Epilepsia,
Год журнала:
2023,
Номер
64(4), С. 1074 - 1086
Опубликована: Фев. 2, 2023
Abstract
Objective
Understanding
fluctuations
in
seizure
severity
within
individuals
is
important
for
determining
treatment
outcomes
and
responses
to
therapy,
as
well
assessing
novel
treatments
epilepsy.
Current
methods
grading
rely
on
qualitative
interpretations
from
patients
clinicians.
Quantitative
measures
of
would
complement
existing
approaches
electroencephalographic
(EEG)
monitoring,
outcome
prediction.
Therefore,
we
developed
a
library
quantitative
EEG
markers
that
assess
the
spread
intensity
abnormal
electrical
activity
during
after
seizures.
Methods
We
analyzed
intracranial
(iEEG)
recordings
1009
seizures
63
patients.
For
each
seizure,
computed
16
capture
signal
magnitude,
spread,
duration,
postictal
suppression
Results
distinguished
focal
versus
subclinical
across
In
individual
patients,
53%
had
moderate
large
difference
(rank
sum
,
)
between
three
or
more
markers.
Circadian
longer
term
changes
were
found
majority
Significance
demonstrate
feasibility
using
iEEG
measure
severity.
Our
distinguish
types
are
therefore
sensitive
established
differences
results
also
suggest
modulated
over
different
timescales.
envisage
our
proposed
will
be
expanded
updated
collaboration
with
epilepsy
research
community
include
modalities.
Journal of Neuroscience Methods,
Год журнала:
2020,
Номер
346, С. 108908 - 108908
Опубликована: Авг. 16, 2020
Diffusion
MRI
(dMRI)
has
proven
to
be
a
useful
imaging
approach
for
both
clinical
diagnosis
and
research
investigating
the
microstructures
of
nervous
tissues,
it
helped
us
better
understand
neurophysiological
mechanisms
many
diseases.
Though
diffusion
tensor
(DTI)
long
been
default
tool
analyze
dMRI
data
in
research,
acquisition
with
stronger
weightings
beyond
DTI
regimen
is
now
possible
modern
scanners,
potentially
enabling
even
more
detailed
characterization
tissue
microstructures.
To
take
advantage
such
data,
neurite
orientation
dispersion
density
(NODDI)
proposed
as
way
relate
signal
features
via
biophysically
inspired
modeling.
The
number
reports
demonstrating
potential
utility
NODDI
rapidly
increasing.
At
same
time,
pitfalls
limitations
NODDI,
general
challenges
microstructure
modeling,
are
becoming
increasingly
recognized
by
clinicians.
modeling
evolving
field
great
promise,
where
people
from
different
scientific
backgrounds,
physics,
medicine,
biology,
neuroscience,
statistics,
collaborating
build
novel
tools
that
contribute
improving
human
healthcare.
Here,
we
review
applications
discuss
future
perspectives
investigations
toward
implementation
practice.
eNeuro,
Год журнала:
2021,
Номер
8(2), С. ENEURO.0337 - 20.2021
Опубликована: Март 1, 2021
Experimental
models
of
epilepsy
are
useful
to
identify
potential
mechanisms
epileptogenesis,
seizure
genesis,
comorbidities,
and
treatment
efficacy.
The
kainic
acid
(KA)
model
is
one
the
most
commonly
used.
Several
modes
administration
KA
exist,
each
producing
different
effects
in
a
strain-,
species-,
gender-,
age-dependent
manner.
In
this
review,
we
discuss
advantages
limitations
various
forms
(systemic,
intrahippocampal,
intranasal),
as
well
histologic,
electrophysiological,
behavioral
outcomes
strains
species.
We
attempt
personal
perspective
areas
where
work
needed.
diversity
their
offers
researchers
rich
palette
phenotypes,
which
may
be
relevant
specific
traits
found
patients
with
temporal
lobe
epilepsy.
Neurobiology of Disease,
Год журнала:
2022,
Номер
166, С. 105637 - 105637
Опубликована: Янв. 25, 2022
Intrahippocampal
kainic
acid
(IHKA)
has
been
widely
implemented
to
simulate
temporal
lobe
epilepsy
(TLE),
but
evidence
of
robust
seizures
is
usually
limited.
To
resolve
this
problem,
we
slightly
modified
previous
methods
and
show
are
common
frequent
in
both
male
female
mice.
We
employed
continuous
wideband
video-EEG
monitoring
from
4
recording
sites
best
demonstrate
the
seizures.
found
many
more
convulsive
than
most
studies
have
reported.
