2017年9月
We could predict good responders to vagus nerve stimulation: A surrogate marker by slow cortical potential shift.
Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology
- 巻
- 128
- 号
- 9
- 開始ページ
- 1583
- 終了ページ
- 1589
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.1016/j.clinph.2017.05.019
- 出版者・発行元
- ELSEVIER IRELAND LTD
OBJECTIVE: We investigated whether vagus nerve stimulation (VNS) induces a positive shift of slow cortical potentials (SCPs) in patients with >50% seizure reduction (responders) but not in non-responders. METHODS: We analyzed routine clinical electroencephalograms (EEGs) from 24 patients who were undergoing seizure treatment by VNS. The patients were divided into 2 groups by hardware time constant (TC) of EEG: the TC 10-s group (10 patients) and TC 2-s group (14 patients). We compared SCPs at 5 electrodes (Cz and adjacent ones) between the 2 states of VNS: during stimulation and between stimulations. Seizure reduction was independently judged. Correlation between SCP (positivity or not) and seizure reduction (>50% or not) was estimated. RESULTS: In the TC 10-s group, the correlation between SCP and seizure reduction was significant (p<0.05) (i.e., both good results in 4 and both negative results in 5). In TC 2-s group, the correlation between SCP and seizure reduction was not significant (p=0.209). CONCLUSIONS: A positive shift of SCP recorded by using a TC of 10s could be a surrogate marker for VNS response. SIGNIFICANCE: SCP could be a biomarker of good responders to VNS.
- リンク情報
- ID情報
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- DOI : 10.1016/j.clinph.2017.05.019
- ISSN : 1388-2457
- eISSN : 1872-8952
- PubMed ID : 28709124
- Web of Science ID : WOS:000415742000007