Large-Scale Desynchronization During Interictal Epileptic Discharges Recorded With Intracranial EEG. 2020

Elie Bou Assi, and Younes Zerouali, and Manon Robert, and Frederic Lesage, and Philippe Pouliot, and Dang K Nguyen
University of Montreal Hospital Research Center (CRCHUM), University of Montreal, Montreal, QC, Canada.

It is increasingly recognized that deep understanding of epileptic seizures requires both localizing and characterizing the functional network of the region where they are initiated, i. e., the epileptic focus. Previous investigations of the epileptogenic focus' functional connectivity have yielded contrasting results, reporting both pathological increases and decreases during resting periods and seizures. In this study, we shifted paradigm to investigate the time course of connectivity in relation to interictal epileptiform discharges. We recruited 35 epileptic patients undergoing intracranial EEG (iEEG) investigation as part of their presurgical evaluation. For each patient, 50 interictal epileptic discharges (IEDs) were marked and iEEG signals were epoched around those markers. Signals were narrow-band filtered and time resolved phase-locking values were computed to track the dynamics of functional connectivity during IEDs. Results show that IEDs are associated with a transient decrease in global functional connectivity, time-locked to the peak of the discharge and specific to the high range of the gamma frequency band. Disruption of the long-range connectivity between the epileptic focus and other brain areas might be an important process for the generation of epileptic activity. Transient desynchronization could be a potential biomarker of the epileptogenic focus since 1) the functional connectivity involving the focus decreases significantly more than the connectivity outside the focus and 2) patients with good surgical outcome appear to have a significantly more disconnected focus than patients with bad outcomes.

UI MeSH Term Description Entries

Related Publications

Elie Bou Assi, and Younes Zerouali, and Manon Robert, and Frederic Lesage, and Philippe Pouliot, and Dang K Nguyen
January 2011, NeuroImage,
Elie Bou Assi, and Younes Zerouali, and Manon Robert, and Frederic Lesage, and Philippe Pouliot, and Dang K Nguyen
June 2016, Epilepsia,
Elie Bou Assi, and Younes Zerouali, and Manon Robert, and Frederic Lesage, and Philippe Pouliot, and Dang K Nguyen
December 2015, Human brain mapping,
Elie Bou Assi, and Younes Zerouali, and Manon Robert, and Frederic Lesage, and Philippe Pouliot, and Dang K Nguyen
November 2019, Brain : a journal of neurology,
Elie Bou Assi, and Younes Zerouali, and Manon Robert, and Frederic Lesage, and Philippe Pouliot, and Dang K Nguyen
October 1994, Neuropediatrics,
Elie Bou Assi, and Younes Zerouali, and Manon Robert, and Frederic Lesage, and Philippe Pouliot, and Dang K Nguyen
December 2014, Epileptic disorders : international epilepsy journal with videotape,
Elie Bou Assi, and Younes Zerouali, and Manon Robert, and Frederic Lesage, and Philippe Pouliot, and Dang K Nguyen
March 2013, NeuroImage,
Elie Bou Assi, and Younes Zerouali, and Manon Robert, and Frederic Lesage, and Philippe Pouliot, and Dang K Nguyen
October 2019, Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology,
Elie Bou Assi, and Younes Zerouali, and Manon Robert, and Frederic Lesage, and Philippe Pouliot, and Dang K Nguyen
May 2024, Brain : a journal of neurology,
Elie Bou Assi, and Younes Zerouali, and Manon Robert, and Frederic Lesage, and Philippe Pouliot, and Dang K Nguyen
July 2022, Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology,
Copied contents to your clipboard!