Transition to seizure in photosensitive epilepsy.

Abstract:

:Photosensitive epilepsy (PSE) offers a highly reproducible model to investigate whether changes in neuronal activity preceding the transition to an epileptic photoparoxysmal response (PPR) may be detected. We investigated this possibility in patients with idiopathic PSE using MEG, as well as normal controls and non-photosensitive epileptic patients of the same age group. Spectral analysis of the MEG signals recorded during intermittent light stimulation revealed relevant information in the phase spectrum. To quantify this effect, we introduced a second order response feature of the stimulus-triggered visual response preceding the PPR: the phase clustering index, which measures how close the phases of successive periods are grouped for each frequency component for all periods of the stimuli applied. We found that an enhancement of phase synchrony in the gamma-band (30-120Hz), harmonically related to the frequency of stimulation, preceded the stimulation trials that evolved into PPRs, and differed significantly from that encountered in trials not followed by PPR or in control subjects. Thus this index can be considered a valuable index of the pro-ictal transition to seizures in photosensitive epilepsy.

journal_name

Epilepsy Res

journal_title

Epilepsy research

authors

Lopes da Silva FH,Harding GF

doi

10.1016/j.eplepsyres.2011.10.022

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

278-82

issue

3

eissn

0920-1211

issn

1872-6844

pii

S0920-1211(11)00330-5

journal_volume

97

pub_type

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