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Pivot Concepts:
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Target Concepts:
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Query: UMLS:C0149958 (
complex partial seizures
)
2,563
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Intraoperative cortical somatosensory potentials were evoked to localize the sensorimotor cortex under general anesthesia by contralateral median nerve stimulation in 12 patients. Eight patients underwent an excision of the epileptogenic focus for intractable
complex partial seizures
and the other 4 patients underwent tumor surgery following successful localization of the sensorimotor cortex. The relationships between the somatosensory evoked potentials and the anatomy of the sensorimotor cortex allowed rapid and accurate localization of the sensorimotor hand area: (1) the P2 recorded from the postcentral gyrus had a positivity of 49.0 microV on the average with a mean latency of 26.9 msec; (2) the N1 and P2 consistently showed phase-reversal across the Rolandic fissure; and (3) maximum
SEP
amplitudes were recorded from the hand representation area of the sensorimotor cortex. The neurophysiological and neurosurgical results demonstrate the feasibility of recording cortical
SEP
's under general anesthesia and the improvement of safety in surgical excisions near the sensorimotor cortex.
...
PMID:Intraoperative localization of sensorimotor cortex by cortical somatosensory evoked potentials. 168 49
The effects of gamma-vinyl GABA (GVG) and carbamazepine (CBZ) monotherapy on somatosensory (
SEP
) and visual (VEP) evoked potentials and spectral quantitative EEG (QEEG) were studied in 17 patients with
complex partial seizures
using a cross-over double-blind study design. CBZ was associated with statistically significant prolongation of
SEP
latencies. When the drug was switched to GVG, shortening of the peak latencies was observed. Prolonged pattern-VEP peaks were observed both during CBZ and GVG monotherapies. A similar but more subtle tendency of the peaks was observed in P100 latencies. Spectral EEG revealed a slowing of the occipital rhythm with CBZ. No QEEG changes related to GVG were found. The use of multimodal evoked potentials and QEEG should be considered in studying the effects of new antiepileptic drugs (AEDs).
...
PMID:Electrophysiologic effects of gamma-vinyl GABA and carbamazepine. 292 44