Intraoperative ElectroCorticoGraphy (ECog): indications, techniques, and utility in epilepsy surgery
Abstract
Aims . To describe the technique, indications, and utility of intraoperative ECoG monitoring during various surgeries for medically intractable epilepsy. Methods . Literature was reviewed to obtain published results on using intraoperative ECoG techniques for the surgical treatment of medically intractable epilepsy of various underlying aetiologies. Results . General intraoperative ECoG techniques were described, including effects of anaesthetic agents on intraoperative ECoG signals. Use of intraoperative ECoG in temporal lobe epilepsy with mesial temporal sclerosis (MTS) is generally considered not necessary, whereas intraoperative ECoG in temporal lobe epilepsy without mesial temporal sclerosis may provide useful information. Intraoperative ECoG in extra‐temporal epilepsy with structural lesions may facilitate resection, whereas the use of intraoperative ECoG in extra‐temporal epilepsy without a structural lesion is more controversial. Conclusions . Intraoperative ECoG is a useful technique to be employed in surgical treatment of medically intractable epilepsy. However, its effectiveness may vary depending on the underlying pathological causes of the seizures.
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Neural signals from the brain have been used in applications ranging from medical to engineering fields, such as epilepsy surgery using ECoG and brain computer interface applications using EEG.
“Such signals were used in various applications ranging from medical to engineering fields, such as an epilepsy surgery using ECoG 88 and brain computer interface applications using EEG.89,90”
From From flexible electronics technology in the era of IoT and artificial intelligence toward future implanted body sensor networks (2019) · cites this paper as [88]
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- Authors
- Yang, T., Hakimian, S., & Schwartz, T. H.
- Affiliations
- NewYork–Presbyterian Hospital (US)
- University of Washington Medical Center (US)
- Venue
- Epileptic Disorders
- Publisher
- Wiley
- Published
- 2014-09
- Volume
- 16
- Issue
- 3
- Pages
- 271-279
- ISSN
- 1294-9361 (ISSN-L)
- 1950-6945
- OpenAlex
- W2100376397
- Cited by
- 113
- References
- 46
- Citations by year
- 2026: 6 · 2025: 11 · 2024: 10 · 2023: 13 · 2022: 12 · 2021: 10 · 2020: 9 · 2019: 11 · 2018: 13 · 2017: 8 · 2016: 3 · 2015: 4 · 2014: 3
- FWCI
- 4.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Epileptic Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Epilepsy research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › EEG and Brain-Computer Interfaces
- Health Sciences › Medicine › Neurology › Neurological disorders and treatments
- Keywords
- intraoperative electrocorticography, drug-resistant epilepsy, epilepsy surgery, temporal lobe epilepsy, hippocampal sclerosis, surgical resection planning, seizure semiology
- MeSH terms
- Brain, Brain Mapping, Electroencephalography, Epilepsy, Humans, Monitoring, Intraoperative
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