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Distinct patterns of interictal intracranial EEG in focal cortical dysplasia type I and II

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F68407700%3A21230%2F23%3A00364919" target="_blank" >RIV/68407700:21230/23:00364919 - isvavai.cz</a>

  • Alternative codes found

    RIV/00064203:_____/23:10462217 RIV/00216208:11130/23:10462217

  • Result on the web

    <a href="https://doi.org/10.1016/j.clinph.2023.03.360" target="_blank" >https://doi.org/10.1016/j.clinph.2023.03.360</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1016/j.clinph.2023.03.360" target="_blank" >10.1016/j.clinph.2023.03.360</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Distinct patterns of interictal intracranial EEG in focal cortical dysplasia type I and II

  • Original language description

    Objective: Focal cortical dysplasia (FCD) is the most common malformation causing refractory focal epilepsy. Surgical removal of the entire dysplastic cortex is crucial for achieving a seizure-free outcome. Precise presurgical distinctions between FCD types by neuroimaging are difficult, mainly in patients with normal magnetic resonance imaging findings. However, the FCD type is important for planning the extent of surgical approach and counselling. Methods: This study included patients with focal drug-resistant epilepsy and definite histopathological FCD type I or II diagnoses who underwent intracranial electroencephalography (iEEG). We detected interictal epileptiform discharges (IEDs) and their recruitment into repetitive discharges (RDs) to compare electrophysiological patterns characterizing FCD types. Results: Patients with FCD type II had a significantly higher IED rate (p<0.005), a shorter inter-discharge interval within RD episodes (p<0.003), sleep influence on decreased RD periodicity (p<0.036), and longer RD episode duration (p<0.003) than patients with type I. A Bayesian classifier stratified FCD types with 82% accuracy. Conclusion: Temporal characteristics of IEDs and RDs reflect the histological findings of FCD subtypes and can differentiate FCD types I and II. Significance: Presurgical prediction of FCD type can help to plan a more tailored surgical approach in patients with normal magnetic resonance findings.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    20601 - Medical engineering

Result continuities

  • Project

    Result was created during the realization of more than one project. More information in the Projects tab.

  • Continuities

    P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Others

  • Publication year

    2023

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Clinical Neurophysiology

  • ISSN

    1388-2457

  • e-ISSN

    1872-8952

  • Volume of the periodical

    151

  • Issue of the periodical within the volume

    7

  • Country of publishing house

    NL - THE KINGDOM OF THE NETHERLANDS

  • Number of pages

    8

  • Pages from-to

    10-17

  • UT code for WoS article

    000991291400001

  • EID of the result in the Scopus database

    2-s2.0-85153800585