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Transient Reduction in Theta Power Caused by Interictal Spikes in Human Temporal Lobe Epilepsy

机译:瞬态减少了人类颞叶癫痫术中梗塞尖峰引起的动力

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The inhibitory impacts of spikes on LFP theta rhythms (4-8Hz) are investigated around sporadic spikes (SSs) based on intracerebral EEG of 4 REM sleep patients with temporal lobe epilepsy (TLE) under the pre-surgical monitoring. Sequential interictal spikes in both genesis area and extended propagation pathway are collected, that, SSs genesis only in anterior hippocampus (aH) (possible propagation pathway in Entorhinal cortex (EC)), only in EC (possible propagation pathway in aH), and in both aH and EC synchronously. Instantaneous theta power was estimated by using Gabor wavelet transform, and theta power level was estimated by averaged over time and frequency before SSs (350ms pre-spike) and after SSs (350ms post-spike). The inhibitory effect around spikes was evaluated by the ratio of theta power level difference between pre-spike and post-spike to pre-spike theta power level. The findings were that theta power level was reduced across SSs, and the effects were more sever in the case of SSs in both aH and EC synchronously than either SSs only in EC or SSs only in aH. It is concluded that interictal spikes impair LFP theta rhythms transiently and directly. The work suggests that the reduction of theta power after the interictal spike might be an evaluation indicator of damage of epilepsy to human cognitive rhythms.
机译:尖峰对LFP THETA节律(4-8Hz)的抑制影响,围绕手术前的监测,即根据对4 REM睡眠的患者脑内脑电图颞叶癫痫(TLE)零星尖峰(SSS)的影响。在这两个成因区域和扩展的传播途径顺序发作间尖峰被收集,即,SSS成因仅在前海马(AH)(以内嗅皮层(EC)可能传播途径),仅在EC(在AH可能蔓延路径),并在AH和EC同步。瞬时功率THETA通过使用Gabor小波变换估计,并估算θ功率电平由平均超过的SS之前的时间和频率(350毫秒预尖峰)与SS后(350毫秒后的尖峰)。围绕尖峰的抑制效果是由预尖峰和后尖峰预尖峰THETA功率电平之间THETA功率电平差的比率进行评价。该发现是THETA功率水平横跨的SS减少,效果都在SS的在AH和EC的情况更服务器同步比任一的SS仅在EC或SS的仅在啊。结论:发作间的尖峰IMPAIR LFP THETA节奏瞬时和直接。这项工作表明,THETA权力发作后穗减少可能是癫痫的损害人体的认知节奏的评价指标。

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