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Yuto Suzuki, Rei Enatsu, Aya Kanno, Rintaro Yokoyama, Hime Suzuki, Shunsuke Tachibana, Yukinori Akiyama, Takeshi Mikami, Satoko Ochi, Michiaki Yamakage, Nobuhiro Mikuni
BACKGROUND: Previous studies have reported the usefulness of intraoperative cortico-cortical evoked potentials (CCEP) for preserving language function during brain surgery. OBJECTIVE: This study aimed to assess the influence of depth of anesthesia on CCEP to establish its clinical utility. METHODS: Twenty patients with brain tumors or epilepsy who underwent awake craniotomy were included in this study. Before resection, the electrode plates were placed on the frontal and temporo-parietal cortices, and 1-Hz alternating electrical stimuli were delivered to the pars opercularis/pars triangularis (pO/pT) in a bipolar fashion...
December 18, 2018: World Neurosurgery
Lawrence J Crowther, Peter Brunner, Christoph Kapeller, Christoph Guger, Kyousuke Kamada, Marjorie E Bunch, Bridget K Frawley, Timothy M Lynch, Anthony L Ritaccio, Gerwin Schalk
BACKGROUND: Electrical stimulation of the cortex using subdurally implanted electrodes can causally reveal structural connectivity by eliciting cortico-cortical evoked potentials (CCEPs). While many studies have demonstrated the potential value of CCEPs, the methods to evaluate them were often relatively subjective, did not consider potential artifacts, and did not lend themselves to systematic scientific investigations. NEW METHOD: We developed an automated and quantitative method called SIGNI (Stimulation-Induced Gamma-based Network Identification) to evaluate cortical population-level responses to electrical stimulation that minimizes the impact of electrical artifacts...
January 1, 2019: Journal of Neuroscience Methods
Aya Kanno, Rei Enatsu, Satoshi Ookawa, Shouhei Noshiro, Shunya Ohtaki, Kengo Suzuki, Yuto Suzuki, Rintaro Yokoyama, Satoko Ochi, Yukinori Akiyama, Takeshi Mikami, Takuro Nakae, Takayuki Kikuchi, Takeharu Kunieda, Susumu Miyamoto, Riki Matsumoto, Nobuhiro Mikuni
BACKGROUND: The connection between the ventrolateral frontal and temporoparietal cortices has an important role in language function on the language-dominant side and spatial awareness on the nondominant side. However, the laterality of these pathways remains controversial. We investigated the laterality of this connection using corticocortical-evoked potentials (CCEPs). METHODS: From April 2014 to March 2016, 27 patients who had undergone frontotemporal craniotomy were enrolled...
December 2018: World Neurosurgery
Lena Trebaul, Pierre Deman, Viateur Tuyisenge, Maciej Jedynak, Etienne Hugues, David Rudrauf, Manik Bhattacharjee, François Tadel, Blandine Chanteloup-Foret, Carole Saubat, Gina Catalina Reyes Mejia, Claude Adam, Anca Nica, Martin Pail, François Dubeau, Sylvain Rheims, Agnès Trébuchon, Haixiang Wang, Sinclair Liu, Thomas Blauwblomme, Mercedes Garcés, Luca De Palma, Antonio Valentin, Eeva-Liisa Metsähonkala, Ana Maria Petrescu, Elizabeth Landré, William Szurhaj, Edouard Hirsch, Luc Valton, Rodrigo Rocamora, Andreas Schulze-Bonhage, Ioana Mindruta, Stefano Francione, Louis Maillard, Delphine Taussig, Philippe Kahane, Olivier David
In patients with pharmaco-resistant focal epilepsies investigated with intracranial electroencephalography (iEEG), direct electrical stimulations of a cortical region induce cortico-cortical evoked potentials (CCEP) in distant cerebral cortex, which properties can be used to infer large scale brain connectivity. In 2013, we proposed a new probabilistic functional tractography methodology to study human brain connectivity. We have now been revisiting this method in the F-TRACT project ( by developing a large multicenter CCEP database of several thousand stimulation runs performed in several hundred patients, and associated processing tools to create a probabilistic atlas of human cortico-cortical connections...
