Evidence map›Paper›PMID 34419344›Full record

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

Microscale dynamics of electrophysiological markers of epilepsy.

Jimmy C Yang, Angelique C Paulk, Pariya Salami, Sang Heon Lee, Mehran Ganji, Daniel J Soper, Daniel Cleary, Mirela Simon, Douglas Maus, Jong Woo Lee and 9 more

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 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

24 citing papers in PubMed, 32 citations in OpenAlex.

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  12. Networks through the lens of high-frequency oscillations.Frontiers in network physiology · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 3 institutions in 1 country.

Jimmy C YangDepartment of Neurosurgery, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA; Department of Neurology, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.
Angelique C PaulkDepartment of Neurology, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.
Pariya SalamiDepartment of Neurology, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.
Sang Heon LeeDepartment of Electrical and Computer Engineering, University of California, San Diego; 9500 Gilman Dr., La Jolla, CA 92093, USA.
Mehran GanjiDepartment of Electrical and Computer Engineering, University of California, San Diego; 9500 Gilman Dr., La Jolla, CA 92093, USA.
Daniel J SoperDepartment of Neurology, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.
Daniel ClearyDepartment of Neurosurgery, University of California, San Diego; 9500 Gilman Dr., La Jolla, CA 92093, USA.
Mirela SimonDepartment of Neurology, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.
Douglas MausDepartment of Neurology, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.
Jong Woo LeeDepartment of Neurology, Brigham and Women's Hospital, 60 Fenwood Rd., Boston, MA 02115, USA.
Brian V NahedDepartment of Neurosurgery, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.
Pamela S JonesDepartment of Neurosurgery, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.
Daniel P CahillDepartment of Neurosurgery, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.
Garth Rees CosgroveDepartment of Neurosurgery, Brigham and Women's Hospital, 60 Fenwood Rd., Boston, MA 02115, USA.
Catherine J ChuDepartment of Neurology, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.
Ziv WilliamsDepartment of Neurosurgery, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.
Eric HalgrenDepartment of Radiology, University of California, San Diego; 9500 Gilman Dr.; La Jolla, CA 92093, USA.
Shadi DayehDepartment of Electrical and Computer Engineering, University of California, San Diego; 9500 Gilman Dr., La Jolla, CA 92093, USA.
Sydney S CashDepartment of Neurology, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA. Electronic address: scash@partners.org.
Massachusetts General Hospital · USUniversity of California San Diego · USBrigham and Women's Hospital · US

Funding

Thin, High-Density, High-Performance, Depth and Surface Microelectrodes for Diagnosis and Treatment of EpilepsyUG3NS123723 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DAYEH, SHADI · 2021 to 2025
$9.5M
Neurophysiology of Human Cortical EpilepsyR01NS062092 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI CASH, SYDNEY S · 2010 to 2021
$4.7M
Integrated Biophysical and Neural Model of Electrical Stimulation EffectsR01NS109553 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BAZHENOV, MAKSIM V, HALGREN, ERIC · 2019 to 2023
$4.4M
Bringing Light to Functional Mapping in Resective NeurosurgeryDP2EB029757 · NIBIB · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DAYEH, SHADI · 2019 to 2019
$2.4M
Integration of High Definition Display Technologies with Platinum Nanorod Microelectrodes for Large Scale in-vivo Recording and StimulationR01NS123655 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DAYEH, SHADI · 2021 to 2021
$2.0M
Seizure focus delineation using spontaneous and stimulus evoked EEG featuresK24NS088568 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI CASH, SYDNEY S · 2015 to 2019
$923k
Neurophysiology of Human Cortical EpilepsyR56NS062092 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI CASH, SYDNEY S · 2017 to 2017
$608k
NIBIB NIH HHS DP2 EB029757NINDS NIH HHS K24 NS088568NINDS NIH HHS R01 NS062092NINDS NIH HHS R01 NS109553NINDS NIH HHS R01 NS123655NINDS NIH HHS R56 NS062092NINDS NIH HHS UG3 NS123723
6 · The paper itself

Abstract

objectiveInterictal discharges (IIDs) and high frequency oscillations (HFOs) are established neurophysiologic biomarkers of epilepsy, while microseizures are less well studied. We used custom poly(3,4-ethylenedioxythiophene) polystyrene sulfonate (PEDOT:PSS) microelectrodes to better understand these markers' microscale spatial dynamics.

methodsElectrodes with spatial resolution down to 50 µm were used to record intraoperatively in 30 subjects. IIDs' degree of spread and spatiotemporal paths were generated by peak-tracking followed by clustering. Repeating HFO patterns were delineated by clustering similar time windows. Multi-unit activity (MUA) was analyzed in relation to IID and HFO timing.

resultsWe detected IIDs encompassing the entire array in 93% of subjects, while localized IIDs, observed across < 50% of channels, were seen in 53%. IIDs traveled along specific paths. HFOs appeared in small, repeated spatiotemporal patterns. Finally, we identified microseizure events that spanned 50-100 µm. HFOs covaried with MUA, but not with IIDs.

conclusionsOverall, these data suggest that irritable cortex micro-domains may form part of an underlying pathologic architecture which could contribute to the seizure network. SIGNIFICANCE: These results, supporting the possibility that epileptogenic cortex comprises a mosaic of irritable domains, suggests that microscale approaches might be an important perspective in devising novel seizure control therapies.

Indexed as

MicroelectrodesAdultBrainBrain MappingElectroencephalographyEpilepsyFemaleHumansIntraoperative Neurophysiological MonitoringMaleMiddle AgedYoung AdultHigh Frequency OscillationsInterictal DischargesMicroelectrode

Identifiers

PMID34419344
PMCPMC8545846
OpenAlexW3188907836

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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.