High frequency oscillations and high frequency functional network characteristics in the intraoperative electrocorticogram in epilepsy

Objective: High frequency oscillations (HFOs; >80 Hz), especially fast ripples (FRs, 250–500 Hz), are novel biomarkers for epileptogenic tissue. The pathophysiology suggests enhanced functional connectivity within FR generating tissue. Our aim was to determine the relation between brain areas sho...

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Main Authors: W.J.E.M. Zweiphenning, M.A. van ‘t Klooster, E. van Diessen, N.E.C. van Klink, G.J.M. Huiskamp, T.A. Gebbink, F.S.S. Leijten, P.H. Gosselaar, W.M. Otte, C.J. Stam, K.P.J. Braun, G.J.M. Zijlmans
Format: Article
Language:English
Published: Elsevier 2016-01-01
Series:NeuroImage: Clinical
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213158216301723
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author W.J.E.M. Zweiphenning
M.A. van ‘t Klooster
E. van Diessen
N.E.C. van Klink
G.J.M. Huiskamp
T.A. Gebbink
F.S.S. Leijten
P.H. Gosselaar
W.M. Otte
C.J. Stam
K.P.J. Braun
G.J.M. Zijlmans
author_facet W.J.E.M. Zweiphenning
M.A. van ‘t Klooster
E. van Diessen
N.E.C. van Klink
G.J.M. Huiskamp
T.A. Gebbink
F.S.S. Leijten
P.H. Gosselaar
W.M. Otte
C.J. Stam
K.P.J. Braun
G.J.M. Zijlmans
author_sort W.J.E.M. Zweiphenning
collection DOAJ
description Objective: High frequency oscillations (HFOs; >80 Hz), especially fast ripples (FRs, 250–500 Hz), are novel biomarkers for epileptogenic tissue. The pathophysiology suggests enhanced functional connectivity within FR generating tissue. Our aim was to determine the relation between brain areas showing FRs and ‘baseline’ functional connectivity within EEG networks, especially in the high frequency bands. Methods: We marked FRs, ripples (80–250 Hz) and spikes in the electrocorticogram of 14 patients with refractory temporal lobe epilepsy. We assessed ‘baseline’ functional connectivity in epochs free of epileptiform events within these recordings, using the phase lag index. We computed the Eigenvector Centrality (EC) per channel in the FR and gamma band network. We compared EC between channels that did or did not show events at other moments in time. Results: FR-band EC was higher in channels with than without spikes. Gamma-band EC was lower in channels with ripples and FRs. Conclusions: We confirmed previous findings of functional isolation in the gamma-band and found a first proof of functional integration in the FR-band network of channels covering presumed epileptogenic tissue. Significance: ‘Baseline’ high-frequency network parameters might help intra-operative recognition of epileptogenic tissue without the need for waiting for events. These findings can increase our understanding of the ‘architecture’ of epileptogenic networks and help unravel the pathophysiology of HFOs.
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spelling doaj.art-68f46bce2926439c8c5b242adf05ca202022-12-22T01:15:39ZengElsevierNeuroImage: Clinical2213-15822016-01-0112C92893910.1016/j.nicl.2016.09.014High frequency oscillations and high frequency functional network characteristics in the intraoperative electrocorticogram in epilepsyW.J.E.M. Zweiphenning0M.A. van ‘t Klooster1E. van Diessen2N.E.C. van Klink3G.J.M. Huiskamp4T.A. Gebbink5F.S.S. Leijten6P.H. Gosselaar7W.M. Otte8C.J. Stam9K.P.J. Braun10G.J.M. Zijlmans11Brain Center Rudolf Magnus, Department of Neurology and Neurosurgery, UMC Utrecht, P.O. box 85500, 3508 GA Utrecht, The NetherlandsBrain Center Rudolf Magnus, Department of Neurology and Neurosurgery, UMC Utrecht, P.O. box 85500, 3508 GA Utrecht, The NetherlandsBrain Center Rudolf Magnus, Department of Pediatric Neurology, UMC Utrecht, P.O. box 85500, 3508 GA Utrecht, The NetherlandsBrain Center Rudolf Magnus, Department of Neurology and Neurosurgery, UMC Utrecht, P.O. box 85500, 3508 GA Utrecht, The NetherlandsBrain Center Rudolf Magnus, Department of Neurology and Neurosurgery, UMC Utrecht, P.O. box 85500, 3508 GA Utrecht, The NetherlandsBrain Center Rudolf Magnus, Department of Neurology and