Background: A single unprovoked seizure occurs in up to 10% of the population. Some develop epilepsy, but the majority do not. Brain network changes are observed in people with epilepsy, but it is unknown if they are present after this first seizure. This study examines network connectivity after the first seizure to determine if any changes exist.
Methods: Twelve patients after a single unprovoked seizure and twelve age- and sex-matched healthy controls were recruited. All underwent 7T resting-state fMRI scanning. Whole brain and limbic, default mode and salience network connectivity were analyzed with graph theory.
Results: Baseline characteristics were similar between groups. No network connectivity differences were observed between groups.
Conclusions: No network connectivity differences were found between patients and controls. This suggests that there are not inherent connectivity differences predisposing an individual to seizures; however, the small sample size and considerable variability could prevent realization of small group differences
