High-Frequency network activity, global increase in Neuronal Activity, and Synchrony Expansion Precede Epileptic Seizures In Vitro

How seizures start is a major question in epilepsy research. Preictal EEG changes occur in both human patients and animal models, but their underlying mechanisms and relationship with seizure initiation remain unknown. Here we demonstrate the existence, in the hippocampal CA1 region, of a preictal state characterized by the progressive and global increase in neuronal activity associated with a widespread buildup of low-amplitude high-frequency activity (HFA) (100 Hz) and reduction in system complexity.HFAis generated by the firing of neurons, mainly pyramidal cells, at much lower frequencies. Individual cycles ofHFAare generated by the near-synchronous (within 5 ms) firing of small numbers of pyramidal cells. The presence of HFA in the low-calcium model implicates nonsynaptic synchronization; the presence of very similar HFA in the high-potassium model shows that it does not depend on an absence of synaptic transmission. Immediately before seizure onset, CA1 is in a state of high sensitivity in which weak depolarizing or synchronizing perturbations can trigger seizures. Transition to seizure is haracterized by a rapid expansion and fusion of the neuronal populations responsible for HFA, associated with a progressive slowing of HFA, leading to a single, massive, hypersynchronous cluster generating the high-amplitude low-frequency activity of the seizure

Long-term continuous monitoring of the preterm brain with diffuse optical tomography and electroencephalography: A technical note on cap manufacturing

open12noDiffuse optical tomography (DOT) has recently proved useful for detecting whole-brain oxygenation changes in preterm and term newborns' brains. The data recording phase in prior explorations was limited up to a maximum of a couple of hours, a time dictated by the need to minimize skin damage caused by the protracted contact with optode holders and interference with concomitant clinical/nursing procedures. In an attempt to extend the data recording phase, we developed a new custom-made cap for multimodal DOT and electroencephalography acquisitions for the neonatal population. The cap was tested on a preterm neonate (28 weeks gestation) for a 7-day continuous monitoring period. The cap was well tolerated by the neonate, who did not suffer any evident discomfort and/or skin damage. Montage and data acquisition using our cap was operated by an attending nurse with no difficulty. DOT data quality was remarkable, with an average of 92% of reliable channels, characterized by the clear presence of the heartbeat in most of them.openopenAlfonso Galderisi; Sabrina Brigadoi; Simone Cutini; Sara Basso Moro; Elisabetta Lolli; Federica Meconi; Silvia Benavides-Varela; Eugenio Baraldi; Piero Amodio; Claudio Cobelli; Daniele Trevisanuto; Roberto Dell'AcquaGalderisi, Alfonso; Brigadoi, Sabrina; Cutini, Simone; BASSO MORO, Sara; Lolli, Elisabetta; Meconi, Federica; Silvia, Benavides-Varela; Baraldi, Eugenio; Amodio, Piero; Cobelli, Claudio; Trevisanuto, Daniele; Dell'Acqua, Robert

Automated Classification of EEG Signals Using Component Analysis and Support Vector Machines

Epileptic seizures are characterized by abnormal electrical activity occurring in the brain. EEG records the seizures demonstrating changes in signal morphology. These signal characteristics, however, differ between patients as well as between different seizures in the same patient. Epilepsy is managed with anti-epileptic medications but in some extreme cases surgery might be necessary. Non-invasive surface electrode EEG measurement gives an estimate of the seizure onset but more invasive intra-cranial electrocorticogram (ECoG) are required at times for precise localization of the epileptogenic zone. The epileptogenic zone can be described as the cortical area targeted for resection to render the patient symptom free. Epileptologists use the “evolution” of aberrant signals for identifying epileptic seizures and the epileptogenic zone is identified by concentrating on the area contributing to the onset of seizure. This process is done by visually analyzing hours of ECoG data. The signal morphology during an epileptic seizure is not very different from abnormal discharges noticed in ECoG data thereby complicating signal analysis for the epileptologists. This thesis aims to classify the ECoG channel data as epileptic or non-epileptic using an automated machine learning algorithm called support vector machines (SVM). The data will be decomposed into various frequency bands identified by wavelet transform and will span the range of 0-30Hz. Statistical measures will be applied to these frequency bands to identify features that will subsequently be used to train SVM. This thesis will further investigate feature reduction using multivariate analysis methods to train the SVM and compare it to the performance of classification when all the features were used to train SVM. Results show that channel data classification using trained SVM that did not undergo feature reduction performed better with 98% sensitivity but needed more runtime than the SVM algorithms that was trained using reduced features. For high frequency analysis of frequencies between 60-500Hz, the results show the same sensitivity yet less specificity when compared to the classification using lower frequency range of 0-30Hz. The results seen in this thesis show that support vector machines classifiers can be trained to classify the data as epileptic or non-epileptic with good accuracy. Even though training the classifiers took almost two hours, it was still noticeably less than other machine learning algorithms such as artificial neural networks. The accuracy of this algorithm can be improved with changes to the data segment length, size of training matrix, accuracy of epileptic and nonepileptic data, and amount of data used for training

