Evidence map›Paper›PMID 35367805›Full record

ArticleClinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology2022

Network connectivity in primary generalized tonic-clonic seizures.

Ian McGuinness, Bassel Abou-Khalil, Mikail Rubinov, Martin J Gallagher

Abstract read
In one paragraph

Article in Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

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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

2 citing papers in PubMed.

  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

4 authors.

Ian McGuinnessDepartment of Neurology Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Bassel Abou-KhalilDepartment of Neurology Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Mikail RubinovDepartment of Biomedical Engineering, Vanderbilt University, Nashville, TN 37232, USA.
Martin J GallagherDepartment of Neurology Vanderbilt University Medical Center, Nashville, TN 37232, USA; Tennessee Valley Health System, Department of Veteran's Affairs, Nashville, TN 37212, USA. Electronic address: Martin.J.P.Gallagher@Gmail.com.

Funding

Interactions of traumatic brain injury with pre-existing mild epilepsy on thalamocortical dysfunction, sensory processing, and seizuresI01BX005316 · VA · VETERANS HEALTH ADMINISTRATION · PI GALLAGHER, MARTIN J · 2022 to 2025
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BLRD VA I01 BX005316
6 · The paper itself

Abstract

objectiveTo determine EEG spatiospectral activation and connectivity in the generalized tonic-clonic seizure (GTCS) semiological subtypes.

methods39 patients with genetic generalized epilepsy (GGE) who had GTCS (n = 58) during video-EEG monitoring were identified in the Vanderbilt Epilepsy database. GTCSs were classified as absence tonic-clonic, myoclonic tonic-clonic, or tonic-clonic. Patient characteristics and semiological features were compared. Spectral power and node degree, a network measure of connectivity, were calculated at two seizure epochs, electrographic and tonic-start.

resultsDifferent GTCS subtypes occurred within individual patients. At electrographic-onset, all subtypes activated midline frontal cortex at delta/theta and beta frequencies but differed in network connectivity. In all subtypes, GTCS evolution from electrographic to tonic-start associated with preserved beta frequency spectral power, but reduced connectivity and delta/theta power.

conclusionsOur findings suggest that at GTCS onset, the subtypes activate similar cortical regions and their different initial semiologies relate to their distinct onset long-range connectivity. Upon transition to the tonic-start epoch, the ictal activity is predominantly conveyed by β frequency activity and connectivity. SIGNIFICANCE: Future neurostimulation therapies for medically intractable GTCSs may target the same brain regions for all GTCS subtypes and may be most effective prior to the tonic-start epoch.

Indexed as

EpilepsyEpilepsy, GeneralizedEpilepsy, Tonic-ClonicElectroencephalographyHumansSeizuresBiomarkerBrain, pathophysiologyIdiopathic generalized epilepsyNeural pathwaysSignal analysis

Identifiers

PMID35367805
PMCPMC12927270

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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.