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Does the Thalamo-Cortical Synchrony Play a Role in Seizure Termination?

Overview of attention for article published in Frontiers in Neurology, September 2015
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Title
Does the Thalamo-Cortical Synchrony Play a Role in Seizure Termination?
Published in
Frontiers in Neurology, September 2015
DOI 10.3389/fneur.2015.00192
Pubmed ID
Authors

Elisa Evangelista, Christian Bénar, Francesca Bonini, Romain Carron, Bruno Colombet, Jean Régis, Fabrice Bartolomei

Abstract

The mechanisms underlying seizure termination are still unclear despite their therapeutic importance. We studied thalamo-cortical connectivity and synchrony in human mesial temporal lobe seizures in order to analyze their role in seizure termination. Twenty-two seizures from 10 patients with drug-resistant mesial temporal lobe epilepsy undergoing pre-surgical evaluation were analyzed using intracerebral recordings [stereoelectroencephalography (SEEG)]. We performed a measure of SEEG signal interdependencies (non-linear correlation), to estimate the functional connectivity between thalamus and cortical regions. Then, we derived synchronization indices, namely global, thalamic, mesio-temporal, and thalamo-mesio temporal index at the onset and the end of seizures. In addition, an estimation of thalamic "outputs and inputs" connectivity was proposed. Thalamus was consistently involved in the last phase of all analyzed seizures and thalamic synchronization index was significantly more elevated at the end of seizure than at the onset. The global synchronization index at the end of seizure negatively correlated with seizure duration (p = 0.045) and in the same way the thalamic synchronization index showed an inverse tendency with seizure duration. Six seizures out of twenty-two displayed a particular thalamo-cortical spike-and-wave pattern at the end. They were associated to higher values of all synchronization indices and outputs from thalamus (p = 0.0079). SWP seizures displayed a higher and sustained increase of cortical and thalamo-cortical synchronization with a stronger participation of thalamic outputs. We suggest that thalamo-cortical oscillations might contribute to seizure termination via modulation of cortical synchronization. In the subgroup of SWP seizures, thalamus may exert a control on temporal lobe structures by inducing a stable hypersynchronization that ultimately leads to seizure termination.

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Mendeley readers

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Geographical breakdown

Country Count As %
France 1 1%
Unknown 98 99%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 17 17%
Researcher 16 16%
Unspecified 11 11%
Student > Bachelor 9 9%
Student > Master 8 8%
Other 24 24%
Unknown 14 14%
Readers by discipline Count As %
Neuroscience 21 21%
Medicine and Dentistry 20 20%
Unspecified 11 11%
Agricultural and Biological Sciences 9 9%
Engineering 9 9%
Other 9 9%
Unknown 20 20%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 04 May 2018.
All research outputs
#17,772,019
of 22,826,360 outputs
Outputs from Frontiers in Neurology
#7,059
of 11,712 outputs
Outputs of similar age
#180,036
of 266,863 outputs
Outputs of similar age from Frontiers in Neurology
#40
of 52 outputs
Altmetric has tracked 22,826,360 research outputs across all sources so far. This one is in the 19th percentile – i.e., 19% of other outputs scored the same or lower than it.
So far Altmetric has tracked 11,712 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.3. This one is in the 33rd percentile – i.e., 33% of its peers scored the same or lower than it.
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