Presurgical language mapping using event-related high-gamma activity: The Detroit procedure.

Clin Neurophysiol

Wayne State University, School of Medicine, Detroit, MI 48201, USA; Department of Pediatrics, Children's Hospital of Michigan, Detroit Medical Center, Detroit, MI 48201, USA; Department of Neurology, Children's Hospital of Michigan, Detroit Medical Center, Detroit, MI 48201, USA. Electronic address:

Published: January 2018

A number of investigators have reported that event-related augmentation of high-gamma activity at 70-110 Hz on electrocorticography (ECoG) can localize functionally-important brain regions in children and adults who undergo epilepsy surgery. The advantages of ECoG-based language mapping over the gold-standard stimulation include: (i) lack of stimulation-induced seizures, (ii) better sensitivity of localization of language areas in young children, and (iii) shorter patient participant time. Despite its potential utility, ECoG-based language mapping is far less commonly practiced than stimulation mapping. Here, we have provided video presentations to explain, point-by-point, our own hardware setting and time-frequency analysis procedures. We also have provided standardized auditory stimuli, in multiple languages, ready to be used for ECoG-based language mapping. Finally, we discussed the technical aspects of ECoG-based mapping, including its pitfalls, to facilitate appropriate interpretation of the data.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5744878PMC
http://dx.doi.org/10.1016/j.clinph.2017.10.018DOI Listing

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