Mortality
was
low.
Analysis
at
2–4
10–12
wks
post-IHKA
showed
a
frequency
(2–4
per
day
on
average)
duration
(typically
20–30
s)
each
time.
Comparison
two
timepoints
that
seizure
burden
became
severe
approximately
50%
animals.
almost
all
could
be
characterized
as
either
low-voltage
fast
or
hypersynchronous
onset
seizures,
which
not
reported
mouse
model
important
because
these
types
humans.
In
addition,
report
high
oscillations
(>250
Hz)
occur,
resembling
findings
IHKA
rats
TLE
patients.
Pathology
hippocampus
site
injection
similar
mesial
sclerosis
reduced
contralaterally.
summary,
our
produce
mice
with
there
variable
progression.
HFOs
also,
patterns
pathology
like
human
TLE.
Although
used
for
research,
variation
outcomes,
showing
few
long-term,
especially
present
an
implementation
robust,
meaning
they
>10
s
associated
complex
rhythmic
activity
recorded
2
hippocampal
cortical
sites.
Seizure
matched
Importantly,
low
mortality,
sexes
can
used.
believe
results
will
advance
ability
use
The
also
implications
understanding
HFOs,
progression,
other
topics
broad
interest
research
community.
Finally,
preclinical
drug
screening
increased
half
after
6
wk
interval,
suggesting
typical
period
insufficient.
Cell Reports,
Год журнала:
2022,
Номер
39(8), С. 110863 - 110863
Опубликована: Май 1, 2022
A
myriad
of
pathological
changes
associated
with
epilepsy
can
be
recast
as
decreases
in
cell
and
circuit
heterogeneity.
We
thus
propose
recontextualizing
epileptogenesis
a
process
where
reduction
cellular
heterogeneity,
part,
renders
neural
circuits
less
resilient
to
seizure.
By
comparing
patch
clamp
recordings
from
human
layer
5
(L5)
cortical
pyramidal
neurons
epileptogenic
non-epileptogenic
tissue,
we
demonstrate
significantly
decreased
biophysical
heterogeneity
seizure-generating
areas.
Implemented
computationally,
this
model
prone
sudden
transitions
into
synchronous
states
increased
firing
activity,
paralleling
ictogenesis.
This
computational
work
also
explains
the
surprising
finding
excitability
population-activation
functions
tissue.
Finally,
mathematical
analyses
reveal
bifurcation
structure
arising
only
low
seizure-like
dynamics.
Taken
together,
provides
experimental,
computational,
support
for
theory
that
ictogenic
dynamics
accompany
Neural Networks,
Год журнала:
2023,
Номер
163, С. 178 - 194
Опубликована: Апрель 1, 2023
Whole-brain
modeling
of
epilepsy
combines
personalized
anatomical
data
with
dynamical
models
abnormal
activities
to
generate
spatio-temporal
seizure
patterns
as
observed
in
brain
imaging
data.
Such
a
parametric
simulator
is
equipped
stochastic
generative
process,
which
itself
provides
the
basis
for
inference
and
prediction
local
global
dynamics
affected
by
disorders.
However,
calculation
likelihood
function
at
whole-brain
scale
often
intractable.
Thus,
likelihood-free
algorithms
are
required
efficiently
estimate
parameters
pertaining
hypothetical
areas,
ideally
including
uncertainty.
In
this
study,
we
introduce
simulation-based
virtual
epileptic
patient
model
(SBI-VEP),
enabling
us
amortize
approximate
posterior
process
from
low-dimensional
representation
patterns.
The
state-of-the-art
deep
learning
conditional
density
estimation
used
readily
retrieve
statistical
relationships
between
observations
through
sequence
invertible
transformations.
We
show
that
SBI-VEP
able
distribution
linked
extent
epileptogenic
propagation
zones
sparse
intracranial
electroencephalography
recordings.
presented
Bayesian
methodology
can
deal
non-linear
latent
parameter
degeneracy,
paving
way
fast
reliable
on
disorders
neuroimaging
modalities.
Communications Biology,
Год журнала:
2023,
Номер
6(1)
Опубликована: Май 3, 2023
Abstract
Due
to
its
complex
and
multifaceted
nature,
developing
effective
treatments
for
epilepsy
is
still
a
major
challenge.
To
deal
with
this
complexity
we
introduce
the
concept
of
degeneracy
field
research:
ability
disparate
elements
cause
an
analogous
function
or
malfunction.
