癲癇網絡的定義：立體腦電圖和信號分析的貢獻_Journal of Epilepsy

Authors：

 BartolomeiF , LagardeS , WendlingF , 鄭舒暢　譯 , 秦兵　審

Corresponding?author：

BartolomeiF, Email: fabrice.bartolomei@ap-hm.fr

Keywords：

立體腦電圖; 信號處理; 腦網絡; 局灶性癲癇; 功能連接

DOI：

10.7507/2096-0247.20180028

Video：

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Abstract Full text Figures/Tables Video References Cited by

致癇網絡定義為癲癇放電產生和傳播過程中累及的腦區。基于顱內電極電生理數據的分析，文章綜述介紹了致癇網絡的歷史、方法和概念。在癲癇術前評估中，確定產生癲癇發作的腦區（如致癇區）是最重要的目標。較藥物難治性局灶性癲癇傳統的、局限性的視覺分析方法而言，致癇網絡作為一個模型已逐漸得到公認。該模型能更好地描述發作動態演變的復雜性、更真實地描述大腦致癇性的異常分布。致癇網絡概念在歷史上與立體腦電圖（SEEG）方法學的發展及隨后腦電信號定量分析相關。SEEG 有明確的發作期、發作前及發作間期放電模式，可以用信號分析方法對上述模式進行分析，如高頻振蕩定量分析或分析功能連接的改變。我們可以在皮層和皮層下腦區癲癇發生和傳播的過程中，依據 SEEG 數據分析得到大腦連接的顯著變化，這些變化與不同的發作癥狀學模式相關。發作間期特征就是致癇網絡產生異常電活動（發作間期棘波）及功能連接的改變。致癇網絡大尺度建模新方法的引入為更好地預測手術預后提供了新方法。就明確致癇性腦區的分布而言，致癇網絡的概念是一個關鍵的要素，這對癲癇手術尤為重要。

Citation： BartolomeiF, LagardeS, WendlingF, 鄭舒暢　譯, 秦兵　審. 癲癇網絡的定義：立體腦電圖和信號分析的貢獻. Journal of Epilepsy, 2018, 4(2): 135-149. doi: 10.7507/2096-0247.20180028 Copy

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2. Wendling F, Chauvel P, Biraben A, et al. From intracerebral EEG signals to brain connectivity: identification of epileptogenic networks in partial epilepsy. Front Syst Neurosci, 2010, 4: 154.
3. Laufs H. Functional imaging of seizures and epilepsy: evolution from zones to networks. Curr Opin Neurol, 2012, 25(2): 194-200.
4. Guye M, Bartolomei F, Ranjeva JP. Imaging structural and functional connectivity: towards a unified definition of human brain organization? Curr Opin Neurol, 2008, 21(4): 393-403.
5. Stefan H, Lopes da Silva FH. Epileptic neuronal networks: methods of identification and clinical relevance. Front Neurol, 2013, 4: 8.
6. Bartolomei F, Guye M, Wendling F. Abnormal binding and disruption in large scale networks involved in human partial seizures. EPJ Nonlinear Biomed Phys, 2013, 1: 1-16.
7. Luders HO, Najm I, Nair D, et al. The epileptogenic zone: general principles. Epileptic Disord, 2006, 8(Suppl 2): S1-S9.
8. Panzica F, Varotto G, Rotondi F, et al. Identification of the epileptogenic zone from stereo-EEG signals: a connectivity-graph theory approach. Front Neurol, 2013, 4: 175.
9. Pittau F, Megevand P, Sheybani L, et al. Mapping epileptic activity: sources or networks for the clinicians? Front Neurol, 2014, 5: 218.
10. Bernhardt BC, Hong S, Bernasconi A, et al. Imaging structural and functional brain networks in temporal lobe epilepsy. Front Hum Neurosci, 2013, 7: 624.
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Journal of Epilepsy

癲癇網絡的定義：立體腦電圖和信號分析的貢獻

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