical Neurology › Deep Brain Stimulation and Movement Disorders
- Health Sciences › Medicine › Clinical Neurology › Epilepsy research and treatment
- Keywords
- subdural electrodes, charge density, histopathology, temporal lobectomy
- MeSH terms
- Electric Stimulation, Electrodes, Epilepsy, Temporal Lobe, Gliosis, Humans, Subarachnoid Space, Temporal Lobe
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