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International audience; In epileptic patients candidate to surgery, the interpretation of EEG signals recorded either within (depth EEG) or at the surface (scalp EEG) of the head is a crucial issue to determine epileptogenic brain regions and to define subsequent surgical strategy. This task remains difficult as there is no simple relationship between the spatiotemporal features of neuronal generators (convoluted cortical dipole layers) and the electric field potentials recorded by the electrodes. Indeed, this relationship depends on the complex interaction of several factors regarding involved cortical sources: location, area, geometry, and synchronization of neuronal activity. A computational model is proposed to address this issue. It relies on a neurophysiologically relevant model of EEG signals, which combines an accurate description of both the intracerebral sources of activity and the transfer function between dipole layers and recorded field potentials. The model is used, on the one hand, to quantitatively study the influence of source-related parameters on the properties of simulated signals, and on the other hand, to jointly analyze depth EEG and scalp EEG signals. In this article, the authors review some of the results obtained from the model with respect to the literature on the interpretation of EEG signals in the context of epilepsy.

International audience; Different lines of evidence have suggested an involvement of the insular cortex in pain processing. Direct electrical stimulation (ES) of the human insular cortex during surgical procedure sometimes induces painful sensations and painful stimuli induce activation of the insular cortex as shown by functional neuroimaging. Invasive evaluation of epileptic patients by deep brain stereotactically implanted electrodes provides an opportunity to analyze responses induced by ES of the insular cortex in awake and fully conscious patients. For this study, we included 25 patients suffering from drug refractory focal epilepsy with at least one electrode stereotactically implanted in the insular cortex using an oblique approach (transfrontal or transparietal). Out of the 83 responses induced by insular ES, eight (9.6%) were reported by five patients as painful sensations. Four were restricted to the cephalic region and four were felt on the ipsilateral or bilateral upper limbs, the shoulders and the trunk (pinprick sensations). The eight stimulation sites were anatomically localized via image fusion between pre-implantation 3D MRI and post-implantation 3D CT scans revealing the electrode contacts. All sites inducing painful sensations were restricted to the upper portion of the middle short gyrus of the insula. The findings of this study suggest that middle short gyrus is involved in the processing of pain-producing stimuli.