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.
PLoS Computational Biology,
Год журнала:
2021,
Номер
17(7), С. e1009129 - e1009129
Опубликована: Июль 14, 2021
Individualized
anatomical
information
has
been
used
as
prior
knowledge
in
Bayesian
inference
paradigms
of
whole-brain
network
models.
However,
the
actual
sensitivity
to
such
personalized
priors
is
still
unknown.
In
this
study,
we
introduce
use
fully
criteria
and
leave-one-out
cross-validation
technique
on
subject-specific
assess
different
epileptogenicity
hypotheses
regarding
location
pathological
brain
areas
based
a
priori
from
dynamical
system
properties.
The
Virtual
Epileptic
Patient
(BVEP)
model,
which
relies
fusion
structural
data
individuals,
generative
model
epileptiform
discharges,
self-tuning
Monte
Carlo
sampling
algorithm,
infer
spatial
map
across
areas.
Our
results
indicate
that
measuring
out-of-sample
prediction
accuracy
BVEP
with
informative
enables
reliable
efficient
evaluation
potential
degree
regions.
contrast,
while
using
uninformative
priors,
are
unable
provide
strong
evidence
about
We
also
show
correctly
both
functional
components
models
differ
individuals.
information-theory
approach
study
suggests
patient-specific
strategy
for
hypothesis
testing
epilepsy
improve
surgical
outcomes.
Journal of Computational Neuroscience,
Год журнала:
2022,
Номер
50(1), С. 33 - 49
Опубликована: Янв. 15, 2022
Abstract
The
majority
of
seizures
recorded
in
humans
and
experimental
animal
models
can
be
described
by
a
generic
phenomenological
mathematical
model,
the
Epileptor.
In
this
seizure-like
events
(SLEs)
are
driven
slow
variable
occur
via
saddle
node
(SN)
homoclinic
bifurcations
at
seizure
onset
offset,
respectively.
Here
we
investigated
SLEs
single
cell
level
using
biophysically
relevant
neuron
model
including
slow/fast
system
four
equations.
two
equations
for
subsystem
describe
ion
concentration
variations
fast
delineate
electrophysiological
activities
neuron.
Using
extracellular
K
+
as
variable,
report
that
with
SN/homoclinic
readily
when
reaches
critical
value.
patients
models,
also
evolve
into
sustained
ictal
activity
(SIA)
depolarization
block
(DB),
which
parts
dynamic
repertoire
Increasing
to
values
found
during
status
epilepticus
DB,
show
SIA
DB
level.
Thus,
seizures,
SIA,
have
been
first
identified
network
events,
exist
unified
framework
biophysical
exhibit
similar
dynamics
observed
Author
Summary:
Epilepsy
is
neurological
disorder
characterized
occurrence
seizures.
Seizures
both
macroscopic
microscopic
scales
recordings.
Experimental
works
allowed
establishment
detailed
taxonomy
models.
We
distinguish
main
types
Phenomenological
(generic)
few
parameters
variables
permit
dynamical
studies
often
capturing
conditions.
But
they
abstract
parameters,
making
biological
interpretation
difficult.
Biophysical
on
other
hand,
use
large
number
due
complexity
systems
represent.
Because
multiplicity
solutions,
it
difficult
extract
general
rules.
present
work,
integrate
approaches
reduce
sufficiently
low-dimensional
equations,
thus
maintaining
advantages
model.
propose,
level,
different
pathological
block,
activity.
eNeuro,
Год журнала:
2022,
Номер
9(6), С. ENEURO.0234 - 21.2022
Опубликована: Ноя. 1, 2022
Epilepsies
are
characterized
by
paroxysmal
electrophysiological
events
and
seizures,
which
can
propagate
across
the
brain.
One
of
main
unsolved
questions
in
epilepsy
is
how
epileptic
activity
invade
normal
tissue
thus
To
investigate
this
question,
we
consider
three
computational
models
at
neural
network
scale
to
study
underlying
dynamics
seizure
propagation,
understand
specific
features
play
a
role,
relate
them
clinical
or
experimental
observations.
We
both
internal
connectivity
structure
between
neurons
input
properties
our
characterization.
show
that
sometimes
controlled
while
other
instances,
it
lead
itself
produce
activity,
will
further
efferent
networks.
details
architecture
essential
determine
switch
seizure-like
regime.
investigated
nature
instability
involved
particular
found
central
role
for
inhibitory
connectivity.
propose
probabilistic
approach
propagative/non-propagative
scenarios,
may
serve
as
guide
control
using
appropriate
stimuli.
