TABLE 1.
Techniques for Intracranial Electrode Placement
Surface electrode grids (eg, 8 × 8, 16 × 16) | Surface electrode strips (eg, 1 × 6, 2 × 14) | Penetrating electrodes (eg DBS electrode, depth electrode for sEEG) | |
---|---|---|---|
Placement | Placed directly over cortical surface after craniotomy | Narrow profile allows for manipulation beyond craniotomy margin or through burr holes | Stereotactic placement under imaging guidance through burr holes or craniotomy |
Risks | Cortical surface exposure; hemorrhage; infection | Cortical surface exposure (if craniotomy is used); hemorrhage; infection; risk of injury to bridging veins when manipulated beyond craniotomy margins | Infection; hemorrhage; local tissue injury from penetrating probes |
Advantages | Extensive exposure of multiple cortical regions simultaneously; usually gyral surface only | Coverage of targeted cortical surface regions not covered by grids or beyond the margins of a craniotomy; reduced cortical surface exposure | 3-D selective sampling of deep and superficial cortex; access to sulci |
Disadvantages | Limited coverage of sulci and areas not directly exposed by craniotomy | Limited coverage of targeted regions | Limited coverage of targeted regions (eg, typically < 5 electrodes in regions of interest) |