Functional results of electrical cortical stimulation of the lower sensory strip.
The aim of this paper is to provide functional results obtained from electrical cortical stimulation of the lower postcentral gyrus in patients who underwent either lesional or non-lesional epilepsy surgery. Group I (n=393) included those patients with gliosis or normal tissue and Group II (n=107) included patients with space-occupying lesions. For cortical stimulation, a unipolar voltage-controlled electrode was used. The tongue, lip, and hand/finger sequences over the lower postcentral gyrus lateromedially in both groups were in agreement with classic teaching. The presence of structural lesions, such as tumors and dysplasia, did not affect the vertical representation of the body parts on the lower sensory strip. Individual variations, which included mosaicism over the sensory strip, were frequent. Whether the functional variability and mosaicism within the sensory cortex result from a pathological condition or not remains to be elucidated in healthy humans using advanced non-invasive brain mapping techniques.
Tanriverdi
Taner
T
Department of Neurosurgery, Montreal Neurological Institute and Hospital, 3801 rue University, Suite 109, McGill University, Montreal, Quebec H3A-2B4, Canada. tanerato2000@yahoo.com
Al-Jehani
Hosam
H
Poulin
Nicole
N
Olivier
Andre
A
D000344:Afferent Pathways / Q000502:physiology; D017668:Age of Onset; D004558:Electric Stimulation; D004599:Electric Stimulation Therapy; D004827:Epilepsy / Q000601:surgery*; D005260:Female; D005385:Fingers / Q000294:innervation / Q000502:physiology; D007839:Functional Laterality / Q000502:physiology; D006225:Hand / Q000294:innervation / Q000502:physiology; D006801:Humans; D008046:Lip / Q000294:innervation / Q000502:physiology; D008297:Male; D009068:Movement / Q000502:physiology; D013003:Somatosensory Cortex / Q000502:physiology*; D014059:Tongue / Q000294:innervation / Q000502:physiology; D055815:Young Adult