Evidence map›Paper›PMID 40616783›Full record

ArticleEpilepsia2025

Functional network dynamics in photosensitive epilepsy depend on stimulation frequency and photoparoxysmal electroencephalographic response.

Lili Timar, Sina Deplazes, Julia Bothmann, Roland Renzel, Debora Ledergerber, Tena Dubcek, Lukas Imbach

Abstract read
In one paragraph

Article in Epilepsia, 2025. 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

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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.

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4 · The record

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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.

Lili TimarSwiss Epilepsy Center, Klinik Lengg, Zurich, Switzerland.ORCID https://orcid.org/0009-0001-2951-6380
Sina DeplazesSwiss Epilepsy Center, Klinik Lengg, Zurich, Switzerland.
Julia BothmannSwiss Epilepsy Center, Klinik Lengg, Zurich, Switzerland.
Roland RenzelSwiss Epilepsy Center, Klinik Lengg, Zurich, Switzerland.
Debora LedergerberSwiss Epilepsy Center, Klinik Lengg, Zurich, Switzerland.
Tena DubcekSwiss Epilepsy Center, Klinik Lengg, Zurich, Switzerland.
Lukas ImbachSwiss Epilepsy Center, Klinik Lengg, Zurich, Switzerland.ORCID https://orcid.org/0000-0002-6135-8642

Funding

DRS Research LabsSwiss Epilepsy Foundation
6 · The paper itself

Abstract

objectivePhotosensitive epilepsy (PSE) is a reflex epilepsy, where abnormal electroencephalographic (EEG) responses are induced by photic stimulation. Photosensitivity is classified into four types based on the propagation of the brain's response to visual stimuli. Here, we aimed to describe the underlying dynamical mechanisms of PSE and different photosensitivity types.

methodsThis retrospective study included healthy controls (HC), PSE patients, and non-PSE patients with epilepsy (PWE). All participants were stimulated with flickering white light (1-60 Hz) under 10-20 EEG monitoring.

resultsWe observed significantly higher occipital photoparoxysmal response (PPR) power in PSE patients compared to HC for stimulation frequencies between 10 and 20 Hz. However, the excitability of the visual cortex, investigated by the occipital transient (P100) and steady-state visual evoked potentials (ssVEP), remained unchanged in most PSE types compared to HC and to PWE. The ssVEP power only increased significantly in PSE type 4 compared to HC. Instead, PSE patients exhibited notable differences in functional connectivity for stimulation frequencies of 10-20 Hz in the PPR band (3-4 Hz) relative to HC, characterized by centroparietal and centrofrontopolar hypoconnectivity. Additionally, for the same stimulation frequencies, PSE patients with PPR propagation showed occipitofrontocentral hyperconnectivity compared to both HC and PWE. SIGNIFICANCE: Our results provide novel evidence that altered network dynamics in PSE patients are likely a prerequisite for the propagation of the PPR and type-specific responses. PSE is a network effect modulated by anterior and anteroposterior hyperconnectivity, supported by a hyperexcitable visual cortex.

Indexed as

BrainElectroencephalographyEpilepsy, ReflexEvoked Potentials, VisualNerve NetVisual CortexAdolescentAdultFemaleHumansMaleMiddle AgedPhotic StimulationRetrospective StudiesYoung AdultEEGintermittent photic stimulationneurophysiologyphotoparoxysmal propagation

Identifiers

PMID40616783
PMCPMC12605740

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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.