Počet záznamů: 1
Ictal Gamma-Band Interactions Localize Ictogenic Nodes of the Epileptic Network in Focal Cortical Dysplasia
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SYSNO ASEP 0543462 Druh ASEP J - Článek v odborném periodiku Zařazení RIV J - Článek v odborném periodiku Poddruh J Článek ve WOS Název Ictal Gamma-Band Interactions Localize Ictogenic Nodes of the Epileptic Network in Focal Cortical Dysplasia Tvůrce(i) Janča, R. (CZ)
Jahodová, A. (CZ)
Hlinka, Jaroslav (UIVT-O) RID, SAI, ORCID
Ježdík, P. (CZ)
Svobodová, L. (CZ)
Kudr, M. (CZ)
Kalina, A. (CZ)
Marusič, P. (CZ)
Kršek, P. (CZ)
Jiruška, Přemysl (FGU-C) RID, ORCID, SAICelkový počet autorů 10 Zdroj.dok. Clinical Neurophysiology. - : Elsevier - ISSN 1388-2457
Roč. 132, č. 8 (2021), s. 1927-1936Poč.str. 10 s. Forma vydání Tištěná - P Jazyk dok. eng - angličtina Země vyd. IE - Irsko Klíč. slova Epilepsy ; Effective connectivity ; Intracranial EEG ; Networks ; Seizure onset zone ; Outcome Vědní obor RIV FH - Neurologie, neurochirurgie, neurovědy Obor OECD Neurosciences (including psychophysiology Vědní obor RIV – spolupráce Fyziologický ústav - Neurologie, neurochirurgie, neurovědy CEP NV17-28427A GA MZd - Ministerstvo zdravotnictví Způsob publikování Omezený přístup Institucionální podpora UIVT-O - RVO:67985807 ; FGU-C - RVO:67985823 UT WOS 000674175200021 EID SCOPUS 85109523613 DOI 10.1016/j.clinph.2021.04.016 Anotace Objective: Epilepsy surgery fails in > 30% of patients with focal cortical dysplasia (FCD). The seizure persistence after surgery can be attributed to the inability to precisely localize the tissue with an endogenous potential to generate seizures. In this study, we aimed to identify the critical components of the epileptic network that were actively involved in seizure genesis. Methods: The directed transfer function was applied to intracranial EEG recordings and the effective connectivity was determined with a high temporal and frequency resolution. Pre-ictal network properties were compared with ictal epochs to identify regions actively generating ictal activity and discriminate them from the areas of propagation. Results: Analysis of 276 seizures from 30 patients revealed the existence of a seizure-related network reconfiguration in the gamma-band (25–170 Hz, p < 0.005) – ictogenic nodes. Unlike seizure onset zone, resecting the majority of ictogenic nodes correlated with favorable outcomes (p < 0.012). Conclusion: The prerequisite to successful epilepsy surgery is the accurate identification of brain areas from which seizures arise. We show that in FCD-related epilepsy, gamma-band network markers can reliably identify and distinguish ictogenic areas in macroelectrode recordings, improve intracranial EEG interpretation and better delineate the epileptogenic zone. Significance: Ictogenic nodes localize the critical parts of the epileptogenic tissue and increase the diagnostic yield of intracranial evaluation. Pracoviště Ústav informatiky Kontakt Tereza Šírová, sirova@cs.cas.cz, Tel.: 266 053 800 Rok sběru 2022 Elektronická adresa http://dx.doi.org/10.1016/j.clinph.2021.04.016
Počet záznamů: 1