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Vagus nerve electroneurogram-based detection of acute kainic acid induced seizures.

作者信息

Acedo Reina Elena, Germany Morrison Enrique, Dereli Ayse S, Collard Elise, Raffoul Romain, Nonclercq Antoine, El Tahry Riëm

机构信息

Clinical Neuroscience, Institute of Neuroscience (IoNS), Université Catholique de Louvain, Brussels, Belgium.

Walloon Excellence in Life Sciences and Biotechnology (WELBIO) Department, WEL Research Institute, Wavre, Belgium.

出版信息

Front Neurosci. 2024 Aug 7;18:1427308. doi: 10.3389/fnins.2024.1427308. eCollection 2024.


DOI:10.3389/fnins.2024.1427308
PMID:39170680
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11335647/
Abstract

Seizures produce autonomic symptoms, mainly sympathetic but also parasympathetic in origin. Within this context, the vagus nerve is a key player as it carries information from the different organs to the brain and vice versa. Hence, exploiting vagal neural traffic for seizure detection might be a promising tool to improve the efficacy of closed-loop Vagus Nerve Stimulation. This study developed a VENG detection algorithm that effectively detects seizures by emphasizing the loss of spontaneous rhythmicity associated with respiration in acute intrahippocampal Kainic Acid rat model. Among 20 induced seizures in six anesthetized rats, 13 were detected (sensitivity: 65%, accuracy: 92.86%), with a mean VENG-detection delay of 25.3 ± 13.5 s after EEG-based seizure onset. Despite variations in detection parameters, 7 out of 20 seizures exhibited no ictal VENG modifications and remained undetected. Statistical analysis highlighted a significant difference in Delta, Theta and Beta band evolution between detected and undetected seizures, in addition to variations in the magnitude of HR changes. Binomial logistic regression analysis confirmed that an increase in delta and theta band activity was associated with a decreased likelihood of seizure detection. This results suggest the possibility of distinct seizure spreading patterns between the two groups which may results in differential activation of the autonomic central network. Despite notable progress, limitations, particularly the absence of respiration recording, underscore areas for future exploration and refinement in closed-loop stimulation strategies for epilepsy management. This study constitutes the initial phase of a longitudinal investigation, which will subsequently involve reproducing these experiments in awake conditions with spontaneous recurrent seizures.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a87a/11335647/04e4506383e9/fnins-18-1427308-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a87a/11335647/b069a633763d/fnins-18-1427308-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a87a/11335647/6f4bb68113e2/fnins-18-1427308-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a87a/11335647/04e4506383e9/fnins-18-1427308-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a87a/11335647/b069a633763d/fnins-18-1427308-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a87a/11335647/6f4bb68113e2/fnins-18-1427308-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a87a/11335647/04e4506383e9/fnins-18-1427308-g003.jpg

相似文献

[1]
Vagus nerve electroneurogram-based detection of acute kainic acid induced seizures.

Front Neurosci. 2024-8-7

[2]
Vagus Nerve Electroneurogram-Based Detection of Acute Pentylenetetrazol Induced Seizures in Rats.

Int J Neural Syst. 2021-7

[3]
Recording of spontaneous vagus nerve activity during Pentylenetetrazol-induced seizures in rats.

J Neurosci Methods. 2020-9-1

[4]
Early seizure detection in rats based on vagus nerve activity.

Med Biol Eng Comput. 2010-10-2

[5]
Ictal and peri-ictal changes in cervical vagus nerve activity associated with cardiac effects.

Med Biol Eng Comput. 2011-5-5

[6]
Pre-ictal heart rate variability alterations in focal onset seizures and response to vagus nerve stimulation.

Seizure. 2021-3

[7]
A prospective, multicenter study of cardiac-based seizure detection to activate vagus nerve stimulation.

Seizure. 2015-11

[8]
Non-invasive computerized system for automatically initiating vagus nerve stimulation following patient-specific detection of seizures or epileptiform discharges.

Int J Neural Syst. 2009-6

[9]
Cardiac-based vagus nerve stimulation reduced seizure duration in a patient with refractory epilepsy.

Seizure. 2015-3

[10]
Autonomic nerve activity and cardiovascular changes during discrete seizures in rats.

Auton Neurosci. 2022-7

本文引用的文献

[1]
A unified hypothesis of SUDEP: Seizure-induced respiratory depression induced by adenosine may lead to SUDEP but can be prevented by autoresuscitation and other restorative respiratory response mechanisms mediated by the action of serotonin on the periaqueductal gray.

Epilepsia. 2023-4

[2]
Quantification of cardiac and respiratory modulation of axonal activity in the human vagus nerve.

J Physiol. 2022-7

[3]
Parasympathetic Tone Changes in Anesthetized Horses after Surgical Stimulation, and Morphine, Ketamine, and Dobutamine Administration.

Animals (Basel). 2022-4-15

[4]
Autonomic nerve activity and cardiovascular changes during discrete seizures in rats.

Auton Neurosci. 2022-7

[5]
Vagus Nerve Electroneurogram-Based Detection of Acute Pentylenetetrazol Induced Seizures in Rats.

Int J Neural Syst. 2021-7

[6]
A systematic review of magnetic resonance imaging in patients with an implanted vagus nerve stimulation system.

Neuroradiology. 2021-9

[7]
Analysing vagus nerve spontaneous activity using finite element modelling.

J Neural Eng. 2021-4-6

[8]
Logistic Regression in Medical Research.

Anesth Analg. 2021-2-1

[9]
Suppression of phrenic nerve activity as a potential predictor of imminent sudden unexpected death in epilepsy (SUDEP).

Neuropharmacology. 2021-2-15

[10]
Learnings from 30 years of reported efficacy and safety of vagus nerve stimulation (VNS) for epilepsy treatment: A critical review.

Seizure. 2020-12

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