Thalamocortical relationship in epileptic patients with generalized spike and wave discharges — A multimodal neuroimaging study

AbstractUnlike focal or partial epilepsy, which has a confined range of influence, idiopathic generalized epilepsy (IGE) often affects the whole or a larger portion of the brain without obvious, known cause. It is important to understand the underlying network which generates epileptic activity and through which epileptic activity propagates. The aim of the present study was to investigate the thalamocortical relationship using non-invasive imaging modalities in a group of IGE patients. We specifically investigated the roles of the mediodorsal nuclei in the thalami and the medial frontal cortex in generating and spreading IGE activities. We hypothesized that the connectivity between these two structures is key in understanding the generation and propagation of epileptic activity in brains affected by IGE. Using three imaging techniques of EEG, fMRI and EEG-informed fMRI, we identified important players in generation and propagation of generalized spike-and-wave discharges (GSWDs). EEG-informed fMRI suggested multiple regions including the medial frontal area near to the anterior cingulate cortex, mediodorsal nuclei of the thalamus, caudate nucleus among others that related to the GSWDs. The subsequent seed-based fMRI analysis revealed a reciprocal cortical and bi-thalamic functional connection. Through EEG-based Granger Causality analysis using (DTF) and adaptive DTF, within the reciprocal thalamocortical circuitry, thalamus seems to serve as a stronger source in driving cortical activity from initiation to the propagation of a GSWD. Such connectivity change starts before the GSWDs and continues till the end of the slow wave discharge. Thalamus, especially the mediodorsal nuclei, may serve as potential targets for deep brain stimulation to provide more effective treatment options for patients with drug-resistant generalized epilepsy

Food-web regulation by a planktivore: exploring the generality of the trophic cascade hypothesis

The trophic cascade hypothesis currently being tested in north temperate systems may not apply to open-water communities in lower latitude U.S. reservoirs. These reservoir communities differ dramatically from northern lakes in that an open-water omnivore, gizzard shad (Dorosoma cepedianum), often occurs in abundance. Neither controlled by fish predators (owing to high fecundity and low vulnerability) nor by their zooplankton prey (following the midsummer zooplankton decline, gizzard shad consume detritus and phytoplankton), gizzard shad regulate community composition rather than being regulated by top-down or bottom-up forces. In experiments across a range of spatial scales (enclosures, 1-9 m2; ponds, 4-5 ha; and reservoirs, 50-100 ha), we evaluated the generality of the trophic cascade hypothesis by assessing its conceptual strength in reservoir food webs. We reviewed the role of gizzard shad in controlling zooplankton populations and hence recruitment of bluegill, Lepomis macrochirus (via exploitative competition for zooplankton), and largemouth bass, Micropterus salmoides (by reducing their bluegill prey). Reservoir fish communities, owing to the presence of gizzard shad, appear to be regulated more by complex weblike interactions among species than by the more chainlike interactions characteristic of the trophic cascade.Funding for this project was provided by National Science Foundation (NSF) grants DEB9107173 and DEB9407859 to R.A.S. and NSF grants DEB9108986 and DEB9410323 to D.R.D