2014
DOI: 10.1523/jneurosci.1570-14.2014
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Permittivity Coupling across Brain Regions Determines Seizure Recruitment in Partial Epilepsy

Abstract: Brain regions generating seizures in patients with refractory partial epilepsy are referred to as the epileptogenic zone (EZ). During a seizure, paroxysmal activity is not restricted to the EZ, but may recruit other brain regions and propagate activity through large brain networks, which comprise brain regions that are not necessarily epileptogenic. The identification of the EZ is crucial for candidates for neurosurgery and requires unambiguous criteria that evaluate the degree of epileptogenicity of brain reg… Show more

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Cited by 109 publications
(122 citation statements)
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“…This result paves the way towards a systematic study of spatio-temporal mixed-mode oscillations (MMOs) in spatially-extended systems, with the view of explaining the origin of MMOs observed in spatio-temporal signals modelling spike-frequency adaptation and synaptic depression [41]. The spatio-temporal structures discussed here are also directly relevant to neural mass and connectomic models, in which a discrete connectomic matrix replaces the heterogeneous kernel W [42]: canard structures in these models would offer a rigorous explanation of the brutal transitions observed, for instance, in models of partial epilepsy [43]. There is a general consensus that spike (and more generally burst) timings, durations and rates are involved in information coding in the brain [44].…”
Section: Discussionmentioning
confidence: 89%
“…This result paves the way towards a systematic study of spatio-temporal mixed-mode oscillations (MMOs) in spatially-extended systems, with the view of explaining the origin of MMOs observed in spatio-temporal signals modelling spike-frequency adaptation and synaptic depression [41]. The spatio-temporal structures discussed here are also directly relevant to neural mass and connectomic models, in which a discrete connectomic matrix replaces the heterogeneous kernel W [42]: canard structures in these models would offer a rigorous explanation of the brutal transitions observed, for instance, in models of partial epilepsy [43]. There is a general consensus that spike (and more generally burst) timings, durations and rates are involved in information coding in the brain [44].…”
Section: Discussionmentioning
confidence: 89%
“…However, the propagation of seizures is a complex process that does not correspond to the classical propagation of the nerve flux. Indeed, long delays may occur from one region to the other, probably linked to gradual changes in the biologic properties of the involved regions . The anatomic sites involved during seizures depends on the structural connectivity; both cortical and subcortical structures are involved .…”
Section: Historical Considerations and Seeg Recordings Of Seizure Onsetmentioning
confidence: 99%
“…This is plausible, because a region that receives many incoming links without driving other regions may not be hyperexcitable. Future modelling work could help understanding better such phenomenon (Proix et al , 2014).…”
Section: Concordance Between Measures and Epileptogenicity Indexmentioning
confidence: 99%