title: Time-varying inter-hemispheric coherence during corpus callosotomy.
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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Epileptology, Tohoku University School of Medicine, Sendai, Miyagi, Japan.
authors.forename: Eiichi
authors.initials: E
authors.lastname: Okumura
authors.forename: Masaki
authors.initials: M
authors.lastname: Iwasaki
authors.forename: Rie
authors.initials: R
authors.lastname: Sakuraba
authors.forename: Izumi
authors.initials: I
authors.lastname: Itabashi
authors.forename: Shin-ichiro
authors.initials: S
authors.lastname: Osawa
authors.forename: Kazutaka
authors.initials: K
authors.lastname: Jin
authors.forename: Hisashi
authors.initials: H
authors.lastname: Itabashi
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Kato
authors.forename: Akitake
authors.initials: A
authors.lastname: Kanno
authors.forename: Teiji
authors.initials: T
authors.lastname: Tominaga
authors.forename: Nobukazu
authors.initials: N
authors.lastname: Nakasato
mesh_terms: D002648:Child; D002675:Child, Preschool; D003337:Corpus Callosum / Q000503:physiopathology* / Q000601:surgery*; D004569:Electroencephalography; D004827:Epilepsy / Q000503:physiopathology* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D007839:Functional Laterality; D006801:Humans; D008297:Male; D008959:Models, Neurological; D016343:Monitoring, Intraoperative; D010166:Palliative Care; D013997:Time Factors; D058067:Wavelet Analysis
keywords: Bilateral synchrony; Corpus callosum; Epilepsy surgery; Intra-operative EEG; Trend analysis; Wavelet transform coherence