Mathematical Neuroscience and Applications,
Год журнала:
2022,
Номер
Volume 2
Опубликована: Март 19, 2022
Mathematical
modelling
of
the
macroscopic
electrical
activity
brain
is
highly
non-trivial
and
requires
a
detailed
understanding
not
only
associated
mathematical
techniques,
but
also
underlying
physiology
anatomy.
Neural
field
theory
population-level
approach
to
non-linear
dynamics
large
populations
neurons,
while
maintaining
degree
tractability.
This
class
models
provides
solid
theoretical
perspective
on
fundamental
processes
neural
tissue
such
as
state
transitions
between
different
activities
observed
during
epilepsy
or
sleep.
Various
anatomical,
physiological,
assumptions
are
essential
for
deriving
minimal
set
equations
that
strike
balance
biophysical
realism
However,
these
always
made
explicit
throughout
literature.
Even
though
(NFMs)
first
appeared
in
literature
early
1970's,
relationships
them
have
been
systematically
addressed.
may
partially
be
explained
by
fact
inter-dependencies
often
implicit
non-trivial.
Herein
we
provide
review
key
stages
history
development
contemporary
uses
this
branch
neuroscience.
First,
principles
summarised
discussion
pioneering
Wilson
Cowan,
Amari
Nunez.
Upon
thorough
models,
then
present
unified
framework
which
all
can
derived
applying
assumptions.
We
use
i)
derive
Robinson,
Jansen
Rit,
Wendling,
Liley,
Steyn-Ross,
ii)
make
many
significant
inherited
exist
current
eNeuro,
Год журнала:
2025,
Номер
unknown, С. ENEURO.0157 - 24.2024
Опубликована: Янв. 2, 2025
Epilepsy,
a
neurological
disorder
characterized
by
recurrent
unprovoked
seizures,
significantly
impacts
patient
quality
of
life.
Current
classification
methods
focus
primarily
on
clinical
observations
and
electroencephalography
(EEG)
analysis,
often
overlooking
the
underlying
dynamics
driving
seizures.
This
study
uses
surface
EEG
data
to
identify
seizure
transitions
using
dynamical
systems–based
framework—the
taxonomy
dynamotypes—previously
examined
only
in
invasive
data.
We
applied
principal
component
independent
analysis
recordings
from
1,177
seizures
158
patients
with
focal
epilepsy,
decomposing
signals
into
components
(ICs).
The
ICs
were
visually
labeled
for
clear
bifurcation
morphologies,
which
then
Bayesian
multilevel
modeling
context
factors.
Our
reveals
that
certain
onset
bifurcations
(SNIC
SupH)
are
more
prevalent
during
wakefulness
compared
their
reduced
rate
non-rapid
eye
movement
(NREM)
sleep,
particularly
NREM3.
discuss
possible
implications
our
results
approaches
suggest
additional
avenues
continue
this
exploration.
Furthermore,
we
demonstrate
feasibility
automating
process
machine
learning,
achieving
high
performance
identifying
seizure-related
classifying
inter-spike
interval
changes.
findings
noise
may
obscure
technical
improvements
could
enhance
detection
accuracy.
Expanding
dataset
incorporating
long-term
biological
rhythms,
such
as
circadian
multiday
cycles,
provide
comprehensive
understanding
improve
decision-making.
Significance
statement
Traditional
focuses
symptoms
electrophysiological
signs
but
overlooks
dynamics.
dynamotypes
introduces
novel
computational
approach
links
transition
signatures
these
While
previously
recordings,
extends
non-invasive
EEG.
relationship
between
sleep
stages
integrating
models
reveal
insights
timing
generalization,
opening
new
pathways
better
diagnostics.
Broader
adoption
is
limited
its
labor-intensive
visual
inspection
process.
Here,
potential
automated
classification,
enabling
scale
larger
cohorts.
Frontiers in Immunology,
Год журнала:
2021,
Номер
12
Опубликована: Окт. 21, 2021
Increasing
evidence
support
that
cellular
amino
acid
metabolism
shapes
the
fate
of
immune
cells;
however,
whether
aspartate
dictates
macrophage
function
is
still
enigmatic.