Here,
review
examples
epilepsy-related
at
multiple
levels
brain
organisation,
ranging
from
cellular
network
systems
level.
Based
on
these
insights,
outline
new
multiscale
population
modelling
approaches
disentangle
web
interactions
underlying
design
personalised
multitarget
therapies.
Nature Communications,
Год журнала:
2024,
Номер
15(1)
Опубликована: Авг. 13, 2024
Abstract
Epilepsy
is
defined
by
the
abrupt
emergence
of
harmful
seizures,
but
nature
these
regime
shifts
remains
enigmatic.
From
perspective
dynamical
systems
theory,
such
critical
transitions
occur
upon
inconspicuous
perturbations
in
highly
interconnected
and
can
be
modeled
as
mathematical
bifurcations
between
alternative
regimes.
The
predictability
represents
a
major
challenge,
theory
predicts
appearance
subtle
signatures
on
verge
instability.
Whether
measured
before
impending
seizures
uncertain.
Here,
we
verified
that
predictions
applied
to
onset
hippocampal
providing
concordant
results
from
silico
modeling,
optogenetics
experiments
male
mice
intracranial
EEG
recordings
human
patients
with
epilepsy.
Leveraging
pharmacological
control
over
neural
excitability,
showed
boundary
physiological
excitability
inferred
passively
recorded
or
actively
probed
circuits.
Of
importance
for
design
future
neurotechnologies,
active
probing
surpassed
passive
recording
decode
underlying
levels
notably
when
assessed
network
propagating
responses.
Our
findings
provide
promising
approach
predicting
preventing
based
sound
understanding
their
dynamics.
Scientific Reports,
Год журнала:
2025,
Номер
15(1)
Опубликована: Фев. 22, 2025
Closed-loop
electrical
stimulation
has
become
an
important
alternative
to
resective
surgery
for
control
of
pharmacologically-resistant
focal
epileptic
seizures.
Seizure
spread
across
large-scale
brain
networks,
rather
than
its
onset,
is
what
commonly
leads
major
disruptions
in
sensorimotor
and
cognitive
processing,
as
well
loss-of-consciousness,
one
the
main
impairing
aspects
disorder.
Electrical
stimulation,
triggered
by
early
detection
seizure
onset
epileptogenic
zones
(EZs),
been
applied
prevent
subsequent
effects.
Here,
we
show
how
linear
feedback
seizure-spread
controllability
subject-specific
(white-matter
tractography)
Epileptor
network
models
affected
variations
excitability,
coupling
strength,
latency
gain,
actuation
targets.
Feedback
can
qualitatively
change
nonlinear
dynamics,
paths
termination
prevention.
Notably,
a
critical
parameter
leading
phase
transition
controllability.
Consequently,
efficacy
EZ-only
limited
depending
on
practical
latencies
actuation.
Additional
feedback-stabilization
theoretically-derived
optimal
node
subsets
are
necessary
Finally,
contrast
our
linear-feedback
assessment
with
other
measures
based
minimum-energy
(Gramian)
pulse-perturbation
approaches.
Brain,
Год журнала:
2021,
Номер
145(3), С. 939 - 949
Опубликована: Окт. 7, 2021
Abstract
The
identification
of
abnormal
electrographic
activity
is
important
in
a
wide
range
neurological
disorders,
including
epilepsy
for
localizing
epileptogenic
tissue.
However,
this
may
be
challenging
during
non-seizure
(interictal)
periods,
especially
if
abnormalities
are
subtle
compared
to
the
repertoire
possible
healthy
brain
dynamics.
Here,
we
investigate
such
interictal
become
more
salient
by
quantitatively
accounting
dynamics
location-specific
manner.
To
end,
constructed
normative
map
dynamics,
terms
relative
band
power,
from
intracranial
recordings
234
participants
(21
598
electrode
contacts).
We
then
62
patients
with
identify
regions.
proposed
that
most
regions
were
spared
surgery,
would
likely
experience
continued
seizures
postoperatively.
first
confirmed
spatial
variations
power
across
consistent
reported
literature.
Second,
when
variations,
surgery
than
those
resected
only
persistent
postoperative
(t
=
−3.6,
P
0.0003),
confirming
our
hypothesis.
Third,
found
effect
discriminated
patient
outcomes
(area
under
curve
0.75
0.0003).
Normative
mapping
well-established
practice
neuroscientific
research.
Our
study
suggests
approach
feasible
detect
EEG,
and
potential
clinical
value
pathological
tissue
epilepsy.
Finally,
make
publicly
available
facilitate
future
investigations
beyond.