期刊
CLINICAL NEUROPHYSIOLOGY
卷 127, 期 1, 页码 129-142出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.clinph.2015.04.053
关键词
Ripple; Fast ripple; Spikes; Epilepsy surgery; Seizure onset zone
资金
- German Research Foundation [JA 1725/2-1]
- Canadian Institutes of Health Research [MOP 102710]
- Grants-in-Aid for Scientific Research [15H05871] Funding Source: KAKEN
Objective: Interictal high-frequency oscillations (HFOs, 80-500 Hz) can predict the seizure onset zone (SOZ), but visual detection of HFOs is time consuming. Time-frequency analysis can reveal large high-frequency (HF) power changes (80-500 Hz) associated with inter-ictal spikes. The present study determines how well the rate of HFOs and spike-related HF power changes were co-localized with SOZ. Methods: We analyzed 583 channels (68 in the SOZ) sampled from 14 patients who underwent intracranial EEG recording. We determined if the rate of visually-marked HFOs and spike-related HF power changes differed between SOZ and non-SOZ. Results: Significantly higher rates of HFOs were found in SOZ. The degree of spike-related HF power augmentation failed to differ between SOZ and non-SOZ, whereas that of post-spike HF power attenuation was significantly more severe in SOZ compared to in non-SOZ. Regions showing HFOs and large spike-related HF-changes showed a partial overlap in distribution in 7/14 patients. Conclusions: Strong HF augmentation during spikes and high HFO rates occurred over different brain locations. The rate of HFOs showed the best performance in identifying SOZ. Post-spike HF power attenuation may represent increased inhibition in these channels and should be investigated further. Significance: Strong HF power changes during spikes and HFOs per se seem to reflect distinct phenomena. (C) 2015 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.
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