Here,
we
found
metabolites
in
are
depleted
lipopolysaccharide
(LPS)
plus
interferon
gamma
(IFN-γ)-stimulated
macrophages.
Aspartate
promotes
interleukin-1β
(IL-1β)
secretion
M1
Mechanistically,
boosts
activation
hypoxia-inducible
factor-1α
(HIF-1α)
and
inflammasome
increases
levels
metabolism,
such
as
asparagine.
Interestingly,
asparagine
also
accelerates
signaling
pathways
production
inflammatory
cytokines
from
Moreover,
supplementation
augments
macrophage-mediated
responses
mice
piglets.
These
results
uncover
a
previously
uncharacterized
role
for
directing
polarization.
Human
and
animal
EEG
data
demonstrate
that
focal
seizures
start
with
low-voltage
fast
activity,
evolve
into
rhythmic
burst
discharges
are
followed
by
a
period
of
suppressed
background
activity.
This
suggests
processes
dynamics
in
the
range
tens
seconds
govern
seizure
evolution.
We
investigate
associated
complementing
Hodgkin-Huxley
mathematical
model
physical
laws
dictate
ion
movement
maintain
ionic
gradients.
Our
biophysically
realistic
computational
closely
replicates
electrographic
pattern
typical
human
characterized
low
voltage
activity
onset,
tonic
phase,
clonic
phase
postictal
suppression.
study
demonstrates,
for
first
time
silico,
potential
mechanism
initiation
inhibitory
interneurons
via
initial
build-up
extracellular
K
+
due
to
intense
interneuronal
spiking.
The
also
identifies
mechanisms
may
underlie
key
feature
dynamics,
is,
progressive
slowing
down
ictal
towards
end
seizure.
prediction
specific
scaling
inter-burst
intervals
is
confirmed
recorded
whole
guinea
pig
brain
vitro
humans,
suggesting
observed
termination
hold
across
different
species.
results
emphasize
as
elementary
behind
generation
indicate
targets
new
therapeutic
strategies.
Direct
cortical
stimulation
has
been
applied
in
epilepsy
for
nearly
one
century
and
experienced
a
renaissance
given
unprecedented
opportunities
to
probe,
excite
inhibit
the
human
brain.
Evidence
suggests
can
increase
diagnostic
therapeutic
utility
patients
with
drug-resistant
epilepsies.
However,
choosing
appropriate
parameters
is
not
trivial
issue,
which
further
complicated
by
fact
that
characterized
complex
brain
state
dynamics.
In
this
article
derived
from
discussions
at
ICTALS
2022
conference,
we
succinctly
review
literature
on
acutely
chronically
epileptic
localization,
monitoring,
purposes.
particular,
discuss
how
used
probe
excitability,
evidence
usefulness
of
trigger
stop
seizures,
applications
stimulation,
finally
are
impacted
Although
research
advanced
considerably
over
past
decade,
there
still
significant
hurdles
optimize
use
technique.
For
example,
it
remains
unclear
what
extent
short
timescale
biomarkers
predict
long-term
outcomes
these
add
information
already
existing
passive
EEG
recordings.
Further
questions
include
closed
loop
offers
advantages
open
optimal
timescales
may
be,
whether
biomarker-informed
lead
seizure
freedom.
The
ultimate
goal
bioelectronic
medicine
just
seizures
but
rather
cure
its
comorbidities.
Abstract
Sleep
and
wake
are
defined
through
physiological
behavioral
criteria
can
be
typically
separated
into
non‐rapid
eye
movement
(NREM)
sleep
stages
N1,
N2,
N3,
rapid
(REM)
sleep,
wake.
states
not
homogenous
in
time.
Their
properties
vary
during
the
night
day
cycle.
Given
that
brain
activity
changes
as
a
function
of
NREM,
REM,
cycle,
seizures
more
likely
to
occur
or
at
specific
time?
More
generally,
what
is
relationship
between
sleep–wake
cycles
epilepsy?
We
will
review
examples
from
clinical
data
results
experimental
models,
focusing
on
diversity
heterogeneity
these
relationships.
use
top‐down
approach,
starting
with
general
architecture
followed
by
oscillatory
activities,
ending
ionic
correlates
selected
for
illustrative
purposes,
respect
interictal
spikes.
The
picture
emerges
complexity;
disruption
pathological
epileptic
activities
emerge
reorganized
circuits.
That
different
circuit
alterations
across
patients
models
may
explain
why
timing
cycle
patient‐specific.