Epileptic activity often occurs in the cortex after a latent period after head trauma; this delay has been attributed to the destabilizing influence of homeostatic synaptic scaling and changes in intrinsic properties. However, the impact of the spatial organization of cortical trauma on epileptogenesis is poorly understood. We addressed this question by analyzing the dynamics of a largescale biophysically realistic cortical network model subjected to different patterns of trauma. Our results suggest that the spatial pattern of trauma can greatly affect the propensity for developing posttraumatic epileptic activity. For the same fraction of lesioned neurons, spatially compact trauma resulted in stronger posttraumatic elevation of paroxysmal activity than spatially diffuse trauma. In the case of very severe trauma, diffuse distribution of a small number of surviving intact neurons alleviated posttraumatic epileptogenesis. We suggest that clinical evaluation of the severity of brain trauma should take into account the spatial pattern of the injured cortex.computational model | epilepsy | homeostasis | traumatic brain injury | paroxysmal discharge E pileptic activity in the brain emerges on several organizational levels from hyperexcitable dynamics of single neurons that result from genetic predisposition (1) or pathological alterations in extracellular ionic concentrations (2-9) to aberrations in network structure that give rise to hypersynchronization of neuronal ensembles and subsequent onset of seizures (10). Such changes in network connectivity and structure may occur after severe brain trauma, which commonly leads to epileptogenesis (11). Traumarelated epileptic activity often occurs after a latent period that offers a potential therapeutic window to reduce the likelihood of later seizure onset. Given this latency, it is imperative to understand how different spatial patterns of trauma affect the propensity of a network (composed of both healthy and traumatized cells) to develop posttraumatic epileptic activity.A likely effect of brain trauma may include damage to synaptic connectivity between neurons. Such damage would lead to reduction of the long-range excitatory inputs to affected areas, therefore creating islands of partially isolated cortical tissue with strongly reduced neuronal activity. Evidence from in vitro studies suggests that chronic blockade of activity may modify synaptic strengths and intrinsic neuronal excitability. After a few days of pharmacological blockade of activity in cortical cell cultures, the amplitudes of excitatory postsynaptic currents (EPSCs) and miniature EPSCs (mEPSCs) in pyramidal cells increase (12, 13), and quantal release probabilities increase as well (14). Conversely, prolonged enhanced activity levels induced by blockade of synaptic inhibition or elevated extracellular potassium ([K + ] o ) reduce the size of mEPSCs (12,15,16). Similar activity-dependent changes in mEPSC size have been observed in spinal cell cultures (17). There is a similar regulation of NMDA receptor...