Sensory perception requires accurate encoding of stimulus information by sensory receptor cells. Here, we identify NCKX4, a potassium – dependent Na+/Ca2+ exchanger, to be necessary for rapid response termination and proper adaptation of vertebrate olfactory sensory neurons (OSNs). Nckx4−/− mouse OSNs display substantially prolonged responses and stronger adaptation. Single – cell electrophysiological analyses demonstrate that the majority of Na+ – dependent Ca2+ exchange in OSNs relevant to sensory transduction is due to NCKX4 and that Nckx4−/− mouse OSNs are deficient in encoding action potentials upon repeated stimulation. Olfactory – specific Nckx4 knockout mice have a reduced ability to locate an odorous source and lower body weights. These results establish the role of NCKX4 in shaping olfactory responses and suggest that rapid response termination and proper adaptation of peripheral sensory receptor cells tune the sensory system for optimal perception.
The Neural Engineering Data Consortium (NEDC) is releasing its first major big data corpus -the Temple University Hospital EEG Corpus. This corpus consists of over 25,000 EEG studies, and includes a neurologist's interpretation of the test, a brief patient medical history and demographic information about the patient such as gender and age. For the first time, there is a sufficient amount of data to support the application of state of the art machine learning algorithms. In this paper, we present pilot results of experiments on the prediction of some basic attributes of an EEG from the raw EEG signal data using a 3,762 session subset of the corpus. Standard machine learning approaches are shown to be capable of predicting commonly occurring events from simple features with high accuracy on closed-loop testing, and can deliver error rates below 50% on a 6-way open set classification problem. This is very promising performance since commercial technology fails on this data.
The aim was to determine the prevalence and risk factors for electrographic seizures and other electroencephalographic (EEG) patterns in patients with Coronavirus disease 2019 (COVID-19) undergoing clinically indicated continuous electroencephalogram (cEEG) monitoring and to assess whether EEG findings are associated with outcomes. Methods: We identified 197 patients with COVID-19 referred for cEEG at 9 participating centers. Medical records and EEG reports were reviewed retrospectively to determine the incidence of and clinical risk factors for seizures and other epileptiform patterns. Multivariate Cox proportional hazards analysis assessed the relationship between EEG patterns and clinical outcomes. Results: Electrographic seizures were detected in 19 (9.6%) patients, including nonconvulsive status epilepticus (NCSE) in 11 (5.6%). Epileptiform abnormalities (either ictal or interictal) were present in 96 (48.7%). Preceding clinical seizures during hospitalization were associated with both electrographic seizures (36.4% in those with vs 8.1% in those without prior clinical seizures, odds ratio [OR] 6.51, p = 0.01) and NCSE (27.3% vs 4.3%, OR 8.34, p = 0.01). A pre-existing intracranial lesion on neuroimaging was associated with NCSE (14.3% vs 3.7%; OR 4.33, p = 0.02). In multivariate analysis of outcomes, electrographic seizures were an independent predictor of in-hospital mortality (hazard ratio ], p < 0.01). In competing risks analysis, hospital length of stay increased in the presence of NCSE (30 day proportion discharged with vs without NCSE: HR 0.21 [0.03-0.33] vs 0.43 [0.36-0.49]). Interpretation: This multicenter retrospective cohort study demonstrates that seizures and other epileptiform abnormalities are common in patients with COVID-19 undergoing clinically indicated cEEG and are associated with adverse clinical outcomes.
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