Evidence map›Paper›PMID 33693588›Full record

ArticleBrain : a journal of neurology2021

Travelling waves reveal a dynamic seizure source in human focal epilepsy.

Joshua M Diamond, Benjamin E Diamond, Michael S Trotta, Kate Dembny, Sara K Inati, Kareem A Zaghloul

Open access · bronzeAbstract read
In one paragraph

Article in Brain : a journal of neurology, 2021. 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
3.5field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 33 citations in OpenAlex.

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  10. Ephaptic conduction in tonic-clonic seizures.Frontiers in neurology · 2024
    Article
  11. Article
  12. Article
  13. Ictal source localization from intracranial recordings.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2022
    Article
  14. Article
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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

6 authors at 2 institutions in 1 country.

Joshua M DiamondSurgical Neurology Branch, NINDS, National Institutes of Health, Bethesda, MD 20892, USA.
Benjamin E DiamondJ.P. Morgan AI Research, Corporate and Investment Bank, JP Morgan Chase & Co., New York, NY 10017, USA.
Michael S TrottaSurgical Neurology Branch, NINDS, National Institutes of Health, Bethesda, MD 20892, USA.
Kate DembnyClinical Epilepsy Section, NINDS, National Institutes of Health, Bethesda, MD 20892, USA.
Sara K InatiClinical Epilepsy Section, NINDS, National Institutes of Health, Bethesda, MD 20892, USA.
Kareem A ZaghloulSurgical Neurology Branch, NINDS, National Institutes of Health, Bethesda, MD 20892, USA.ORCID 0000-0002-7284-7994
National Institutes of Health · USJPMorgan Chase & Co (United States) · US

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
Investigating Epileptic and Functional Networks in Patients with Drug Resistant Focal EpilepsyZIANS009431 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI INATI, SARA · 2021 to 2025
$8.4M
6 · The paper itself

Abstract

Treatment of patients with drug-resistant focal epilepsy relies upon accurate seizure localization. Ictal activity captured by intracranial EEG has traditionally been interpreted to suggest that the underlying cortex is actively involved in seizures. Here, we hypothesize that such activity instead reflects propagated activity from a relatively focal seizure source, even during later time points when ictal activity is more widespread. We used the time differences observed between ictal discharges in adjacent electrodes to estimate the location of the hypothesized focal source and demonstrated that the seizure source, localized in this manner, closely matches the clinically and neurophysiologically determined brain region giving rise to seizures. Moreover, we determined this focal source to be a dynamic entity that moves and evolves over the time course of a seizure. Our results offer an interpretation of ictal activity observed by intracranial EEG that challenges the traditional conceptualization of the seizure source.

Indexed as

Models, NeurologicalAdultElectrocorticographyEpilepsies, PartialFemaleHumansMaleMiddle AgedSeizurescomputationepilepsyiEEGlocalizationseizure

Identifiers

PMID33693588
PMCPMC8320280
OpenAlexW3134362490

What OpenQuestion holds

Textmetadata
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.