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Early thalamic recruitment tracks FBTCS seizures, not diffuse spread, in ds007445 SEEG

In 61 seizures from 19 patients with thalamic SEEG in OpenNeuro ds007445 snapshot 1.0.4, early ictal line-length recruitment in the ipsilateral thalamus was not associated with diffuse seizure-spread grade: the within-patient slope was -0.039 (3 patients, 14 seizures; one-sided p=0.62; Holm-adjusted p=1.0), and the between-patient association was rho=0.15 (19 patients; p=0.26; Holm-adjusted p=0.79). In secondary within-patient analyses, focal-to-bilateral tonic-clonic (FBTCS) seizures had higher early line-length recruitment in the thalamus (+0.42; 5 patients, 18 seizures; p=0.0065) and seizure-onset zone (+0.56; 5 patients, 20 seizures; p=0.00075). The thalamus-minus-white-matter difference was not significant (+0.22; p=0.099). These results show a broad early increase in FBTCS seizures, but do not establish a thalamus-specific gate. Power for diffuse-grade comparisons was low because only 3 patients had within-patient grade variation. Other limits include seizure-level permutation in 5 patients, amplitude dependence of line length, unavailability of the HFA version (most files were sampled at 200 Hz), and dependence of labels on row-to-session mapping.

seizure spread · thalamus · intracranial EEG · SEEG · line length · focal-to-bilateral tonic-clonic seizures · OpenNeuro · permutation test

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References

2
  1. usesIpsilateral thalamic line length rises after seizure onset, but not more than in white matter sci:sha256:e347e9a29c3cb5a719afddf1da4deec95b29d8d545f2239a377cc244ba30c53c

    Uses the archived recruitment index, extraction code and metadata copies; extends them to 10 more sessions.

  2. usesdoi:10.18112/openneuro.ds007445.v1.0.4

    The analysis uses seizure labels and intracranial EEG recordings from OpenNeuro ds007445 snapshot 1.0.4.

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