Gauging and controlling excitability in cortical disorders
Current Opinion in Neurology,
Journal Year:
2025,
Volume and Issue:
38(2), P. 140 - 150
Published: Feb. 17, 2025
Cortical
excitability,
defined
as
the
cortex's
responsiveness
to
incoming
stimuli,
is
a
fundamental
concept
in
neuroscience
and
targetable
mechanism
for
controlling
brain
dysfunctions
such
epilepsy,
well
other
neurological
psychiatric
disorders.
In
this
review,
we
delineate
boundaries
between
physiological
pathological
highlighting
recent
theoretical,
experimental,
translational
advances
relevant
human
Specifically,
describe
dynamic
regulation
of
cortical
excitability
propose
practical
means
monitor
its
known
fluctuations
guide
therapeutic
interventions.
From
conceptual
standpoint,
last
decade
research
on
has
benefited
from
dynamical
systems
theory,
which
studies
behavior
nonlinear
(here,
cortex)
their
resilience
perturbations
different
conditions
variable
excitability).
We
review
how
relationships
were
verified
series
studies.
also
natural
these
may
open
windows
vulnerability
expression
dysfunctions.
then
turn
practicalities
measuring
monitoring
latent
that
must
be
actively
probed.
Practical
gauging
likely
have
broad
applicability.
To
enable
new
developments
clinical
practice,
principled
design
pharmacological
neurostimulation
therapies
leverage
current
understanding
dynamics.
Language: Английский
Dynamic multiday seizure cycles and evolving rhythms in a tetanus toxin rat model of epilepsy
Scientific Reports,
Journal Year:
2025,
Volume and Issue:
15(1)
Published: Feb. 4, 2025
Language: Английский
Epileptiform Activity and Seizure Risk Follow Long‐Term Non‐Linear Attractor Dynamics
Advanced Science,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 7, 2025
Abstract
Many
biological
systems
display
circadian
and
slow
multi‐day
rhythms,
such
as
hormonal
cardiac
cycles.
In
patients
with
epilepsy,
these
cycles
also
manifest
cyclical
fluctuations
in
seizure
propensity.
However,
symptoms
are
consequences
of
the
complex
interactions
between
underlying
physiological,
pathophysiological,
external
causes.
Therefore,
identifying
an
accurate
model
system
that
governs
rhythms
allows
for
a
more
reliable
risk
forecast
targeted
interventions.
The
primary
aim
is
to
develop
personalized
strategy
inferring
long‐term
trajectories
epileptiform
activity
and,
consequently,
individual
undergoing
ECoG
sampling
via
implantable
neurostimulation
devices.
To
achieve
this
goal,
Hankel
alternative
view
Koopman
(HAVOK)
analysis
adopted
approximate
linear
representation
nonlinear
propensity
dynamics.
HAVOK
framework
leverages
theory
delay‐embedding
decompose
chaotic
dynamics
into
leading
delay‐embedded
coordinates
driven
by
low‐energy
coordinate
(i.e.,
forcing).
findings
reveal
topology
attractors
cycles,
showing
seizures
tend
occur
regions
manifold
strongly
Moreover,
it
demonstrated
identified
forcings
short
periods
up
few
days
accurately
predicts
patients'
slower
which
improves
forecasting.
Language: Английский