Evidence map›Paper›PMID 28374740›Full record

ArticleNature communications2017

Human seizures couple across spatial scales through travelling wave dynamics.

L-E Martinet, G Fiddyment, J R Madsen, E N Eskandar, W Truccolo, U T Eden, S S Cash, M A Kramer

Abstract read
In one paragraph

Article in Nature communications, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

66 citing papers in PubMed.

  1. Trial
  2. Article
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  8. Macroscale Traveling Waves Evoked by Single-Pulse Stimulation of the Human Brain.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Article
  9. Article
  10. Article
  11. Intracortical recordings reveal the neuronal selectivity for bodies and body parts in the human visual cortex.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
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  15. Review
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  20. Microscale Neuronal Activity Collectively Drives Chaotic and Inflexible Dynamics at the Macroscale in Seizures.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2023
    Article

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

L-E MartinetDepartment of Neurology, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.
G FiddymentGraduate Program in Neuroscience, Boston University, Boston, Massachusetts 02215, USA.
J R MadsenDepartment of Neurosurgery, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
E N EskandarDepartment of Neurosurgery and Nayef Al-Rodhan Laboratories for Cellular Neurosurgery and Neurosurgical Technology, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.
W TruccoloDepartment of Neuroscience &Institute for Brain Science, Brown University, Providence, Rhode Island 02912, USA.
U T EdenDepartment of Mathematics and Statistics, Boston University, Boston, Massachusetts 02215, USA.
S S CashDepartment of Neurology, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.
M A KramerDepartment of Mathematics and Statistics, Boston University, Boston, Massachusetts 02215, USA.

Funding

Multi-Scale Cortical Dynamics in Human EpilepsyR01NS079533 · NINDS · BROWN UNIVERSITY · PI TRUCCOLO, WILSON · 2012 to 2022
$3.4M
Multiscale analysis and modeling of spatiotemporal dynamics in human epilepsyR01NS072023 · NINDS · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI EDEN, URI TZVI, KRAMER, MARK ALAN · 2011 to 2015
$1.8M
Multi-Scale Cortical Dynamics and Seizure Prediction in Human Focal EpilepsyI01RX000668 · VA · PROVIDENCE VA MEDICAL CENTER · PI TRUCCOLO, WILSON · 2015 to 2018
–
NINDS NIH HHS R01 NS072023NINDS NIH HHS R01 NS079533RRD VA I01 RX000668
6 · The paper itself

Abstract

Epilepsy-the propensity toward recurrent, unprovoked seizures-is a devastating disease affecting 65 million people worldwide. Understanding and treating this disease remains a challenge, as seizures manifest through mechanisms and features that span spatial and temporal scales. Here we address this challenge through the analysis and modelling of human brain voltage activity recorded simultaneously across microscopic and macroscopic spatial scales. We show that during seizure large-scale neural populations spanning centimetres of cortex coordinate with small neural groups spanning cortical columns, and provide evidence that rapidly propagating waves of activity underlie this increased inter-scale coupling. We develop a corresponding computational model to propose specific mechanisms-namely, the effects of an increased extracellular potassium concentration diffusing in space-that support the observed spatiotemporal dynamics. Understanding the multi-scale, spatiotemporal dynamics of human seizures-and connecting these dynamics to specific biological mechanisms-promises new insights to treat this devastating disease.

Indexed as

AdultCerebral CortexElectroencephalographyEpilepsies, PartialExtracellular SpaceHumansMaleMiddle AgedModels, TheoreticalNeuronsPotassiumSeizuresSpatio-Temporal AnalysisYoung AdultPotassium

Identifiers

PMID28374740
PMCPMC5382286

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.