Predictive Value of Interictal Epileptiform Discharges During Non-REM Sleep on Scalp EEG Recordings for the Lateralization of Epileptogenesis

Epilepsia ◽  
1998 ◽  
Vol 39 (6) ◽  
pp. 628-632 ◽  
Author(s):  
Naoto Adachi ◽  
Gonzalo Alarcon ◽  
Colin D. Binnie ◽  
Robert D. C. Elwes ◽  
Charles E. Polkey ◽  
...  
Keyword(s):  
Rem Sleep ◽  
Predictive Value ◽  
Scalp Eeg ◽  
Epileptiform Discharges ◽  
Interictal Epileptiform Discharges ◽  
Eeg Recordings

scholarly journals Zero-crossing patterns reveal subtle epileptiform discharges in the scalp EEG

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Jan Pyrzowski ◽  
Jean- Eudes Le Douget ◽  
Amal Fouad ◽  
Mariusz Siemiński ◽  
Joanna Jędrzejczak ◽  
...  
Keyword(s):  
Normal Subjects ◽  
Intracranial Eeg ◽  
Zero Crossing ◽  
Temporal Precision ◽  
Scalp Eeg ◽  
Epileptiform Discharges ◽  
Interictal Epileptiform Discharges ◽  
Eeg Recordings ◽  
Patients With Epilepsy ◽  
Low Amplitude

AbstractClinical diagnosis of epilepsy depends heavily on the detection of interictal epileptiform discharges (IEDs) from scalp electroencephalographic (EEG) signals, which by purely visual means is far from straightforward. Here, we introduce a simple signal analysis procedure based on scalp EEG zero-crossing patterns which can extract the spatiotemporal structure of scalp voltage fluctuations. We analyzed simultaneous scalp and intracranial EEG recordings from patients with pharmacoresistant temporal lobe epilepsy. Our data show that a large proportion of intracranial IEDs manifest only as subtle, low-amplitude waveforms below scalp EEG background and could, therefore, not be detected visually. We found that scalp zero-crossing patterns allow detection of these intracranial IEDs on a single-trial level with millisecond temporal precision and including some mesial temporal discharges that do not propagate to the neocortex. Applied to an independent dataset, our method discriminated accurately between patients with epilepsy and normal subjects, confirming its practical applicability.

Detection of Intracranial Signatures of Interictal Epileptiform Discharges from Concurrent Scalp EEG

2016 ◽  
Vol 26 (04) ◽  
pp. 1650016 ◽  
Author(s):  
Loukianos Spyrou ◽  
David Martín-Lopez ◽  
Antonio Valentín ◽  
Gonzalo Alarcón ◽  
Saeid Sanei
Keyword(s):  
Detection Algorithm ◽  
The Other ◽  
Intracranial Eeg ◽  
Scalp Eeg ◽  
Epileptiform Discharges ◽  
Interictal Epileptiform Discharges ◽  
Scalp Electroencephalogram ◽  
Patients With Epilepsy ◽  
Electrical Activities ◽  
The Brain

Interictal epileptiform discharges (IEDs) are transient neural electrical activities that occur in the brain of patients with epilepsy. A problem with the inspection of IEDs from the scalp electroencephalogram (sEEG) is that for a subset of epileptic patients, there are no visually discernible IEDs on the scalp, rendering the above procedures ineffective, both for detection purposes and algorithm evaluation. On the other hand, intracranially placed electrodes yield a much higher incidence of visible IEDs as compared to concurrent scalp electrodes. In this work, we utilize concurrent scalp and intracranial EEG (iEEG) from a group of temporal lobe epilepsy (TLE) patients with low number of scalp-visible IEDs. The aim is to determine whether by considering the timing information of the IEDs from iEEG, the resulting concurrent sEEG contains enough information for the IEDs to be reliably distinguished from non-IED segments. We develop an automatic detection algorithm which is tested in a leave-subject-out fashion, where each test subject’s detection algorithm is based on the other patients’ data. The algorithm obtained a [Formula: see text] accuracy in recognizing scalp IED from non-IED segments with [Formula: see text] accuracy when trained and tested on the same subject. Also, it was able to identify nonscalp-visible IED events for most patients with a low number of false positive detections. Our results represent a proof of concept that IED information for TLE patients is contained in scalp EEG even if they are not visually identifiable and also that between subject differences in the IED topology and shape are small enough such that a generic algorithm can be used.

scholarly journals Sleep spindles, ripples, and interictal epileptiform discharges in the human anterior and mediodorsal thalamus

