%0 Journal Article %T Psychogenic Pseudo-responses in an Electrical Cortical Stimulation %A Hime SUZUKI %A Nobuhiro MIKUNI %A Rei ENATSU %A Rintaro YOKOYAMA %A Satoko OCHI %A Tomoaki TAMADA %A Yuto SUZUKI %J Archive of "Neurologia medico-chirurgica". %D 2019 %R 10.2176/nmc.tn.2018-0321 %X An electrical cortical stimulation provides important information for functional brain mapping. However, subjective responses (i.e. sensory, visual, and auditory symptoms) are purely detected by patients¡¯ descriptions, and may be affected by patients¡¯ awareness and intelligence levels. We experienced psychogenic responses in the electrical cortical stimulation of two patients with intractable epilepsy. A sham stimulation was useful for differentiating pseudo-responses from real responses in the electrical cortical stimulation. Inductive questions, long testing durations, and clear cues of stimulation onsets need to be avoided to prevent psychogenic pseudo-responses in the electrical cortical stimulation. Furthermore, a sham stimulation is applicable for detecting pseudo-responses the moment patients show atypical or inexplicable symptoms %K electrical stimulation %K functional mapping %K psychogenic responses %K sham stimulation %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6635144/