Presently, we develop a simplified corticothalamic (SCT) model and propose a single-pulse alternately resetting stimulation (SARS) with sequentially applying anodic (A, “+”) or cathodic (C, “−”) phase pulses to the thalamic reticular (RE) nuclei, thalamus-cortex (TC) relay nuclei, and cortical excitatory (EX) neurons, respectively. Abatement effects of ACC-SARS of RE, TC, and EX for the 2Hz–4Hz spike and wave discharges (SWD) of absence seizures are then concerned. The m:n on-off ACC-SARS protocol is shown to effectively reduce the SWD with the least current consumption. In particular, when its frequency is out of the 2 Hz–4Hz SWD dominant rhythm, the desired seizure abatements can be obtained, which can be further improved by our proposed directional steering (DS) stimulation. The dynamical explanations for the SARS induced seizure abatements are lastly given by calculating the averaged mean firing rate (AMFR) of neurons and triggering averaged mean firing rates (TAMFRs) of 2Hz–4Hz SWD.
Seizure focus localization is the key to control seizures. However, in this paper, we show that the clinically localized seizure focus may be not exactly the positions to abate seizures. Firstly, the reliability of a previously proposed methodology employed to estimate the synchronicity and directionality of information flows over time between EEG signals, is numerically assessed with a coupled mass neural model. Then 10 channels' EEG signals from a patient with focal epilepsy are used to reconstruct the dynamical complex network of pathological seizure. This may facilitate to identify the evolution paths of information flows and localize the potential seizure foci. What's more, based on the controllability and observability principles of complex systems, we can focus on the key nodes which is effective to control the network seizure behaviors and the key ones that can allow us to estimate the state of all other variables. Results show that to fully control the epileptic network may not just be related to the focus zone, it may also involves in other non-focus nodes. In addition, we use the spatiotemporal neural network model connected by our modeled dynamical adjacent matrix to successfully reproduce the original EEG signals which can be effectively abated by applying the normal dis-
IntroductionThe dynamic reconfiguration of network oscillations is connected with cognitive processes. Changes in how neural networks and signaling pathways work are crucial to how epilepsy and related conditions develop. Specifically, there is evidence that prolonged or recurrent seizures may induce or exacerbate cognitive impairment. However, it still needs to be determined how the seizure brain configures its functional structure to shape the battle of strong local oscillations vs. slow global oscillations in the network to impair cognitive function.MethodsIn this paper, we aim to deduce the network mechanisms underlying seizure-induced cognitive impairment by comparing the evolution of strong local oscillations with slow global oscillations and their link to the resting state of healthy controls. Here, we construct a dynamically efficient network of pathological seizures by calculating the synchrony and directionality of information flow between nine patients’ SEEG signals. Then, using a pattern-based method, we found hierarchical modules in the brain’s functional network and measured the functional balance between the network’s local strong and slow global oscillations.Results and discussionAccording to the findings, a tremendous rise in strong local oscillations during seizures and an increase in slow global oscillations after seizures corresponded to the initiation and recovery of cognitive impairment. Specifically, during the interictal period, local strong and slow global oscillations are in metastable balance, which is the same as a normal cognitive process and can be switched easily. During the pre-ictal period, the two show a bimodal pattern of separate peaks that cannot be easily switched, and some flexibility is lost. During the seizure period, a single-peak pattern with negative peaks is showcased, and the network eventually transitions to a very intense strong local oscillation state. These results shed light on the mechanism behind network oscillations in epilepsy-induced cognitive impairment. On the other hand, the differential (similarity) of oscillatory reorganization between the local (non) epileptogenic network and the global network may be an emergency protective mechanism of the brain, preventing the spread of pathological information flow to more healthy brain regions.
Seizure focus localization is the key to control seizures. However, in this paper, we show that the clinically localized seizure focus may be not exactly the positions to abate seizures. Firstly, the reliability of a previously proposed methodology employed to estimate the synchronicity and directionality of information flows over time between EEG signals, is numerically assessed with a coupled mass neural model. Then 10 channels' EEG signals from a patient with focal epilepsy are used to reconstruct the dynamical complex network of pathological seizure. This may facilitate to identify the evolution paths of information flows and localize the potential seizure foci. What's more, based on the controllability and observability principles of complex systems, we can focus on the key nodes which is effective to control the network seizure behaviors and the key ones that can allow us to estimate the state of all other variables. Results show that to fully control the epileptic network may not just be related to the focus zone, it may also involves in other non-focus nodes. In addition, we use the spatiotemporal neural network model connected by our modeled dynamical adjacent matrix to successfully reproduce the original EEG signals which can be effectively abated by applying the normal distribution noise stimulation with cathodic phase pulses (cNDNs) on the identified key nodes or resecting them. Our results enrich the clinical results and provide new insights into the seizure resection and electronic stimulation therapies.
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