EEG Spectral Exponents and Visual Chirp Responses Mirror Anti‐Seizure Medication Load in Refractory Focal Epilepsy
Annals of Clinical and Translational Neurology,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 21, 2025
ABSTRACT
Objective
Quantitative
markers
of
cortical
excitability
may
help
identify
responders
to
anti‐seizure
medications
(ASMs).
We
studied
the
relationship
between
ASM
load
and
two
electroencephalography
(EEG)
in
people
with
refractory
epilepsy.
Methods
included
individuals
focal
epilepsy
undergoing
presurgical
evaluation,
involving
tapering
sleep
deprivation.
obtained
daily
resting
state
EEG
responses
visual
stimulation
at
linearly
increasing
flash
frequency
(10–40
Hz
chirp).
extracted
aperiodic
exponent
from
power
spectra
analysed
chirp
response
driving
second‐order
harmonic
frequencies.
modelled
load,
which
we
related
using
linear
mixed‐effects
regression.
Results
Forty‐eight
subjects
(median
age
34
years,
range
16–62
19
females)
participated.
The
spectral
became
less
negative
reduction
(
p
=
0.02),
mainly
attributable
reduced
low‐frequency
power.
Lowering
increased
0.004),
also
after
accounting
for
deprivation
but
did
not
affect
response.
specifically
high
frequencies
(27–40
Hz,
0.01).
Interpretation
Resting
exponents
reflect
Low‐frequency
changes
only
mirror
ASM‐induced
slowing.
Visual
reveals
enhanced
during
low
loads,
likely
due
both
gamma
activity
perturbations.
Implementation
would
need
normative
values
reduce
delay
individually
optimised
treatment
regimens.
Language: Английский
Cerebellar Contributions to Hypokinetic Symptoms in an Acute Lesion Parkinsonism Model
Neurology International,
Journal Year:
2025,
Volume and Issue:
17(5), P. 72 - 72
Published: May 7, 2025
Background:
Parkinsonism,
characterized
by
motor
symptoms,
is
typically
attributed
to
basal
ganglia
dysfunction.
Recent
evidence
suggests
that
the
cerebellum
may
also
influence
these
symptoms.
This
study
investigated
Crus
II,
dentate
nucleus
(DN),
and
inferior
olive
(IO)
in
a
rat
model
of
parkinsonism
induced
bilateral
ventrolateral
striatal
(VLS)
lesion.
Materials
Methods:
Twenty-four
male
Wistar
rats
were
divided
into
control
(n
=
12)
experimental
groups.
Monopolar
electrodes
implanted
target
structures.
The
group
received
VLS
Animals
underwent
four
weekly
sessions
electrophysiological
recordings
blind
behavioral
assessments
(resting,
grooming,
locomotion,
rearing,
sniffing)
via
video
tracking.
Power
spectral
density
(PSD)
300–500
Hz
band
was
computed.
Statistical
analyses
included
Mann–Whitney
U,
Friedman
with
Wilcoxon
post
hoc,
Spearman
correlation
tests.
Results:
During
weeks
one
two,
there
significant
PSD
increases
compared
control,
particularly
II—grooming
(p
0.005),
locomotion
0.007),
rearing
0.026);
IO—sniffing
0.0167);
DN—grooming
<
0.001)
0.0008).
Additionally,
intragroup
analysis
revealed
elevations
relative
baseline
Significant
correlations
observed
only
for
grooming
(negative
correlations)
sniffing
(positive
across
all
cerebellar
regions.
Conclusions:
These
findings
suggest
compensatory
hyperactivity
lesion,
potentially
modulating
hypokinetic
symptoms
highlighting
dynamic
network
interactions.
Interpretation
warrants
caution
due
limitations
inherent
acute
lesion
duration.
Language: Английский
Reduced Cortical Excitability is Associated with Cognitive Symptoms in Concussed Adolescent Football Players
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Sept. 24, 2024
Abstract
Background
American
tackle
football
is
associated
with
high
rates
of
concussion,
leading
to
neurophysiological
disturbances
and
debilitating
clinical
symptoms.
Previous
investigations
the
effects
concussion
have
largely
ignored
aperiodic
activity,
which
a
marker
cortical
excitability.
Purpose
We
examined
whether
during
season
school
related
changes
in
periodic
activity
any
such
are
outcomes.
Materials
Methods
Pre-
post-season
resting-state
magnetoencephalography
(MEG)
data
were
collected
from
91
players
over
as
many
four
seasons
play,
for
total
278
collections.
During
these
cohort
10
individuals
diagnosed
concussion.
MEG
source-imaged,
frequency-transformed
parameterized,
linear
mixed
models
used
examine
on
pre-to-post-season
activity.
Scores
Post-Concussive
Symptom
Inventory
correlated
determine
their
relevance.
Results
Concussion
was
increased
exponents
superior
frontal
cortices,
indicating
relative
reduction
This
slowing
neurophysiology
mediated
raw
delta
gamma
power
worse
cognitive
concerns
across
participants.
Pre-to-post-season
aperiodic-corrected
alpha
theta
rhythmic
also
decreased
posterior
cortices
concussed
players.
Conclusion
These
findings
indicate
that
alters
both
excitability
signaling
cortex,
differing
spatial
topographies
implications
Key
reduces
cortices.
accounts
canonical
power.
Concussion-related
symptom
severity.
Language: Английский