Time-varying inter-hemispheric coherence during corpus callosotomy

Eiichi Okumura, Masaki Iwasaki, Rie Sakuraba, Izumi Itabashi, Shin ichiro Osawa, Kazutaka Jin, Hisashi Itabashi, Kazuhiro Kato, Akitake Kanno, Teiji Tominaga, Nobukazu Nakasato

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)

Abstract

Objective: Corpus callosotomy limits the bilateral synchrony of epileptic discharges. However, the instantaneous changes in bilateral synchrony during corpus callosotomy are unclear. The present study investigated how and when bilateral synchrony is suppressed in the anterior and then posterior steps of corpus callosotomy. Methods: Intra-operative scalp electroencephalography (EEG) was recorded simultaneously with surgical video for six patients who underwent total corpus callosotomy for medically intractable drop attacks. The time-varying EEG inter-hemispheric coherence was quantified by wavelet transform coherence and trend analysis. Results: The 4-13. Hz coherence decreased after corpus callosotomy in five patients. Significant decrease in coherence was observed only during the posterior step of callosal sectioning in three patients, but throughout both steps in two patients. Conclusions: Decrease in inter-hemispheric coherence is not always correlated with the stages of callosal sectioning. Inter-hemispheric coherence is decreased during the final stage of corpus callosotomy and the effect is maximized after sectioning is completed. Significance: Various patterns of coherence decrease suggest individual variations in the participation of the corpus callosum in the genesis of bilateral synchrony. Time-varying inter-hemispheric EEG coherence is useful to monitor the physiological completeness of corpus callosotomy.

Original languageEnglish
Pages (from-to)2091-2100
Number of pages10
JournalClinical Neurophysiology
Volume124
Issue number11
DOIs
Publication statusPublished - 2013 Nov 1

Keywords

  • Bilateral synchrony
  • Corpus callosum
  • Epilepsy surgery
  • Intra-operative EEG
  • Trend analysis
  • Wavelet transform coherence

ASJC Scopus subject areas

  • Sensory Systems
  • Neurology
  • Clinical Neurology
  • Physiology (medical)

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