Evidence map›Paper›PMID 38886376›Full record

ArticleNature communications2024

Differential cortical layer engagement during seizure initiation and spread in humans.

Pierre Bourdillon, Liankun Ren, Mila Halgren, Angelique C Paulk, Pariya Salami, István Ulbert, Dániel Fabó, Jean-Rémi King, Kane M Sjoberg, Emad N Eskandar and 3 more

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Brain sciences · 2025
    Article
  9. Article
  10. Observational
  11. Review
  12. Review
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

13 authors.

Pierre BourdillonDepartment of Neurology, Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA. pierre.bourdillon@neurochirurgie.fr.ORCID http://orcid.org/0000-0002-8441-1311
Liankun RenDepartment of Neurology, Xuanwu Hospital, National Center for Neurological Disorders, Clinical Center for Epilepsy, Capital Medical University, Beijing, China.ORCID http://orcid.org/0000-0001-5147-3068
Mila HalgrenBrain and Cognitive Sciences Department and McGovern Institute for Brain Research, Massachusetts Institute of Technology, Cambridge, MA, USA.
Angelique C PaulkDepartment of Neurology, Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-4413-3417
Pariya SalamiDepartment of Neurology, Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
István UlbertHUN-REN, Research Center for Natural Sciences, Institute of Cognitive Neuroscience and Psychology, Budapest, Hungary.ORCID http://orcid.org/0000-0001-9941-9159
Dániel FabóDepartment of Neurosurgery and Neurointervention, Faculty of Medicine, Semmelweis University, Budapest, Hungary.ORCID http://orcid.org/0000-0001-5141-5351
Jean-Rémi KingLaboratoire des Systèmes Perceptifs, Département d'études cognitives, École normale supérieure, PSL University, CNRS, Paris, France.ORCID http://orcid.org/0000-0002-2121-170X
Kane M SjobergDepartment of Neurology, Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-7348-9220
Emad N EskandarDepartment of Neurological Surgery, Albert Einstein College of Medicine - Montefiore Medical Center, Bronx, NY, USA.
Joseph R MadsenDepartment of Neurosurgery, Boston Children Hospital, Harvard Medical School, Boston, MA, USA.
Eric HalgrenDepartments of Radiology and, Neurosciences, University of California, San Diego, San Diego, CA, USA.ORCID http://orcid.org/0000-0001-5926-6872
Sydney S CashDepartment of Neurology, Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-4557-6391

Funding

Neurophysiology of Human Cortical EpilepsyR01NS062092 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI CASH, SYDNEY S · 2010 to 2021
$4.7M
Understanding the Fast and Slow Spatiotemporal Dynamics of Human SeizuresR01NS110669 · NINDS · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI CASH, SYDNEY S, EDEN, URI TZVI · 2019 to 2023
$2.3M
Seizure focus delineation using spontaneous and stimulus evoked EEG featuresK24NS088568 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI CASH, SYDNEY S · 2015 to 2019
$923k
NINDS NIH HHS K24 NS088568NINDS NIH HHS R01 NS062092NINDS NIH HHS R01 NS110669
6 · The paper itself

Abstract

Despite decades of research, we still do not understand how spontaneous human seizures start and spread - especially at the level of neuronal microcircuits. In this study, we used laminar arrays of micro-electrodes to simultaneously record the local field potentials and multi-unit neural activities across the six layers of the neocortex during focal seizures in humans. We found that, within the ictal onset zone, the discharges generated during a seizure consisted of current sinks and sources only within the infra-granular and granular layers. Outside of the seizure onset zone, ictal discharges reflected current flow in the supra-granular layers. Interestingly, these patterns of current flow evolved during the course of the seizure - especially outside the seizure onset zone where superficial sinks and sources extended into the deeper layers. Based on these observations, a framework describing cortical-cortical dynamics of seizures is proposed with implications for seizure localization, surgical targeting, and neuromodulation techniques to block the generation and propagation of seizures.

Indexed as

ElectroencephalographyNeocortexSeizuresAdultCerebral CortexFemaleHumansMaleMicroelectrodesNeuronsYoung Adult

Identifiers

PMID38886376
PMCPMC11183216

What OpenQuestion holds

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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.