Evidence map›Paper›PMID 31325676›Full record

ArticleClinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology2019

The seizure onset zone drives state-dependent epileptiform activity in susceptible brain regions.

Joshua M Diamond, Julio I Chapeton, William H Theodore, Sara K Inati, Kareem A Zaghloul

Abstract read
In one paragraph

Article in Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

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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

5 authors.

Joshua M DiamondSurgical Neurology Branch, NINDS, National Institutes of Health, Bethesda, MD 20892, United States.
Julio I ChapetonSurgical Neurology Branch, NINDS, National Institutes of Health, Bethesda, MD 20892, United States.
William H TheodoreClinical Epilepsy Section, NINDS, National Institutes of Health, Bethesda, MD 20892, United States.
Sara K InatiEpilepsy Service and EEG Section, NINDS, National Institutes of Health, Bethesda, MD 20892, United States. Electronic address: sara.inati@nih.gov.
Kareem A ZaghloulSurgical Neurology Branch, NINDS, National Institutes of Health, Bethesda, MD 20892, United States. Electronic address: kareem.zaghloul@nih.gov.

Funding

Investigating the neural mechanisms of human cognitive function through intracranial recordingsZIANS003144 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI ZAGHLOUL, KAREEM · 2014 to 2025
$36.1M
Physiologic And Pharmacologic Studies In EpilepsyZIANS002236 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI THEODORE, WILLIAM · 2009 to 2020
$14.2M
Intramural NIH HHS Z99 NS999999
6 · The paper itself

Abstract

objectiveDue to variability in the patterns of propagation of interictal epileptiform discharges (IEDs), qualitative definition of the irritative zone has been challenging. Here, we introduce a quantitative approach toward exploration of the dynamics of IED propagation within the irritative zone.

methodsWe examined intracranial EEG (iEEG) in nine participants undergoing invasive monitoring for seizure localization. We used an automated IED detector and a community detection algorithm to identify populations of electrodes exhibiting IED activity that co-occur in time, and to group these electrodes into communities.

resultsWithin our algorithmically-identified communities, IED activity in the seizure onset zone (SOZ) tended to lead IED activity in other functionally coupled brain regions. The tendency of pathological activity to arise in the SOZ, and to spread to non-SOZ tissues, was greater in the asleep state.

conclusionsIED activity, and, by extension, the variability observed between the asleep and awake states, is propagated from a core seizure focus to nearby less pathological brain regions. SIGNIFICANCE: Using an unsupervised, computational approach, we show that the spread of IED activity through the epilepsy network varies with physiologic state.

Indexed as

AdolescentAdultAlgorithmsCerebral CortexChildChild, PreschoolElectrodes, ImplantedElectroencephalographyEpilepsyFemaleHumansMaleSeizuresSleepEpilepsy networksInterictal epileptiform dischargesIntracranial EEGSleep

Identifiers

PMID31325676
PMCPMC6730646

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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.