Widespread slow oscillations support interictal epileptiform discharge networks in focal epilepsy

Autor: Hongyi Ye, Lingqi Ye, Lingli Hu, Yuyu Yang, Yi Ge, Ruotong Chen, Shan Wang, Bo Jin, Wenjie Ming, Zhongjin Wang, Sha Xu, Cenglin Xu, Yi Wang, Yao Ding, Junming Zhu, Meiping Ding, Zhong Chen, Shuang Wang, Cong Chen
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Neurobiology of Disease, Vol 191, Iss , Pp 106409- (2024)
Druh dokumentu: article
ISSN: 1095-953X
DOI: 10.1016/j.nbd.2024.106409
Popis: Interictal epileptiform discharges (IEDs) often co-occur across spatially-separated cortical regions, forming IED networks. However, the factors prompting IED propagation remain unelucidated. We hypothesized that slow oscillations (SOs) might facilitate IED propagation. Here, the amplitude and phase synchronization of SOs preceding propagating and non-propagating IEDs were compared in 22 patients with focal epilepsy undergoing intracranial electroencephalography (EEG) evaluation. Intracranial channels were categorized into the irritative zone (IZ) and normal zone (NOZ) regarding the presence of IEDs. During wakefulness, we found that pre-IED SOs within the IZ exhibited higher amplitudes for propagating IEDs than non-propagating IEDs (delta band: p = 0.001, theta band: p
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