AI Article Synopsis
- The study examines how corpus callosotomy affects the bilateral synchrony of epileptic discharges, focusing on when this suppression occurs during the surgical procedure.
- Intra-operative EEG was recorded for six patients as they underwent total corpus callosotomy, using wavelet transform coherence to analyze inter-hemispheric coherence.
- Results showed that coherence consistently decreased, particularly during the posterior step of the procedure, indicating that individual variations exist in how the corpus callosum influences bilateral synchrony and the importance of monitoring these changes during surgery.
Article Abstract
Objective: Corpus callosotomy limits the bilateral synchrony of epileptic discharges. However, the instantaneous changes in bilateral synchrony during corpus callosotomy are unclear. The present study investigated how and when bilateral synchrony is suppressed in the anterior and then posterior steps of corpus callosotomy.
Methods: Intra-operative scalp electroencephalography (EEG) was recorded simultaneously with surgical video for six patients who underwent total corpus callosotomy for medically intractable drop attacks. The time-varying EEG inter-hemispheric coherence was quantified by wavelet transform coherence and trend analysis.
Results: The 4-13 Hz coherence decreased after corpus callosotomy in five patients. Significant decrease in coherence was observed only during the posterior step of callosal sectioning in three patients, but throughout both steps in two patients.
Conclusions: Decrease in inter-hemispheric coherence is not always correlated with the stages of callosal sectioning. Inter-hemispheric coherence is decreased during the final stage of corpus callosotomy and the effect is maximized after sectioning is completed.
Significance: Various patterns of coherence decrease suggest individual variations in the participation of the corpus callosum in the genesis of bilateral synchrony. Time-varying inter-hemispheric EEG coherence is useful to monitor the physiological completeness of corpus callosotomy.
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| http://dx.doi.org/10.1016/j.clinph.2013.05.004 | DOI Listing |
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