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Updated: Feb 3, 2026

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Non-restraining EEG Radiotelemetry: Epidural and Deep Intracerebral Stereotaxic EEG Electrode Placement
Published on: June 25, 2016
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Relationship Between EEG Electrode and Functional Cortex in the International 10 to 20 System
Victoria L Ives-Deliperi1, James Thomas Butler1,2
1Department of Neurology, University of Cape Town, Cape Town, South Africa.
Summary
Scalp EEG electrode placement shows significant variability relative to eloquent brain areas. This anatomical difference may impact clinical interpretations, especially in epilepsy surgery.
Area of Science:
- Neuroscience
- Medical Imaging
- Electrophysiology
Background:
- Understanding the precise relationship between scalp electroencephalography (EEG) electrodes and underlying cortical function is crucial.
- Variability in this anatomical relationship can affect the accuracy of EEG interpretations.
Purpose of the Study:
- To quantify the anatomical variability between scalp EEG electrode positions and functionally defined eloquent cortical areas using functional magnetic resonance imaging (fMRI).
Main Methods:
- MRI-compatible fiducial markers were placed at standard EEG electrode locations (Cz, C3/C4, T3/T4, F7/F8) in 10 healthy subjects.
- fMRI was used to identify BOLD signal changes in primary motor and language cortices during specific activation paradigms.
- Distances between fiducial markers and activated brain regions were measured.
Main Results:
- Distances between EEG electrode locations and the BOLD signal in motor and language cortices ranged from 16 to 42 mm.
- The distance from the skin to the underlying cortex accounted for 11 to 21 mm of this measurement.
- Significant variability was observed in the electrode-to-cortex distances.
Conclusions:
- Considerable anatomical variation exists between scalp EEG electrode positions and fMRI-defined eloquent cortex.
- This variability may be underestimated in patient populations with neurological disorders like epilepsy.
- The findings highlight the potential clinical and surgical importance of electrode placement variability in relation to cortical function.
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