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Nasopharyngeal electrodes in temporal lobe epilepsy: A reappraisal of their diagnostic utility
DC Field | Value | Language |
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dc.contributor.author | 김혜인 | - |
dc.contributor.author | 조규호 | - |
dc.contributor.author | 조양제 | - |
dc.contributor.author | 허경 | - |
dc.date.accessioned | 2021-09-29T00:55:17Z | - |
dc.date.available | 2021-09-29T00:55:17Z | - |
dc.date.issued | 2021-07 | - |
dc.identifier.issn | 1388-2457 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/184106 | - |
dc.description.abstract | Objective: To compare electroencephalography (EEG) recordings with nasopharyngeal electrodes (NPEs) plus anterior temporal electrodes (ATEs) (NPE recordings) and those with only ATEs (non-NPE recordings) for the detection of interictal epileptiform discharges (IEDs) in patients with suspected temporal lobe epilepsy (TLE). Methods: We retrospectively analyzed the initial EEGs of 229 patients that were recorded simultaneously with ATEs and NPEs in addition to the electrodes of the 10-20 system of electrode placement. Two data sets of NPE and non-NPE recordings were reviewed independently by three interpreters with differing degrees of experience. Discordant findings in the interpretation among the three interpreters were resolved by a consensus to yield final results. Results: IEDs were detected in 76.4% of patients with NPE recordings compared to 55.5% with non-NPE recordings (p < 0.01). Bilateral independent IEDs were found in 26.2% and 11.4% of EEGs with NPE and non-NPE recordings (p < 0.01). The degree of agreement for the detection of IEDs among the three interpreters was higher with the NPE than with non-NPE recordings (κappa score, 0.70 vs. 0.54). The increased diagnostic yield of NPE recordings for the detection of IEDs was particularly prominent in patients with mesial and non-lesional TLEs. Conclusions: EEG recordings using NPEs are useful to improve the sensitivity and level of agreement among interpreters for the detection of IEDs in patients with TLE. Significance: NPE recordings may be recommended in routine EEGs for the evaluation of patients with suspected TLE. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Elsevier | - |
dc.relation.isPartOf | CLINICAL NEUROPHYSIOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Nasopharyngeal electrodes in temporal lobe epilepsy: A reappraisal of their diagnostic utility | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurology (신경과학교실) | - |
dc.contributor.googleauthor | Soo Hwan Yim | - |
dc.contributor.googleauthor | Kyoo Ho Cho | - |
dc.contributor.googleauthor | Yun Ho Choi | - |
dc.contributor.googleauthor | Hye Ihn Kim | - |
dc.contributor.googleauthor | Yang-Je Cho | - |
dc.contributor.googleauthor | Kyoung Heo | - |
dc.identifier.doi | 10.1016/j.clinph.2021.02.395 | - |
dc.contributor.localId | A04740 | - |
dc.contributor.localId | A03811 | - |
dc.contributor.localId | A03851 | - |
dc.contributor.localId | A04341 | - |
dc.relation.journalcode | J00592 | - |
dc.identifier.eissn | 1872-8952 | - |
dc.identifier.pmid | 33896694 | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S1388245721004934 | - |
dc.subject.keyword | EEG | - |
dc.subject.keyword | Interictal epileptiform discharges | - |
dc.subject.keyword | Interrater agreement | - |
dc.subject.keyword | Nasopharyngeal electrode | - |
dc.subject.keyword | Temporal lobe epilepsy | - |
dc.contributor.alternativeName | Kim, Hye Ihn | - |
dc.contributor.affiliatedAuthor | 김혜인 | - |
dc.contributor.affiliatedAuthor | 조규호 | - |
dc.contributor.affiliatedAuthor | 조양제 | - |
dc.contributor.affiliatedAuthor | 허경 | - |
dc.citation.volume | 132 | - |
dc.citation.number | 7 | - |
dc.citation.startPage | 1741 | - |
dc.citation.endPage | 1751 | - |
dc.identifier.bibliographicCitation | CLINICAL NEUROPHYSIOLOGY, Vol.132(7) : 1741-1751, 2021-07 | - |
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