Understanding Epileptiform After-Discharges as Rhythmic Oscillatory Transients

Electro-cortical activity in patients with epilepsy may show abnormal rhythmic transients in response to stimulation. Even when using the same stimulation parameters in the same patient, wide variability in the duration of transient response has been reported. These transients have long been considered important for the mapping of the excitability levels in the epileptic brain but their dynamic mechanism is still not well understood. To understand the occurrence of abnormal transients dynamically, we use a thalamo-cortical neural population model of epileptic spike-wave activity and study the interaction between slow and fast subsystems. In a reduced version of the thalamo-cortical model, slow wave oscillations arise from a fold of cycles (FoC) bifurcation. This marks the onset of a region of bistability between a high amplitude oscillatory rhythm and the background state. In vicinity of the bistability in parameter space, the model has excitable dynamics, showing prolonged rhythmic transients in response to suprathreshold pulse stimulation. We analyse the state space geometry of the bistable and excitable states, and find that the rhythmic transient arises when the impending FoC bifurcation deforms the state space and creates an area of locally reduced attraction to the fixed point. This area essentially allows trajectories to dwell there before escaping to the stable steady state, thus creating rhythmic transients. In the full thalamo-cortical model, we find a similar FoC bifurcation structure. Based on the analysis, we propose an explanation of why stimulation induced epileptiform activity may vary between trials, and predict how the variability could be related to ongoing oscillatory background activity.Comment: http://journal.frontiersin.org/article/10.3389/fncom.2017.00025/ful

Oscillator-based neuronal modeling for seizure progression investigation and seizure control strategy

The coupled oscillator model has previously been used for the simulation of neuronal activities in in vitro rat hippocampal slice seizure data and the evaluation of seizure suppression algorithms. Each model unit can be described as either an oscillator which can generate action potential spike trains without inputs, or a threshold-based unit. With the change of only one parameter, each unit can either be an oscillator or a threshold-based spiking unit. This would eliminate the need for a new set of equations for each type of unit. Previous analysis has suggested that long kernel duration and imbalance of inhibitory feedback can cause the system to intermittently transition into and out of ictal activities. The state transitions of seizure-like events were investigated here; specifically, how the system excitability may change when the system undergoes transitions in the preictal and postictal processes. Analysis showed that the area of the excitation kernel is positively correlated with the mean firing rate of the ictal activity. The kernel duration is also correlated to the amount of ictal activity. The transition into ictal activity involved the escape from the saddle point foci in the state space trajectory identified by using Newton\u27s method. The ability to accurately anticipate and suppress seizures is an important endeavor that has tremendous impact on improving the quality of lives for epileptic patients. The stimulation studies have suggested that an electrical stimulation strategy that uses the intrinsic high complexity dynamics of the biological system may be more effective in reducing the duration of seizure-like activities in the computer model. In this research, we evaluate this strategy on an in vitro rat hippocampal slice magnesium-free model. Simulated postictal field potential data generated by an oscillator-based hippocampal network model was applied to the CA1 region of the rat hippocampal slices through a multi-electrode array (MEA) system. It was found to suppress and delay the onset of future seizures temporarily. The average inter-seizure time was found to be significantly prolonged after postictal stimulation when compared to the negative control trials and bipolar square wave signals. The result suggests that neural signal-based stimulation related to resetting may be suitable for seizure control in the clinical environment

