The purpose of this project is to evaluate the contributions of Magnetoencephalography (MEG) to the surgical management of epilepsy. Specifically, we propose the following: First, to estimate the relative accuracy of MEG, as compared to that of surface and invasive electrophysiology, in identifying epileptogenic zones to be resected in patients with focal epilepsy. Second, to explore the possibility that identification of epileptogenic zones based on MEG data combined with data from other standard non-invasive diagnostic procedures and data from the Wada procedure may, in some cases, be sufficiently accurate to obviate the need for invasive electrophysiology. In addition, we propose to examine whether judgements of differential hemispheric involvement in language and memory derived from MEG data concur with those routinely derived from Wada procedure. Finally, incidental to addressing the above main questions, we will also address the question as to whether MEG influences the planning of invasive electrophysiological procedures and we will explore alternative ways of improving its diagnostic accuracy by considering alternative, not yet standardized modes of MEG data collection and analysis.

Agency
National Institute of Health (NIH)
Institute
National Institute of Neurological Disorders and Stroke (NINDS)
Type
Research Project (R01)
Project #
1R01NS037941-01A2
Application #
6041576
Study Section
Special Emphasis Panel (ZRG1-BDCN-1 (01))
Program Officer
Fureman, Brandy E
Project Start
2000-02-15
Project End
2003-12-31
Budget Start
2000-02-15
Budget End
2000-12-31
Support Year
1
Fiscal Year
2000
Total Cost
$647,747
Indirect Cost
Name
University of Texas Health Science Center Houston
Department
Neurosurgery
Type
Schools of Medicine
DUNS #
City
Houston
State
TX
Country
United States
Zip Code
77225
Papanicolaou, Andrew C; Pataraia, Ekaterina; Billingsley-Marshall, Rebecca et al. (2005) Toward the substitution of invasive electroencephalography in epilepsy surgery. J Clin Neurophysiol 22:231-7
Simos, Panagiotis G; Sarkari, Shirin; Castillo, Eduardo M et al. (2005) Reproducibility of measures of neurophysiological activity in Wernicke's area: a magnetic source imaging study. Clin Neurophysiol 116:2381-91
Pataraia, E; Billingsley-Marshall, R L; Castillo, E M et al. (2005) Organization of receptive language-specific cortex before and after left temporal lobectomy. Neurology 64:481-7
Breier, Joshua I; Castillo, Edwardo M; Simos, Panagiotis G et al. (2005) Atypical language representation in patients with chronic seizure disorder and achievement deficits with magnetoencephalography. Epilepsia 46:540-8
Papanicolaou, Andrew C; Simos, Panagiotis G; Castillo, Eduardo M et al. (2004) Magnetocephalography: a noninvasive alternative to the Wada procedure. J Neurosurg 100:867-76
Castillo, Eduardo M; Simos, Panagiotis G; Wheless, James W et al. (2004) Integrating sensory and motor mapping in a comprehensive MEG protocol: clinical validity and replicability. Neuroimage 21:973-83
Valaki, C E; Maestu, F; Simos, P G et al. (2004) Cortical organization for receptive language functions in Chinese, English, and Spanish: a cross-linguistic MEG study. Neuropsychologia 42:967-79
Pataraia, E; Simos, P G; Castillo, E M et al. (2004) Does magnetoencephalography add to scalp video-EEG as a diagnostic tool in epilepsy surgery? Neurology 62:943-8
Pataraia, E; Simos, P G; Castillo, E M et al. (2004) Reorganization of language-specific cortex in patients with lesions or mesial temporal epilepsy. Neurology 63:1825-32
Billingsley, R L; Simos, P G; Castillo, E M et al. (2004) Spatio-temporal cortical dynamics of phonemic and semantic fluency. J Clin Exp Neuropsychol 26:1031-43

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