Electrical conductivities of the freshly excised cerebral cortex in epilepsy surgery patients; correlation with pathology, seizure duration, and diffusion tensor imaging

Brain Topogr. 2006 Summer;18(4):281-90. doi: 10.1007/s10548-006-0006-x. Epub 2006 Jul 21.

Abstract

The electrical conductivities (sigma) of freshly excised neocortex and subcortical white matter were studied in the frequency range of physiological relevance for EEG (5-1005 Hz) in 21 patients (ages 0.67 to 55 years) undergoing epilepsy neurosurgery. Surgical patients were classified as having cortical dysplasia (CD) or non-CD pathologies. Diffusion tensor imaging (DTI) for apparent diffusion coefficient (ADC) and fractional anisotropy (FA) was obtained in 9 patients. Results found that electrical conductivities in freshly excised neocortex vary significantly from patient to patient (sigma = 0.0660-0.156 S/m). Cerebral cortex from CD patients had increased conductivities compared with non-CD cases. In addition, longer seizure durations positively correlated with conductivities for CD tissue, while they negatively correlated for non-CD tissue. DTI ADC eigenvalues inversely correlated with electrical conductivity in CD and non-CD tissue. These results in a small initial cohort indicate that electrical conductivity of freshly excised neocortex from epilepsy surgery patients varies as a consequence of clinical variables, such as underlying pathology and seizure duration, and inversely correlates with DTI ADC values. Understanding how disease affects cortical electrical conductivity and ways to non-invasively measure it, perhaps through DTI, could enhance the ability to localize EEG dipoles and other relevant information in the treatment of epilepsy surgery patients.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Action Potentials / physiology*
  • Adolescent
  • Adult
  • Algorithms
  • Anisotropy
  • Biopsy
  • Cerebral Cortex / abnormalities
  • Cerebral Cortex / pathology
  • Cerebral Cortex / physiopathology*
  • Child
  • Child, Preschool
  • Diffusion
  • Diffusion Magnetic Resonance Imaging
  • Electroencephalography
  • Epilepsy / diagnosis
  • Epilepsy / physiopathology*
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Magnetoencephalography
  • Male
  • Nerve Fibers, Myelinated / physiology
  • Neural Conduction / physiology*
  • Neural Pathways / pathology
  • Neural Pathways / physiopathology*
  • Statistics as Topic / methods
  • Time Factors