2021 ◽  
Author(s):  
Orsolya Szalardy ◽  
Peter Simor ◽  
Peter Przemyslaw Ujma ◽  
Zsofia Jordan ◽  
Laszlo Halasz ◽  
...  
Keyword(s):  
Neural Plasticity ◽  
Nrem Sleep ◽  
Cortical Activity ◽  
Sleep Spindles ◽  
Time Frequency ◽  
Scalp Eeg ◽  
Epileptiform Discharges ◽  
Interictal Epileptiform Discharges ◽  
Human Thalamus ◽  
Result Show

Sleep spindles are major oscillatory components of Non-Rapid Eye Movement (NREM) sleep, reflecting hyperpolarization-rebound sequences of thalamocortical neurons, the inhibition of which is caused by the NREM-dependent activation of GABAergic neurons in the reticular thalamic nucleus. Reports suggest a link between sleep spindles and several forms of interictal epileptic discharges (IEDs) which are considered as expressions of pathological off-line neural plasticity in the central nervous system. Here we investigated the relationship between thalamic sleep spindles, IEDs and ripples in the anterior and mediodorsal nuclei (ANT and MD) of epilepsy patients. Whole-night LFP from the ANT and MD were co-registered with scalp EEG/polysomnography by using externalized leads in 15 epilepsy patients undergoing Deep Brain Stimulation protocol. Slow (~12 Hz) and fast (~14 Hz) sleep spindles were present in the human ANT and MD. Roughly, one third of thalamic sleep spindles were associated with IEDs or ripples. Both IED- and ripple-associated spindles were longer than pure spindles. IED-associated thalamic sleep spindles were characterized by broadband increase in thalamic and cortical activity, both below and above the spindle frequency range, whereas ripple-associated thalamic spindles exceeded pure spindles in terms of 80-200 Hz thalamic, but not cortical activity as indicated by time-frequency analysis. These result show that thalamic spindles coupled with IEDs are reflected at the scalp slow and beta-gamma oscillation as well. IED density during sleep spindles in the MD, but not in the ANT was identified as correlates of years spent with epilepsy, whereas no signs of pathological processes were correlated with measures of ripple and spindle association. Furthermore, the density of ripple-associated sleep spindles in the ANT showed a positive correlation with general intelligence. Our findings indicate the complex and multifaceted role of the human thalamus in sleep spindle-related physiological and pathological neural plasticity.

scholarly journals Automated Inter-Ictal Epileptiform Discharge Detection from Routine EEG

2021 ◽  
Author(s):  
Duong Nhu ◽  
Mubeen Janmohamed ◽  
Lubna Shakhatreh ◽  
Ofer Gonen ◽  
Patrick Kwan ◽  
...  
Keyword(s):  
Royal Melbourne Hospital ◽  
Epileptiform Discharges ◽  
Interictal Epileptiform Discharges ◽  
Model Variant ◽  
Eeg Recordings ◽  
Generalized Epilepsy ◽  
Electroencephalogram Eeg ◽  
Health Hospital ◽  
Epilepsy Monitoring

Epilepsy is the most common neurological disorder. The diagnosis commonly requires manual visual electroencephalogram (EEG) analysis which is time-consuming. Deep learning has shown promising performance in detecting interictal epileptiform discharges (IED) and may improve the quality of epilepsy monitoring. However, most of the datasets in the literature are small (n≤100) and collected from single clinical centre, limiting the generalization across different devices and settings. To better automate IED detection, we cross-evaluated a Resnet architecture on 2 sets of routine EEG recordings from patients with idiopathic generalized epilepsy collected at the Alfred Health Hospital and Royal Melbourne Hospital (RMH). We split these EEG recordings into 2s windows with or without IED and evaluated different model variants in terms of how well they classified these windows. The results from our experiment showed that the architecture generalized well across different datasets with an AUC score of 0.894 (95% CI, 0.881–0.907) when trained on Alfred’s dataset and tested on RMH’s dataset, and 0.857 (95% CI, 0.847–0.867) vice versa. In addition, we compared our best model variant with Persyst and observed that the model was comparable.

scholarly journals Quantitative Measure to Differentiate Wicket Spike from Interictal Epileptiform Discharges

2021 ◽  
Vol 4 (1) ◽  
pp. 14-22
Author(s):  
Suryani Gunadharma ◽  
Ahmad Rizal ◽  
Rovina Ruslami ◽  
Tri Hanggono Achmad ◽  
See Siew Ju ◽  
...  
Keyword(s):  
Discriminant Analysis ◽  
Linear Discriminant Analysis ◽  
Quantitative Measure ◽  
Linear Discriminant ◽  
Sharp Waves ◽  
Epileptiform Discharges ◽  
Interictal Epileptiform Discharges ◽  
Temporal Location ◽  
Eeg Recordings ◽  
Excellent Accuracy

