New sphenoidal electrode assembly to permit long-term monitoring of the patient's ictal or interictal EEG

Abstract

A new sphenoidal wire electrode is described which greatly increases the clinical and diagnostic usefulness of sphenoidal electrode recordings. These very fine wire electrodes are easy to insert; they are comfortable and acceptable to the patient. In contrast to sphenoidal needle electrodes they expose the patient to no risk should he have a seizure during recording. These electrodes also allow one to extend the recording time to several days, thus increasing the chances of recording a spontaneous seizure, for instance while the patient's EEG is being recorded with a telemetry system. The extended recording time also allows for continuous automatic sampling of the interictal EEG over a period of several days. The quality and the reliability of the EEG record are also enhanced. The new sphenoidal electrodes have been used on over 100 patients and are now being used routinely on suspected temporal lobe epileptics recorded with conventional techniques, while 50 of the patients have also been recorded with a cable-telemetry seizure monitoring system which has captured 65 spontaneous seizures.