Dual mechanisms of ictal high frequency oscillations in human rhythmic onset seizures.

Abstract:

:High frequency oscillations (HFOs) are bursts of neural activity in the range of 80 Hz or higher, recorded from intracranial electrodes during epileptiform discharges. HFOs are a proposed biomarker of epileptic brain tissue and may also be useful for seizure forecasting. Despite such clinical utility of HFOs, the spatial context and neuronal activity underlying these local field potential (LFP) events remains unclear. We sought to further understand the neuronal correlates of ictal high frequency LFPs using multielectrode array recordings in the human neocortex and mesial temporal lobe during rhythmic onset seizures. These multiscale recordings capture single cell, multiunit, and LFP activity from the human brain. We compare features of multiunit firing and high frequency LFP from microelectrodes and macroelectrodes during ictal discharges in both the seizure core and penumbra (spatial seizure domains defined by multiunit activity patterns). We report differences in spectral features, unit-local field potential coupling, and information theoretic characteristics of high frequency LFP before and after local seizure invasion. Furthermore, we tie these time-domain differences to spatial domains of seizures, showing that penumbral discharges are more broadly distributed and less useful for seizure localization. These results describe the neuronal and synaptic correlates of two types of pathological HFOs in humans and have important implications for clinical interpretation of rhythmic onset seizures.

journal_name

Sci Rep

journal_title

Scientific reports

authors

Smith EH,Merricks EM,Liou JY,Casadei C,Melloni L,Thesen T,Friedman DJ,Doyle WK,Emerson RG,Goodman RR,McKhann GM 2nd,Sheth SA,Rolston JD,Schevon CA

doi

10.1038/s41598-020-76138-7

subject

Has Abstract

pub_date

2020-11-05 00:00:00

pages

19166

issue

1

issn

2045-2322

pii

10.1038/s41598-020-76138-7

journal_volume

10

pub_type

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