Detection, Prediction and Control of Epileptic Seizures

abstract: From time immemorial, epilepsy has persisted to be one of the greatest impediments to human life for those stricken by it. As the fourth most common neurological disorder, epilepsy causes paroxysmal electrical discharges in the brain that manifest as seizures. Seizures have the effect of debilitating patients on a physical and psychological level. Although not lethal by themselves, they can bring about total disruption in consciousness which can, in hazardous conditions, lead to fatality. Roughly 1\% of the world population suffer from epilepsy and another 30 to 50 new cases per 100,000 increase the number of affected annually. Controlling seizures in epileptic patients has therefore become a great medical and, in recent years, engineering challenge. In this study, the conditions of human seizures are recreated in an animal model of temporal lobe epilepsy. The rodents used in this study are chemically induced to become chronically epileptic. Their Electroencephalogram (EEG) data is then recorded and analyzed to detect and predict seizures; with the ultimate goal being the control and complete suppression of seizures. Two methods, the maximum Lyapunov exponent and the Generalized Partial Directed Coherence (GPDC), are applied on EEG data to extract meaningful information. Their effectiveness have been reported in the literature for the purpose of prediction of seizures and seizure focus localization. This study integrates these measures, through some modifications, to robustly detect seizures and separately find precursors to them and in consequence provide stimulation to the epileptic brain of rats in order to suppress seizures. Additionally open-loop stimulation with biphasic currents of various pairs of sites in differing lengths of time have helped us create control efficacy maps. While GPDC tells us about the possible location of the focus, control efficacy maps tells us how effective stimulating a certain pair of sites will be. The results from computations performed on the data are presented and the feasibility of the control problem is discussed. The results show a new reliable means of seizure detection even in the presence of artifacts in the data. The seizure precursors provide a means of prediction, in the order of tens of minutes, prior to seizures. Closed loop stimulation experiments based on these precursors and control efficacy maps on the epileptic animals show a maximum reduction of seizure frequency by 24.26\% in one animal and reduction of length of seizures by 51.77\% in another. Thus, through this study it was shown that the implementation of the methods can ameliorate seizures in an epileptic patient. It is expected that the new knowledge and experimental techniques will provide a guide for future research in an effort to ultimately eliminate seizures in epileptic patients.Dissertation/ThesisDoctoral Dissertation Electrical Engineering 201

Loss of neuronal network resilience precedes seizures and determines the ictogenic nature of interictal synaptic perturbations

The mechanisms of seizure emergence, and the role of brief interictal epileptiform discharges (IEDs) in seizure generation are two of the most important unresolved issues in modern epilepsy research. Our study shows that the transition to seizure is not a sudden phenomenon,but a slow process characterized by the progressive loss of neuronal network resilience. From a dynamical perspective, the slow transition is governed by the principles of critical slowing, a robust natural phenomenon observable in systems characterized by transitions between dynamical regimes. In epilepsy, this process is modulated by the synchronous synaptic input from IEDs. IEDs are external perturbations that produce phasic changes in the slow transition process and exert opposing effects on the dynamics of a seizure-generating network, causing either anti-seizure or pro-seizure effects. We show that the multifaceted nature of IEDs is defined by the dynamical state of the network at the moment of the discharge occurrence

Optimizing electrical brain stimulation for seizure disorders

University of Minnesota Ph.D. dissertation. March 2017. Major: Neuroscience. Advisor: Theoden Netoff. 1 computer file (PDF); x, 145 pages.Approximately 1% of the world population is afflicted with Epilepsy. For many patients, antiepileptic drugs do not fully control seizures. Electrical brain stimulation therapies have been effective in reducing seizure rates in some patients. While current neuromodulation devices provide a benefit to patients, efficacy can be improved by optimizing brain stimulation so that the therapy is tuned on a patient by patient basis. One optimization approach is to target deep brain regions that strongly modulate seizure prone regions. I will present data on the effects of stimulation of two different anatomical regions for seizure control, and establish my experimental platform for testing closed-loop algorithms. There are two general methods to implementing closed-loop algorithms to modulate neural activity: 1) Model-free algorithms that require a learning period to establish an optimal mapping between neural states and best therapeutic parameters, and 2) Model-based algorithms that use forward predictions of the neural system to determine the appropriate stimulation therapy to be administered. In this thesis, I will propose and test two closed-loop control schemes to control the brain activity to prevent epileptogenic activity while reducing stimulation energy. I will also present techniques to remove stimulation artifacts so that neural biomarkers can be measured while simultaneously applying stimulation. The methods I will present could potentially be implemented in next generation electrical brain stimulation hardware for seizure disorders and other neurological diseases

Neuromodulation with Electromagnetic Stimulation for Seizure Suppression: From Electrode to Magnetic Coil

Non-invasive brain tissue stimulation with a magnetic coil provides several irreplaceable advantages over that with an implanted electrode, in altering neural activities under pathological situations. We reviewed clinical cases that utilized time-varying magnetic fields for the treatment of epilepsy, and the safety issues related to this practice. Animal models have been developed to foster understanding of the cellular/molecular mechanisms underlying magnetic control of epileptic activity. These mechanisms include (but are not limited to) (1) direct membrane polarization by the magnetic field, (2) depolarization blockade by the deactivation of ion channels, (3) alteration in synaptic transmission, and (4) interruption of ephaptic interaction and cellular synchronization. Clinical translation of this technology could be improved through the advancement of magnetic design, optimization of stimulation protocols, and evaluation of the long-term safety. Cellular and molecular studies focusing on the mechanisms of magnetic stimulation are of great value in facilitating this translation