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NEUROLOGY 1988;38:1705
© 1988 American Academy of Neurology

The magnetic and electric fields agree with intracranial localizations of somatosensory cortex

W. W. Sutherling, MD, P. H. Crandall, MD, T. M. Darcey, PhD, D. P. Becker, MD, M. F. Levesque, MD and D. S. Barth, PhD

Department of Neurology (Drs. Sutherling, Crandall, and Barth), Division of Neurosurgery (Drs. Crandall, Backer, and Levesque), and the Department of Psychology (Dr. Barth), University of California, Los Angeles, CA; and the Neurology Service and Neuropsychology Laboratory, Veterans Administration Hospital, West Haven, and the Yale University School of Medicine (Dr. Darcey), New Haven, CT.

We measured the magnetoencephalogram (MEG), electroencephalogram (EEG), and electrocorticogram (ECoG) after stimulation of contralateral median nerve in four patients with partial epilepsy evaluated for surgery. Quantitative localization estimates from equivalent source modeling were compared with locations of central fissure in hand sensorimotor area determined by cortical stimulations, intraoperative photographs, and examination after excision in frontal lobe. We also measured MEG and EEG in nine control subjects. MEG and EEG localizations were within 2.5 cm of the estimated location of central fissure in all 13 subjects. In the three patients who had complete mapping of all three fields, the average distance of localizations from central fissure was approximately 4 mm in both MEG and EEG, 3 mm in ECoG, and 3 mm in combined MEG and EEG. MEG was simpler than EEG, which was simpler than ECoG. MEG resolved ambiguities in both EEG and ECoG. The combination of the three fields added information about the spatiotemporal activity of somatosensory cortex. Localization of central fissure was essential to surgical treatment.

Address correspondence and reprint requests to Dr. Sutherling, Department of Neurology, UCLA School of Medicine, Reed Neurological Research Center, 710 Westwood Plaza, Los Angeles, CA 90024–1769.

Supported by the National Institute of Neurological and Communicative Disorders and Stroke, Epilepsy Branch, research grant NS20806. Dr. Sutherling is a recipient of a Teacher Investigator Development Award (NS00678) from the National Institute of Neurological and Communicative Disorders and Stroke and a Merritt-Putnam Fellowship from the Epilepsy Foundation of America.

Received February 8, 1988. Accepted for publication in final form April 29, 1988.




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