November 1, 2018: NeuroImage
Corey J Keller, Yuhao Huang, Jose L Herrero, Maria E Fini, Victor Du, Fred A Lado, Christopher J Honey, Ashesh D Mehta
How does human brain stimulation result in lasting changes in cortical excitability? Uncertainty on this question hinders the development of personalized brain stimulation therapies. To characterize how cortical excitability is altered by stimulation, we applied repetitive direct electrical stimulation in eight human subjects (male and female) undergoing intracranial monitoring. We evaluated single-pulse corticocortical-evoked potentials (CCEPs) before and after repetitive stimulation across prefrontal ( n = 4), temporal ( n = 1), and motor ( n = 3) cortices...
June 6, 2018: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
Nan Zhang, Bingqing Zhang, Gary B Rajah, Xiaokun Geng, Rasanjeet Singh, Yanfeng Yang, Xiupeng Yan, Zhe Li, Wenjing Zhou, Yuchuan Ding, Wei Sun
Objective The aim of the study was to evaluate the parameters for localizing the seizure onset zone in refractory epilepsy patients using cortico-cortical evoked potentials (CCEP). Methods Fifteen patients (nine females) with medically refractory partial epilepsy underwent stereo electro encephalography (SEEG) in Tsinghua University Yu-Quan Hospital from 2015 to 2016. Clinical semiology and, scalp electroencephalography (EEG) findings were analyzed during phase I preoperative evaluation. During phase II evaluation, localization of seizure onset zone (SOZ) was analyzed using SEEG by experienced epileptologists...
June 2018: Neurological Research
Christopher S Parker, Jonathan D Clayden, M Jorge Cardoso, Roman Rodionov, John S Duncan, Catherine Scott, Beate Diehl, Sebastien Ourselin
Patients with medically-refractory focal epilepsy may be candidates for neurosurgery and some may require placement of intracranial EEG electrodes to localise seizure onset. Assessing cerebral responses to single pulse electrical stimulation (SPES) may give diagnostically useful data. SPES produces cortico-cortical evoked potentials (CCEPs), which infer effective brain connectivity. Diffusion-weighted images and tractography may be used to estimate structural brain connectivity. This combination provides the opportunity to observe seizure onset and its propagation throughout the brain, spreading contiguously along the cortex explored with electrodes, or non-contiguously...
2018: NeuroImage: Clinical
Kiyohide Usami, Griffin W Milsap, Anna Korzeniewska, Maxwell J Collard, Yujing Wang, Ronald P Lesser, William S Anderson, Nathan E Crone
Any given area in human cortex may receive input from multiple, functionally heterogeneous areas, potentially representing different processing threads. Alpha (8-13 Hz) and beta oscillations (13-20 Hz) have been hypothesized by other investigators to gate local cortical processing, but their influence on cortical responses to input from other cortical areas is unknown. To study this, we measured the effect of local oscillatory power and phase on cortical responses elicited by single-pulse electrical stimulation (SPES) at distant cortical sites, in awake human subjects implanted with intracranial electrodes for epilepsy surgery...
January 24, 2018: Cerebral Cortex
Kyle J M Bishop, Aaron M Drews, Charles A Cartier, Shashank Pandey, Yong Dou
Contact charge electrophoresis (CCEP) uses steady electric fields to drive the oscillatory motion of conductive particles and droplets between two or more electrodes. In contrast to traditional forms of electrophoresis and dielectrophoresis, CCEP allows for rapid and sustained particle motions driven by low-power dc voltages. These attributes make CCEP a promising mechanism for powering active components for mobile microfluidic technologies. This Feature Article describes our current understanding of CCEP as well as recent strategies to harness it for applications in microfluidics and beyond...