A number of benign EEG patterns are often misinterpreted as interictal epileptiform discharges (IEDs) because of their epileptiform appearances, one of them is wicket spike. Differentiating wicket spike from IEDs may help in preventing epilepsy misdiagnosis. The temporal location of IEDs and wicket spike were chosen from 143 EEG recordings. Amplitude, duration and angles were measured from the wave triangles and were used as the variables. In this study, linear discriminant analysis is used to create the formula to differentiate wicket spike from IEDs consisting spike and sharp waves. We obtained a formula with excellent accuracy. This study emphasizes the need for objective criteria to distinguish wicket spike from IEDs to avoid misreading of the EEG and misdiagnosis of epilepsy.

scholarly journals Amplitude-integrated EEG amplitudes differ between wakefulness and sleep states in children

2021 ◽  
Author(s):  
Verena Tamara Loeffelhardt ◽  
Adela Della Marina ◽  
Sandra Greve ◽  
Hanna Mueller ◽  
Ursula Felderhoff-Mueser ◽  
...  
Keyword(s):  
Sensitivity Analysis ◽  
Antiepileptic Drugs ◽  
Deep Sleep ◽  
Epileptiform Discharges ◽  
Interictal Epileptiform Discharges ◽  
Continuous Background ◽  
Eeg Recordings ◽  
Physiological Background ◽  
Light Sleep

Introduction: Interpretation of pediatric amplitude-integrated EEG (aEEG) is hindered by the lack of knowledge on physiological background patterns in children. The aim of this study was to assess the amplitudes and bandwidths of background patterns during wakefulness and sleep in children from long-term EEGs. Methods: Forty long-term EEGs from patients < 18 years of age without or only solitary interictal epileptiform discharges were converted into aEEGs. Upper and lower amplitudes (μV) of the C3 - C4, P3 - P4, C3 - P3, C4 - P4, and Fp1 - Fp2 channels were measured during wakefulness and sleep. Bandwidths (BW, μV) were calculated, and sleep states assessed during the episodes of interest. A sensitivity analysis excluded patients who received antiepileptic drugs. Results: Median age was 9.9 years (interquartile range 6.1 - 14.7). All patients displayed continuous background patterns. Amplitudes and BW differed between wakefulness (C3 - C4 channel: upper 35 (27 - 49), lower 13 (10 - 19), BW 29 (21 - 34)) and sleep. During sleep, episodes with high amplitudes (upper 99 (71 - 125), lower 35 (25 - 44), BW 63 (44 - 81)) corresponded to sleep states N2 - N4. These episodes were interrupted by low amplitudes that were the dominating background pattern towards the morning (upper 39 (30 - 51), lower 16 (11 - 20), BW 23 (19 - 31), sleep states REM, N1, and N2). With increasing age, amplitudes and bandwidths declined. The sensitivity analysis yielded no differences in amplitude values or bandwidths. Conclusion: aEEG amplitudes and bandwidths were low during wakefulness and light sleep and high during deep sleep in stable children undergoing 24 hour EEG recordings. aEEG values were not altered by antiepileptic drugs in this study.

Automatic Detection of Interictal Epileptiform Discharges Based on the Similarity of Time-Series Sequence

2012 ◽  
Vol 239-240 ◽  
pp. 921-931
Author(s):  
Jian Zhang ◽  
Jun Zhong Zou ◽  
Lan Lan Chen ◽  
Chen Jie Zhao ◽  
Gui Song Wang
Keyword(s):  
Time Series ◽  
Slow Wave ◽  
Digital Signal ◽  
Sharp Wave ◽  
Epileptiform Discharges ◽  
Interictal Epileptiform Discharges ◽  
Novel Approach ◽  
Recording Process ◽  
Eeg Recordings ◽  
Maximum Similarity

In this paper, an effective digital signal processing method based on the merger of the increasing and decreasing time-series sequences (MIDS) is introduced. On the basis of the merging of EEG signals, a new IED (Interictal Epileptiform Discharges) detection method is proposed. The first step of this new method is to establish a database by selecting peaked wave fragments. Then, the similarity between pending test fragment and peaked wave samples in the database is calculated. When the maximum similarity is greater than a certain threshold, the fragment is judged to be a peaked wave. Finally, the wave type i.e. spike wave, sharp wave, spike-and-slow wave or sharp-and-slow wave can be determined by whether there is a subsequent slow wave or not. Continuous sharp wave can be viewed as spike rhythm. In this research, 92 IED fragments from 4 suspected epilepsy patients are collected to establish the sample database. The proposed method was tested on EEG recordings from other 31 suspected patients. The results show that 98.11% of the IED fragments marked by doctors were detected. The experimental results show that this method performs well at IED detection in the clinical EEG data. The similarity is measured based on the comparison between fragments of different time length and can be viewed as a novel approach for the detection of typical EEG waveform. This research draws two conclusions: (1) the waveform of individual peaked wave is stable during 24-hour EEG recording process; (2) the database containing a small number peaked wave samples can be used to detect IED fragments.

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