Journal: Epilepsia
Article Title: Reactivation of seizure-related changes to interictal spike shape and synchrony during post-seizure sleep in patients
doi: 10.1111/epi.13614
Figure Lengend Snippet: Examples of IIS synchrony changes following a seizure based on correlation during Near-Onset. A. "Low" Near-Onset correlation pair circled in Figure 4. A.1 Average IIS ± one standard deviation for two macroelectrodes shown in cyan and yellow. IIS on the two macroelectrodes are centered to the peak of IIS recorded on the cyan waveform. Areas of overlap between the two appear as green. top row: Slow-Wave Sleep (SWS), bottom row: Wake, left column: Pre epoch before the seizure; right column: Post epoch after the seizure, middle: Near-Onset epoch. Time and voltage scales are shown on the Near-Onset panel and are consistent across all panels. The low Near-Onset correlation persists into post-seizure SWS and Wake, where the overlap between IIS recorded from the two macroelectrodes decreases (i.e., the yellow and cyan areas are more visible). A.2 Expanded time view around the IIS peak during SWS (top) Pre epoch before the seizure, (middle) Near-Onset and (bottom) Post epoch after the seizure. Dotted lines show the peak and trough of the Near-Onset average waveform for IIS from the cyan waveform. Changes to IIS synchrony for the yellow waveform after the seizure reflect changes during the Near-Onset: (a) The peak of IIS recorded for the yellow waveforms shifts backwards relative to IIS recorded from the cyan waveforms. B. "High" Near-Onset correlation pair circled in Figure 4. B.1 Panel arrangement is the same as in A.1. The high Near-Onset correlation persists into Post-seizure SWS and Wake, where the overlap between IIS recorded from the two macroelectrodes increases (i.e., the green area signifying overlap increases). B.2 Expanded time view around IIS during SWS, as described in A.2. The (b) valley and (c) peak of IIS recorded for the yellow waveforms shifts forward in time during Near-Onset and Post epoch after the seizure with respect to the cyan IIS waveform.
Article Snippet: Hybrid, polyurethane depth electrodes (diameter 1.3 mm, AD-Tech Medical Instrument Corp., Racine, WI) containing platinum-iridium clinical macroelectrodes (4 or 8 contact, 2.3 mm long, 5 or 10 mm spacing, 200–500 Ω) and research microelectrodes (9 or 18 oriented radially along the shaft between macro contacts and a bundle of 9 extending from the tip, 40 µm diameter, 500–1000 kΩ) were placed stereotactically into the mesial temporal lobe using an occipital or lateral approach.
Techniques: Standard Deviation