June 5, 2018: Langmuir: the ACS Journal of Surfaces and Colloids
Arezou Bayat, Sweta Joshi, Sahar Jahan, Phillip Connell, Komei Tsuchiya, David Chau, Tanvir Syed, Patrick Forcelli, Mohamad Z Koubeissi
OBJECTIVE: The claustrum has been implicated in consciousness, and MRIs of patients with status epilepticus have shown increased claustral signal intensity. In an attempt to investigate the role of claustrum in cognition and seizures, we (1) assessed the effect of high-frequency stimulation (HFS) of the claustrum on performance in the operant chamber; (2) studied interclaustral and claustrohippocampal connectivity through cerebro-cerebral evoked potentials (CCEPs); and (3) investigated the role of claustrum in kainate-induced (KA) seizures...
February 2018: Epilepsy Research
David Prime, David Rowlands, Steven O'Keefe, Sasha Dionisio
This review aims to highlight key considerations when performing cortico-cortical evoked potentials (CCEPs) using stereo-electroencephalography (SEEG) for network mapping and show its clinical applicability to presurgical evaluations. The parameters for performing stimulation and safety aspects have been investigated in electrocorticography (ECoG) and deep brain stimulation (DBS), but not as extensively in SEEG. A review of current literature was performed, with an attempt made to emphasize practical insights from all modalities of intracranial stimulation...
January 2018: Epilepsia
Pierre Mégevand, David M Groppe, Stephan Bickel, Manuel R Mercier, Matthew S Goldfinger, Corey J Keller, László Entz, Ashesh D Mehta
Brain stimulation is increasingly viewed as an effective approach to treat neuropsychiatric disease. The brain's organization in distributed networks suggests that the activity of a remote brain structure could be modulated by stimulating cortical areas that strongly connect to the target. Most connections between cerebral areas are asymmetric, and a better understanding of the relative direction of information flow along connections could improve the targeting of stimulation to influence deep brain structures...
December 2017: Brain Connectivity
Satoshi Ookawa, Rei Enatsu, Aya Kanno, Satoko Ochi, Yukinori Akiyama, Tamaki Kobayashi, Yukihiro Yamao, Takayuki Kikuchi, Riki Matsumoto, Takeharu Kunieda, Nobuhiro Mikuni
BACKGROUND: The frontal aslant tract is a deep frontal pathway connecting the superior frontal gyrus (SFG) to Broca area. This fiber is assumed to be associated with language functions, especially speech initiation and spontaneity. The aim of this study was to electrophysiologically investigate this network using corticocortical evoked potentials (CCEPs). METHODS: This study enrolled 8 patients with brain tumors or medically intractable focal epilepsies who underwent frontal craniotomy over the language-dominant side...
November 2017: World Neurosurgery
Julien Krieg, Laurent Koessler, Jacques Jonas, Sophie Colnat-Coulbois, Jean-Pierre Vignal, Christian G Bénar, Louis G Maillard
The temporal lobe is classically divided in two functional systems: the ventral visual pathway and the medial temporal memory system. However, their functional separation has been challenged by studies suggesting that the medial temporal lobe could be best understood as an extension of the hierarchically organized ventral visual pathway. Our purpose was to investigate (i) whether cerebral regions within the temporal lobe could be grouped into distinct functional assemblies, and (ii) which regions were central within these functional assemblies...
November 1, 2017: NeuroImage
Katsuya Kobayashi, Riki Matsumoto, Masao Matsuhashi, Kiyohide Usami, Akihiro Shimotake, Takeharu Kunieda, Takayuki Kikuchi, Kazumichi Yoshida, Nobuhiro Mikuni, Susumu Miyamoto, Hidenao Fukuyama, Ryosuke Takahashi, Akio Ikeda
OBJECTIVE: We aimed to clarify that high frequency activity (HFA) of cortico-cortical evoked potentials (CCEPs), elicited by single pulse electrical stimulation (SPES), reflects cortical excitability. METHODS: We recruited 16 patients with refractory partial epilepsy who had chronic subdural electrode implantation for presurgical evaluation. A repetitive SPES was given to (1) the seizure onset zone (SOZ) and (2) the control cortices (non-seizure onset zone: nSOZ)...
