Evidence map›Paper›PMID 31468745›Full record

ArticleAnnals of clinical and translational neurology2019

Spectral organization of focal seizures within the thalamotemporal network.

Diana Pizarro, Adeel Ilyas, Ganne Chaitanya, Emilia Toth, Auriana Irannejad, Andrew Romeo, Kristen O Riley, Leonidas Iasemidis, Sandipan Pati

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
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

13 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Thalamocortical network dynamics in focal epilepsy: SEEG investigation.bioRxiv : the preprint server for biology · 2026
    Article
  3. Article
  4. Article
  5. The Reciprocal Relationship between Sleep and Epilepsy.Journal of personalized medicine · 2024
    Review
  6. Article
  7. The anterior nucleus of the thalamus plays a role in the epileptic network.Annals of clinical and translational neurology · 2022
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
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

9 authors at 2 institutions in 1 country.

Diana PizarroDepartment of Neurology, University of Alabama at Birmingham, Birmingham, Alabama.
Adeel IlyasEpilepsy and Cognitive Neurophysiology Laboratory, University of Alabama at Birmingham, Birmingham, Alabama.
Ganne ChaitanyaDepartment of Neurology, University of Alabama at Birmingham, Birmingham, Alabama.
Emilia TothDepartment of Neurology, University of Alabama at Birmingham, Birmingham, Alabama.
Auriana IrannejadDepartment of Neurology, University of Alabama at Birmingham, Birmingham, Alabama.
Andrew RomeoDepartment of Neurosurgery, University of Alabama at Birmingham, Birmingham, Alabama.
Kristen O RileyDepartment of Neurosurgery, University of Alabama at Birmingham, Birmingham, Alabama.
Leonidas IasemidisCenter for Biomedical Engineering and Rehabilitation Science, Louisiana Tech University, Ruston, Louisiana.
Sandipan PatiDepartment of Neurology, University of Alabama at Birmingham, Birmingham, Alabama.ORCID 0000-0002-9578-2820
University of Alabama at Birmingham · USLouisiana Tech University · US

Funding

National Science Foundation RII‐2FEC OIA1632891
6 · The paper itself

Abstract

objectiveTo investigate dynamic changes in neural activity between the anterior nucleus of the thalamus (ANT) and the seizure onset zone (SOZ) in patients with drug-resistant temporal lobe epilepsy (TLE) based on anatomic location, seizure subtype, and state of vigilance (SOV).

methodsEleven patients undergoing stereoelectroencephalography for seizure localization were recruited prospectively for local field potential (LFP) recording directly from the ANT. The SOZ was identified using line length and epileptogenicity index. Changes in power spectral density (PSD) were compared between the two anatomic sites as seizures (N = 53) transitioned from interictal baseline to the posttermination stage.

resultsAt baseline, the thalamic LFPs were significantly lower and distinct from the SOZ with the presence of higher power in the fast ripple band (P < 0.001). Temporal changes in ictal power of neural activity within ANT mimic those of the SOZ, are increased significantly at seizure onset (P < 0.05), and are distinct for seizures that impaired awareness or that secondarily generalized (P < 0.05). The onset of seizure was preceded by a decrease in the mean power spectral density (PSD) in ANT and SOZ (P < 0.05). Neural activity correlated with different states of vigilance at seizure onset within the ANT but not in the SOZ (P = 0.005).

interpretationThe ANT can be recruited at the onset of mesial temporal lobe seizures, and the recruitment pattern differs with seizure subtypes. Furthermore, changes in neural dynamics precede seizure onset and are widespread to involve temporo-thalamic regions, thereby providing an opportunity to intervene early with closed-loop DBS.

Indexed as

AdultElectroencephalographyEpilepsies, PartialEpilepsy, Temporal LobeFemaleHumansMaleMiddle AgedSeizuresTemporal LobeThalamusYoung Adult

Identifiers

PMID31468745
PMCPMC6764631
OpenAlexW2971082874

What OpenQuestion holds

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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.