Evidence map›Paper›PMID 31566799›Full record

ArticleAnnals of neurology2019

Multiple Oscillatory Push-Pull Antagonisms Constrain Seizure Propagation.

Haiteng Jiang, Zhengxiang Cai, Gregory A Worrell, Bin He

Open access · bronzeAbstract read
In one paragraph

Article in Annals of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

17 citing papers in PubMed, 39 citations in OpenAlex.

  1. Antiseizure Networks.Epilepsy currents · 2026
    Article
  2. Thalamocortical network dynamics in focal epilepsy: SEEG investigation.bioRxiv : the preprint server for biology · 2026
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  16. Noninvasive high-frequency oscillations riding spikes delineates epileptogenic sources.Proceedings of the National Academy of Sciences of the United States of America · 2021
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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

4 authors at 2 institutions in 1 country.

Haiteng JiangDepartment of Biomedical Engineering, Carnegie Mellon University, Pittsburgh, PA.
Zhengxiang CaiDepartment of Biomedical Engineering, Carnegie Mellon University, Pittsburgh, PA.
Gregory A WorrellDepartment of Neurology, Mayo Clinic, Rochester, MN.ORCID 0000-0003-2916-0553
Bin HeDepartment of Biomedical Engineering, Carnegie Mellon University, Pittsburgh, PA.ORCID 0000-0003-2944-8602
Carnegie Mellon University · USMayo Clinic in Arizona · US

Funding

Electrophysiological Source Imaging of Partial EpilepsyR01NS096761 · NINDS · UNIVERSITY OF MINNESOTA · PI HE, BIN · 2016 to 2025
$3.6M
Electrophysiological source imaging guided transcranial focused ultrasoundRF1MH114233 · NIMH · UNIVERSITY OF MINNESOTA · PI HE, BIN · 2017 to 2017
$2.4M
Mind-body awareness training and brain-computer interfaceR01AT009263 · NCCIH · UNIVERSITY OF MINNESOTA · PI HE, BIN · 2016 to 2020
$2.0M
Spatio-temporal Dynamic Imaging of Seizure SourcesR01EB021027 · NIBIB · UNIVERSITY OF MINNESOTA · PI HE, BIN · 2016 to 2020
$1.3M
NCCIH NIH HHS R01 AT009263NIBIB NIH HHS R01 EB021027NIMH NIH HHS RF1 MH114233NINDS NIH HHS R01 NS096761
6 · The paper itself

Abstract

objectiveDrug-resistant focal epilepsy is widely recognized as a network disease in which epileptic seizure propagation is likely coordinated by different neuronal oscillations such as low-frequency activity (LFA), high-frequency activity (HFA), or low-to-high cross-frequency coupling. However, the mechanism by which different oscillatory networks constrain the propagation of focal seizures remains unclear.

methodsWe studied focal epilepsy patients with invasive electrocorticography (ECoG) recordings and compared multilayer directional network interactions between focal seizures either with or without secondary generalization. Within-frequency and cross-frequency directional connectivity were estimated by an adaptive directed transfer function and cross-frequency directionality, respectively.

resultsIn the within-frequency epileptic network, we found that the seizure onset zone (SOZ) always sent stronger information flow to the surrounding regions, and secondary generalization was accompanied by weaker information flow in the LFA from the surrounding regions to SOZ. In the cross-frequency epileptic network, secondary generalization was associated with either decreased information flow from surrounding regions' HFA to SOZ's LFA or increased information flow from SOZ's LFA to surrounding regions' HFA.

interpretationOur results suggest that the secondary generalization of focal seizures is regulated by numerous within- and cross-frequency push-pull dynamics, potentially reflecting impaired excitation-inhibition interactions of the epileptic network. ANN NEUROL 2019;86:683-694.

Indexed as

AdolescentAdultChildDrug Resistant EpilepsyElectrocorticographyEpilepsies, PartialFemaleHumansMaleMiddle AgedSeizuresYoung Adult

Identifiers

PMID31566799
PMCPMC6856814
OpenAlexW2978635590

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.