Neurosurgery, UMC Utrecht, P.O. box 85500, 3508 GA Utrecht, The NetherlandsBrain Center Rudolf Magnus, Department of Neurology and Neurosurgery, UMC Utrecht, P.O. box 85500, 3508 GA Utrecht, The NetherlandsBrain Center Rudolf Magnus, Department of Neurology and Neurosurgery, UMC Utrecht, P.O. box 85500, 3508 GA Utrecht, The NetherlandsBrain Center Rudolf Magnus, Department of Pediatric Neurology, UMC Utrecht, P.O. box 85500, 3508 GA Utrecht, The NetherlandsDepartment of Clinical Neurophysiology, Neuroscience Campus Amsterdam, VU University Medical Center, Postbus 7057, 1007 MB Amsterdam, The NetherlandsBrain Center Rudolf Magnus, Department of Pediatric Neurology, UMC Utrecht, P.O. box 85500, 3508 GA Utrecht, The NetherlandsBrain Center Rudolf Magnus, Department of Neurology and Neurosurgery, UMC Utrecht, P.O. box 85500, 3508 GA Utrecht, The NetherlandsObjective: High frequency oscillations (HFOs; >80 Hz), especially fast ripples (FRs, 250–500 Hz), are novel biomarkers for epileptogenic tissue. The pathophysiology suggests enhanced functional connectivity within FR generating tissue. Our aim was to determine the relation between brain areas showing FRs and ‘baseline’ functional connectivity within EEG networks, especially in the high frequency bands. Methods: We marked FRs, ripples (80–250 Hz) and spikes in the electrocorticogram of 14 patients with refractory temporal lobe epilepsy. We assessed ‘baseline’ functional connectivity in epochs free of epileptiform events within these recordings, using the phase lag index. We computed the Eigenvector Centrality (EC) per channel in the FR and gamma band network. We compared EC between channels that did or did not show events at other moments in time. Results: FR-band EC was higher in channels with than without spikes. Gamma-band EC was lower in channels with ripples and FRs. Conclusions: We confirmed previous findings of functional isolation in the gamma-band and found a first proof of functional integration in the FR-band network of channels covering presumed epileptogenic tissue. Significance: ‘Baseline’ high-frequency network parameters might help intra-operative recognition of epileptogenic tissue without the need for waiting for events. These findings can increase our understanding of the ‘architecture’ of epileptogenic networks and help unravel the pathophysiology of HFOs.http://www.sciencedirect.com/science/article/pii/S2213158216301723EpilepsyHigh Frequency OscillationsFunctional network analysisEpileptogenic zoneEpilepsy surgery
spellingShingle W.J.E.M. Zweiphenning
M.A. van ‘t Klooster
E. van Diessen
N.E.C. van Klink
G.J.M. Huiskamp
T.A. Gebbink
F.S.S. Leijten
P.H. Gosselaar
W.M. Otte
C.J. Stam
K.P.J. Braun
G.J.M. Zijlmans
High frequency oscillations and high frequency functional network characteristics in the intraoperative electrocorticogram in epilepsy
NeuroImage: Clinical
Epilepsy
High Frequency Oscillations
Functional network analysis
Epileptogenic zone
Epilepsy surgery
title High frequency oscillations and high frequency functional network characteristics in the intraoperative electrocorticogram in epilepsy
title_full High frequency oscillations and high frequency functional network characteristics in the intraoperative electrocorticogram in epilepsy
title_fullStr High frequency oscillations and high frequency functional network characteristics in the intraoperative electrocorticogram in epilepsy
title_full_unstemmed High frequency oscillations and high frequency functional network characteristics in the intraoperative electrocorticogram in epilepsy
title_short High frequency oscillations and high frequency functional network characteristics in the intraoperative electrocorticogram in epilepsy
title_sort high frequency oscillations and high frequency functional network characteristics in the intraoperative electrocorticogram in epilepsy
topic Epilepsy
High Frequency Oscillations
Functional network analysis
Epileptogenic zone
Epilepsy surgery
url http://www.sciencedirect.com/science/article/pii/S2213158216301723
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