Evidence map›Paper›PMID 34284235›Full record

ArticleClinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology2021

Measuring the effects of sleep on epileptogenicity with multifrequency entropy.

Aarti Sathyanarayana, Rima El Atrache, Michele Jackson, Aliza S Alter, Kenneth D Mandl, Tobias Loddenkemper, William J Bosl

Open access · greenAbstract read
In one paragraph

Article in Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 31% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Aarti SathyanarayanaComputational Health Informatics Program, Boston Children's Hospital, Boston, USA; Department of Pediatrics, Harvard Medical School, Boston, USA.
Rima El AtracheDepartment of Neurology, Boston Children's Hospital, Boston, USA.
Michele JacksonDepartment of Neurology, Boston Children's Hospital, Boston, USA.
Aliza S AlterDepartment of Neurology, Boston Children's Hospital, Boston, USA.
Kenneth D MandlComputational Health Informatics Program, Boston Children's Hospital, Boston, USA; Department of Pediatrics, Harvard Medical School, Boston, USA.
Tobias LoddenkemperComputational Health Informatics Program, Boston Children's Hospital, Boston, USA; Department of Neurology, Boston Children's Hospital, Boston, USA.
William J BoslComputational Health Informatics Program, Boston Children's Hospital, Boston, USA; Department of Pediatrics, Harvard Medical School, Boston, USA; University of San Francisco, San Francisco, USA. Electronic address: william.bosl@childrens.harvard.edu.
Boston Children's Hospital · US

Funding

RESEARCH TRAINING IN PEDIATRIC EMERGENCY MEDICINET32HD040128 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI Kenneth D. Mandl · 2001 to 2026
$5.0M
NICHD NIH HHS T32 HD040128
6 · The paper itself

Abstract

objectiveWe demonstrate that multifrequency entropy gives insight into the relationship between epileptogenicity and sleep, and forms the basis for an improved measure of medical assessment of sleep impairment in epilepsy patients.

methodsMultifrequency entropy was computed from electroencephalography measurements taken from 31 children with Benign Epilepsy with Centrotemporal Spikes and 31 non-epileptic controls while awake and during sleep. Values were compared in the epileptic zone and away from the epileptic zone in various sleep stages.

resultsWe find that (I) in lower frequencies, multifrequency entropy decreases during non-rapid eye movement sleep stages when compared with wakefulness in a general population of pediatric patients, (II) patients with Benign Epilepsy with Centrotemporal Spikes had lower multifrequency entropy across stages of sleep and wakefulness, and (III) the epileptic regions of the brain exhibit lower multifrequency entropy patterns than the rest of the brain in epilepsy patients.

conclusionsOur results show that multifrequency entropy decreases during sleep, particularly sleep stage 2, confirming, in a pediatric population, an association between sleep, lower multifrequency entropy, and increased likelihood of seizure. SIGNIFICANCE: We observed a correlation between lowered multifrequency entropy and increased epileptogenicity that lays preliminary groundwork for the detection of a digital biomarker for epileptogenicity.

Indexed as

EntropyAction PotentialsAdolescentBrain WavesChildChild, PreschoolCohort StudiesElectroencephalographyEpilepsy, RolandicFemaleHumansInfantMaleRetrospective StudiesSleep StagesBECTSEntropyEpilepsySleep

Identifiers

PMID34284235
PMCPMC8384705
OpenAlexW3171676023

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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.