Evidence map›Paper›PMID 31501850›Full record

ArticleBrain : a journal of neurology2019

Interictal epileptiform discharges shape large-scale intercortical communication.

Prawesh Dahal, Naureen Ghani, Adeen Flinker, Patricia Dugan, Daniel Friedman, Werner Doyle, Orrin Devinsky, Dion Khodagholy, Jennifer N Gelinas

Abstract read
In one paragraph

Article in Brain : a journal of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
–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

54 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Does epileptic activity impair sleep-related memory consolidation in epilepsy? A critical and systematic review.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Implantable bioelectronic outlet.Science advances · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Behavioral Timing of Interictal Spikes, But Not Rate, Correlates with Impaired Working Memory Performance.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Fast ripple band high-frequency activity associated with thalamic sleep spindles in pediatric epilepsy.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2025
    Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Prawesh DahalDepartment of Electrical Engineering, Columbia University, New York, NY, USA.
Naureen GhaniInstitute for Genomic Medicine, Columbia University Medical Center, New York, NY, USA.
Adeen FlinkerDepartment of Neurology, NYU Langone, New York, NY, USA.
Patricia DuganDepartment of Neurology, NYU Langone, New York, NY, USA.
Daniel FriedmanDepartment of Neurology, NYU Langone, New York, NY, USA.
Werner DoyleComprehensive Epilepsy Center, NYU Langone, New York, NY, USA.
Orrin DevinskyDepartment of Neurology, NYU Langone, New York, NY, USA.
Dion KhodagholyDepartment of Electrical Engineering, Columbia University, New York, NY, USA.
Jennifer N GelinasInstitute for Genomic Medicine, Columbia University Medical Center, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dynamic interactions between remote but functionally specialized brain regions enable complex information processing. This intercortical communication is disrupted in the neural networks of patients with focal epilepsy, and epileptic activity can exert widespread effects within the brain. Using large-scale human intracranial electroencephalography recordings, we show that interictal epileptiform discharges (IEDs) are significantly coupled with spindles in discrete, individualized brain regions outside of the epileptic network. We found that a substantial proportion of these localized spindles travel across the cortical surface. Brain regions that participate in this IED-driven oscillatory coupling express spindles that have a broader spatial extent and higher tendency to propagate than spindles occurring in uncoupled regions. These altered spatiotemporal oscillatory properties identify areas that are shaped by epileptic activity independent of IED or seizure detection. Our findings suggest that IED-spindle coupling may be an important mechanism of interictal global network dysfunction that could be targeted to prevent disruption of normal neural activity.

Indexed as

AdultAlgorithmsBrainBrain MappingCerebral CortexElectrocorticographyElectrodesEpilepsyFemaleHumansMaleMiddle AgedNerve NetSeizuresepilepsyintercorticalinterictal epileptiform dischargeoscillationsleep spindle

Identifiers

PMID31501850
PMCPMC6821283

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.