Evidence map›Paper›PMID 34240747›Full record

ArticleEpilepsia2021

Cortical low-frequency power correlates with behavioral impairment in animal model of focal limbic seizures.

Abhijeet Gummadavelli, Reese Martin, Derek Goshay, Lim-Anna Sieu, Jingwen Xu, Benjamin F Gruenbaum, Cian McCafferty, Jason L Gerrard, Hal Blumenfeld

Open access · greenAbstract read
In one paragraph

Article in Epilepsia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 47% 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

3 citing papers in PubMed, 10 citations in OpenAlex.

  1. 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

9 authors at 1 institution in 1 country.

Abhijeet GummadavelliDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.
Reese MartinDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.
Derek GoshayDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.
Lim-Anna SieuDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.
Jingwen XuDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.
Benjamin F GruenbaumDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0002-3120-5709
Cian McCaffertyDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.
Jason L GerrardDepartment of Neurosurgery, Yale University School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0001-6971-1407
Hal BlumenfeldDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0003-0812-8132
Yale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Remote effects of focal hippocampal seizures on neocortical functionR01NS066974 · NINDS · YALE UNIVERSITY · PI HAL BLUMENFELD · 2011 to 2026
$5.5M
Network mechanisms of seizure-induced cardiorespiratory impairmentR01NS096088 · NINDS · YALE UNIVERSITY · PI BLUMENFELD, HAL · 2016 to 2020
$1.8M
Neuromodulation to restore conscious decision making during seizuresR21NS109874 · NINDS · YALE UNIVERSITY · PI GERRARD, JASON LEE · 2019 to 2020
$461k
NCATS NIH HHS UL1 TR001863NINDS NIH HHS R01 NS066974NINDS NIH HHS R01 NS096088NINDS NIH HHS R21 NS109874
6 · The paper itself

Abstract

objectiveImpairment in consciousness is a debilitating symptom during and after seizures; however, its mechanism remains unclear. Limbic seizures have been shown to spread to arousal circuitry to result in a "network inhibition" phenomenon. However, prior animal model studies did not relate physiological network changes to behavioral responses during or following seizures.

methodsFocal onset limbic seizures were induced while rats were performing an operant conditioned behavioral task requiring response to an auditory stimulus to quantify how and when impairment of behavioral response occurs. Correct responses were rewarded with sucrose. Cortical and hippocampal electrophysiology measured by local field potential recordings was analyzed for changes in low- and high-frequency power in relation to behavioral responsiveness during seizures.

resultsAs seen in patients with seizures, ictal (p < .0001) and postictal (p = .0015) responsiveness was variably impaired. Analysis of cortical and hippocampal electrophysiology revealed that ictal (p = .002) and postictal (p = .009) frontal cortical low-frequency 3-6-Hz power was associated with poor behavioral performance. In contrast, the hippocampus showed increased power over a wide frequency range during seizures, and suppression postictally, neither of which were related to behavioral impairment. SIGNIFICANCE: These findings support prior human studies of temporal lobe epilepsy as well as anesthetized animal models suggesting that focal limbic seizures depress consciousness through remote network effects on the cortex, rather than through local hippocampal involvement. By identifying the cortical physiological changes associated with impaired arousal and responsiveness in focal seizures, these results may help guide future therapies to restore ictal and postictal consciousness, improving quality of life for people with epilepsy.

Indexed as

Epilepsy, Temporal LobeQuality of LifeAnimalsDisease Models, AnimalElectroencephalographyHumansRatsRats, Sprague-DawleySeizuresconsciousnessepilepsyfocal seizuresfrontal cortexsleepslow waves

Identifiers

PMID34240747
PMCPMC8349876
OpenAlexW3180708018

What OpenQuestion holds

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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.