September 2017: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
John S Carlson, Mary A Mackrain, Laurie A van Egeren, Holly Brophy-Herb, Rosalind H Kirk, Deb Marciniak, Sheri Falvay, Yan Zheng, Stacy L Bender, Betty Tableman
State- and local-level mental health administrators and practitioners can work collaboratively to provide effective early childhood mental health consultation (ECMHC) services that address the growing need in communities to promote healthy socioemotional functioning in infants and young children and prevent longer term mental health challenges. This article describes one state's model of ECMHC, the Child Care Expulsion Prevention Program (CCEP), as well as preliminary evaluation findings on consultants' fidelity to the developed approach to service within 31 counties in Michigan...
May 2012: Infant Mental Health Journal
Kiyohide Usami, Riki Matsumoto, Katsuya Kobayashi, Takefumi Hitomi, Masao Matsuhashi, Akihiro Shimotake, Takayuki Kikuchi, Kazumichi Yoshida, Takeharu Kunieda, Nobuhiro Mikuni, Susumu Miyamoto, Ryosuke Takahashi, Akio Ikeda
Study Objectives: To investigate the changes in cortical neural responses induced by external inputs during phasic rapid eye movement (p-REM) sleep. Methods: Single-pulse electrical stimulation (SPES) was directly applied to the human cortex during REM sleep through subdural electrodes, in seven patients who underwent invasive presurgical evaluation for intractable partial epilepsy. SPES was applied to parts of the cortex through the subdural electrodes, and induced cortical responses were recorded from adjacent and remote cortical areas...
August 1, 2017: Sleep
Seijiro Shimada, Naoto Kunii, Kensuke Kawai, Takeshi Matsuo, Yohei Ishishita, Kenji Ibayashi, Nobuhito Saito
OBJECTIVE: Cortico-cortical evoked potential (CCEP) has been utilized to evaluate connectivity between cortices. However, previous reports have rarely referred to the impact of volume-conducted potential (VCP) which must be a confounding factor of large potential around the stimulation site. To address this issue, we challenged the null hypothesis that VCP accounts for the majority of the recorded potential, particularly around the stimulation site. METHODS: CCEP was recorded with high-density intracranial electrodes in 8 patients with intractable epilepsy...
April 2017: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
Xing Wang, Sharjeel A Chaudhry, Wensheng Hou, Xiaofeng Jia
Stroke leads to serious long-term disability. Electrical epidural cortical stimulation has made significant improvements in stroke rehabilitation therapy. We developed a preliminary wireless implantable passive interface, which consists of a stimulating surface electrode, receiving coil, and single flexible passive demodulated circuit printed by flexible printed circuit (FPC) technique and output pulse voltage stimulus by inductively coupling an external circuit. The wireless implantable board was implanted in cats' unilateral epidural space for electrical stimulation of the primary visual cortex (V1) while the evoked responses were recorded on the contralateral V1 using a needle electrode...
February 5, 2017: International Journal of Molecular Sciences
Yukihiro Yamao, Kengo Suzuki, Takeharu Kunieda, Riki Matsumoto, Yoshiki Arakawa, Takuro Nakae, Sei Nishida, Rika Inano, Sumiya Shibata, Akihiro Shimotake, Takayuki Kikuchi, Nobukatsu Sawamoto, Nobuhiro Mikuni, Akio Ikeda, Hidenao Fukuyama, Susumu Miyamoto
In order to preserve postoperative language function, we recently proposed a new intraoperative method to monitor the integrity of the dorsal language pathway (arcuate fasciculus; AF) using cortico-cortical evoked potentials (CCEPs). Based on further investigations (20 patients, 21 CCEP investigations), including patients who were not suitable for awake surgery (five CCEP investigations) or those without preoperative neuroimaging data (eight CCEP investigations including four with untraceable tractography due to brain edema), we attempted to clarify the clinical impact of this new intraoperative method...
April 2017: Human Brain Mapping
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