A critical role for network structure in seizure onset: a computational modeling approach

Published onlineJournal ArticleRecent clinical work has implicated network structure as critically important in the initiation of seizures in people with idiopathic generalized epilepsies. In line with this idea, functional networks derived from the electroencephalogram (EEG) at rest have been shown to be significantly different in people with generalized epilepsy compared to controls. In particular, the mean node degree of networks from the epilepsy cohort was found to be statistically significantly higher than those of controls. However, the mechanisms by which these network differences can support recurrent transitions into seizures remain unclear. In this study, we use a computational model of the transition into seizure dynamics to explore the dynamic consequences of these differences in functional networks. We demonstrate that networks with higher mean node degree are more prone to generating seizure dynamics in the model and therefore suggest a mechanism by which increased mean node degree of brain networks can cause heightened ictogenicity.Medical Research Counci

Noise Reduction of EEG Signals Using Autoencoders Built Upon GRU based RNN Layers

Understanding the cognitive and functional behaviour of the brain by its electrical activity is an important area of research. Electroencephalography (EEG) is a method that measures and record electrical activities of the brain from the scalp. It has been used for pathology analysis, emotion recognition, clinical and cognitive research, diagnosing various neurological and psychiatric disorders and for other applications. Since the EEG signals are sensitive to activities other than the brain ones, such as eye blinking, eye movement, head movement, etc., it is not possible to record EEG signals without any noise. Thus, it is very important to use an efficient noise reduction technique to get more accurate recordings. Numerous traditional techniques such as Principal Component Analysis (PCA), Independent Component Analysis (ICA), wavelet transformations and machine learning techniques were proposed for reducing the noise in EEG signals. The aim of this paper is to investigate the effectiveness of stacked autoencoders built upon Gated Recurrent Unit (GRU) based Recurrent Neural Network (RNN) layers (GRU-AE) against PCA. To achieve this, Harrell-Davis decile values for the reconstructed signals’ signal-to- noise ratio distributions were compared and it was found that the GRU-AE outperformed PCA for noise reduction of EEG signals

Low-amplitude craniofacial EMG power spectral density and 3D muscle reconstruction from MRI

Improving EEG signal interpretation, specificity, and sensitivity is a primary focus of many current investigations, and the successful application of EEG signal processing methods requires a detailed knowledge of both the topography and frequency spectra of low-amplitude, high-frequency craniofacial EMG. This information remains limited in clinical research, and as such, there is no known reliable technique for the removal of these artifacts from EEG data. The results presented herein outline a preliminary investigation of craniofacial EMG high-frequency spectra and 3D MRI segmentation that offers insight into the development of an anatomically-realistic model for characterizing these effects. The data presented highlights the potential for confounding signal contribution from around 60 to 200 Hz, when observed in frequency space, from both low and high-amplitude EMG signals. This range directly overlaps that of both low γ (30-50 Hz) and high γ (50-80 Hz) waves, as defined traditionally in standatrd EEG measurements, and mainly with waves presented in dense-array EEG recordings. Likewise, average EMG amplitude comparisons from each condition highlights the similarities in signal contribution of low-activity muscular movements and resting, control conditions. In addition to the FFT analysis performed, 3D segmentation and reconstruction of the craniofacial muscles whose EMG signals were measured was successful. This recapitulation of the relevant EMG morphology is a crucial first step in developing an anatomical model for the isolation and removal of confounding low-amplitude craniofacial EMG signals from EEG data. Such a model may be eventually applied in a clinical setting to ultimately help to extend the use of EEG in various clinical roles

The impact of Transcranial Magnetic Stimulation (TMS) on seizure course in people with and without epilepsy

Objective: To elucidate the effects of single and paired-pulse TMS on seizure activity at electrographic and clinical levels in people with and without epilepsy. Methods: A cohort of 35 people with epilepsy, two people with alternating hemiplegia of childhood (AHC) with no epilepsy, and 16 healthy individuals underwent single or paired-pulse TMS combined with EEG. Clinical records and subject interviews were used to examine seizure frequency four weeks before and after TMS. Results: There were no significant differences in seizure frequency in any subject after TMS exposure. There was no occurrence of seizures in healthy individuals, and no worsening of hemiplegic attacks in people with AHC. Conclusions: No significant changes in seizure activity were found before or after TMS. Significance: This study adds evidence on the safety of TMS in people with and without epilepsy with follow-up of four weeks after TMS