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慢性颞叶癫痫大鼠局灶性和全身性癫痫发作的时变癫痫脑功能连接

Time-variant Epileptic Brain Functional Connectivity of Focal and Generalized Seizure in Chronic Temporal Lobe Epilepsy Rat.

作者信息

Yang Yufang, Zhang Fang, Zhu Junming, Wang Yueming, Xu Kedi

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2020 Jul;2020:2833-2836. doi: 10.1109/EMBC44109.2020.9175924.

Abstract

Seizure types and characteristics may vary with time in a patient with distinct mechanisms underlying the propagation of ictal activity. Similarly, we found that both focal and generalized seizures coexist in some pilocarpine-induced chronic temporal lobe epilepsy (TLE) rats. In different seizure patterns, mapping complex networks and analyzing epileptic characteristics involved in seizure propagation are likely to reflect seizure propagation mechanisms, and indicate the establishment of stimulation strategy for epilepsy treatment, especially on the selection of stimulation targets. In our study, we used Granger causality method to track the time-variant epileptic brain functional connectivity in focal and generalized seizures from multi-site local field potentials (LFPs). Results showed that these two major types of seizures had different propagation patterns during ictal period. When comparing them, generalized seizures involved in a network with more complex relationships and spread to more extensive brain regions than in local seizures at mid-ictal stage. Moreover, we observed that focal seizures had a focused causal hub with strong interactions, while generalized seizures had relative distributed causal hubs to drive the development of seizure during seizure-onset stage. These findings suggest that stimulation strategy might need to be adapted to different seizure types thus allowing for retuning abnormal epileptic brain network and obtaining better treatment effect on seizure suppression.

摘要

癫痫发作的类型和特征可能会随时间而变化,在具有不同发作期活动传播机制的患者中也是如此。同样,我们发现,在一些毛果芸香碱诱导的慢性颞叶癫痫(TLE)大鼠中,局灶性癫痫发作和全身性癫痫发作并存。在不同的癫痫发作模式中,绘制复杂网络并分析参与癫痫发作传播的癫痫特征可能会反映癫痫发作传播机制,并为癫痫治疗刺激策略的建立提供依据,尤其是在刺激靶点的选择上。在我们的研究中,我们使用格兰杰因果关系方法从多部位局部场电位(LFP)追踪局灶性和全身性癫痫发作期间随时间变化的癫痫脑功能连接。结果表明,这两种主要类型的癫痫发作在发作期具有不同的传播模式。当进行比较时,全身性癫痫发作涉及的网络关系更为复杂,在发作中期比局灶性癫痫发作扩散到更广泛的脑区。此外,我们观察到,局灶性癫痫发作有一个具有强相互作用的集中因果枢纽,而全身性癫痫发作在发作起始阶段有相对分散的因果枢纽来驱动癫痫发作的发展。这些发现表明,刺激策略可能需要根据不同的癫痫发作类型进行调整,从而能够重新调整异常的癫痫脑网络,并在癫痫抑制方面获得更好的治疗效果。

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