Evidence map›Paper›PMID 34528320›Full record

ArticleEuropean journal of neurology2022

Increased delta power as a scalp marker of epileptic activity: a simultaneous scalp and intracranial electroencephalography study.

Pia De Stefano, Margherita Carboni, Renaud Marquis, Laurent Spinelli, Margitta Seeck, Serge Vulliemoz

Open access · hybridAbstract read
In one paragraph

Article in European journal of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

22 citing papers in PubMed, 38 citations in OpenAlex.

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  8. ICU-EEG Pattern Detection by a Convolutional Neural Network.Annals of clinical and translational neurology · 2025
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  18. Sevoflurane-induced high-frequency oscillations, effective connectivity and intraoperative classification of epileptic brain areas.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2023
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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 1 institution in 2 countries.

Pia De StefanoEEG and Epilepsy Unit, Neurology Department, University Hospitals of Geneva, Geneva, Switzerland.ORCID 0000-0002-7979-0994
Margherita CarboniEEG and Epilepsy Unit, Neurology Department, University Hospitals of Geneva, Geneva, Switzerland.
Renaud MarquisEEG and Epilepsy Unit, Neurology Department, University Hospitals of Geneva, Geneva, Switzerland.
Laurent SpinelliEEG and Epilepsy Unit, Neurology Department, University Hospitals of Geneva, Geneva, Switzerland.
Margitta SeeckEEG and Epilepsy Unit, Neurology Department, University Hospitals of Geneva, Geneva, Switzerland.
Serge VulliemozEEG and Epilepsy Unit, Neurology Department, University Hospitals of Geneva, Geneva, Switzerland.
University of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe purpose was to evaluate whether intracranial interictal epileptiform discharges (IEDs) that are not visible on the scalp are associated with changes in the frequency spectrum on scalp electroencephalograms (EEGs).

methodsSimultaneous scalp high-density EEG and intracranial EEG recordings were recorded in nine patients undergoing pre-surgical invasive recordings for pharmaco-resistant temporal lobe epilepsy. Epochs with hippocampal IED visible on intracranial EEG (ic-IED) but not on scalp EEG were selected, as well as control epochs without ic-IED. Welch's power spectral density was computed for each scalp electrode and for each subject; the power spectral density was further averaged across the canonical frequency bands and compared between the two conditions with and without ic-IED. For each patient the peak frequency in the delta band (the significantly strongest frequency band in all patients) was determined during periods of ic-IED. The five electrodes showing strongest power at the peak frequency were also determined.

resultsIt was found that intracranial IEDs are associated with an increase in delta power on scalp EEGs, in particular at a frequency ≥1.4 Hz. Electrodes showing slow frequency power changes associated with IEDs were consistent with the hemispheric lateralization of IEDs. Electrodes with maximum power of slow activity were not limited to temporal regions but also involved frontal (bilateral or unilateral) regions.

conclusionsIn patients with a clinical picture suggestive of temporal lobe epilepsy, the presence of delta slowing ≥1.4 Hz in anterior temporal regions can represent a scalp marker of hippocampal IEDs. To our best knowledge this is the first study that demonstrates the co-occurrence of ic-IED and increased delta power.

Indexed as

EpilepsyEpilepsy, Temporal LobeElectrocorticographyElectroencephalographyHumansScalpdelta powerintracranial IEDLRDAmesial temporal IEDrhythmic delta activity

Identifiers

PMID34528320
PMCPMC9293335
OpenAlexW3199770342

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.