Academic Journal
American Clinical Neurophysiology Society Technical Standards for Electrical Stimulation With Intracranial Electrodes for Functional Brain Mapping and Seizure Induction.
| Τίτλος: | American Clinical Neurophysiology Society Technical Standards for Electrical Stimulation With Intracranial Electrodes for Functional Brain Mapping and Seizure Induction. |
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| Συγγραφείς: | Arya R; Comprehensive Epilepsy Center, Division of Neurology, Cincinnati Children's Hospital Medical Center, and Departments of Neurology, Pediatrics, and Computer Science, University of Cincinnati, Cincinnati, Ohio, U.S.A., Baumer FM; Division of Child Neurology, Department of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, California, U.S.A., Chauvel P; Department of Neurology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, U.S.A., Frauscher B; Department of Neurology, Duke University Medical Center, and Department of Biomedical Engineering, Duke Pratt School of Engineering, Durham, North Carolina, U.S.A., Jayakar P; Brain Institute, Nicklaus Children's Hospital, and Florida International University, Miami, Florida, U.S.A., Kheder A; Department of Neurology and Pediatric Institute, Emory University School of Medicine, Atlanta, Georgia, U.S.A., Lega B; Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, U.S.A., Lesser RP; Departments of Neurology and Neurological Surgery, Johns Hopkins Medical Institutions, Baltimore, Maryland, U.S.A., Miller KJ; Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota, U.S.A., Nuwer MR; Department of Neurology, David Geffen School of Medicine at UCLA, and Department of Clinical Neurophysiology, Ronald Reagan UCLA Medical Center, Los Angeles, California, U.S.A., Pedersen NP; Department of Neurology, Comprehensive Epilepsy Center, and Center for Neuroscience, University of California Davis School of Medicine, Davis, California, U.S.A., Ritaccio AL; Department of Neurology, Mayo Clinic, Jacksonville, Florida; and, Department of Neurosurgery, Albany Medical College, Albany, New York, U.S.A., Sabsevitz DS; Departments of Psychiatry and Psychology, Department of Neurological Surgery, Mayo Clinic, Jacksonville, Florida, U.S.A., Sinha SR; Epilepsy Division, Department of Neurology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, U.S.A., So EL; Department of Neurology, Mayo Clinic Alix School of Medicine, Rochester, Minnesota, U.S.A., Tatum WO; Department of Neurology, Mayo Clinic, Jacksonville, Florida, U.S.A., Templer JW; Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, U.S.A. ; and., Schuele SU; Departments of Neurology, and Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, Illinois, U.S.A. |
| Πηγή: | Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society [J Clin Neurophysiol] 2025 Mar 01; Vol. 42 (3), pp. 190-200. Date of Electronic Publication: 2025 Feb 12. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8506708 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1537-1603 (Electronic) Linking ISSN: 07360258 NLM ISO Abbreviation: J Clin Neurophysiol Subsets: MEDLINE |
| Imprint Name(s): | Publication: <2000->: Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: [New York, N.Y.] : Raven Press, [1984- |
| Ιατρικοί όροι (MeSH): | Seizures*/physiopathology , Seizures*/diagnosis , Brain Mapping*/standards , Brain Mapping*/methods , Brain Mapping*/instrumentation , Electric Stimulation*/methods , Electric Stimulation*/instrumentation , Neurophysiology*/standards , Electrodes, Implanted*/standards , Brain*/physiopathology, Humans ; Societies, Medical/standards ; United States |
| Περίληψη: | Competing Interests: The authors have no funding or conflicts of interest to disclose. Purpose: These American Clinical Neurophysiology Society technical standards suggest best practices for electrical stimulation mapping (ESM) with subdural and stereotactic depth electrodes for seizure induction and mapping of brain function. Methods: A working group was convened from American Clinical Neurophysiology Society membership with expertise in ESM. PubMed searches were performed to identify pertinent peer-reviewed literature. Recurrent meetings reviewed progress, built consensus by discussion, and developed evidence-based recommendations to the extent possible. Recommendations: Stimulators used for ESM should have sufficient dynamic range, ability to interrupt a stimulus train, and ictal disrupt mechanism(s). Charge density should be calculated for the specific electrodes and ESM settings, the maximum safe limits being 52 to 57 μC/cm 2 /phase for subdural electrodes and not established for stereotactic depth electrodes. Subdural ESM for functional mapping is typically performed at 50-Hz pulse frequency, 200- to 300-µs pulse width, 2- to 8-s train duration, and 1- to 20-mA current strength. Stereo ESM is commonly performed using 2 different pulse frequencies: 1 Hz (300-500 µs pulse width, train duration up to 30 s, and often a constant current of 3-5 mA), and 50 Hz (100-500 µs pulse width, train duration 2-8 s, and 0.5-10 mA current intensity). Conclusions: This guideline provides technical standards for the performance of ESM, which will likely evolve over time with advances in technology and additional evidence (also see Graphical Abstract). (Copyright © 2025 by the American Clinical Neurophysiology Society.) |
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| Entry Date(s): | Date Created: 20250213 Date Completed: 20250507 Latest Revision: 20250630 |
| Update Code: | 20250630 |
| DOI: | 10.1097/WNP.0000000000001149 |
| PMID: | 39946166 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1537-1603 |
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| DOI: | 10.1097/WNP.0000000000001149 |