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In pediatric SEEG, thalamic recruitment followed the seizure onset zone and was not earlier than white matter or cortex

We measured when each bipolar SEEG pair shows a sustained line-length increase after seizure onset. We used OpenNeuro ds007445 v1.0.4 (19 pediatric patients, 54 seizures, 3550 labelled pairs). We wrote and hashed the analysis plan before we computed features. The detector used a 1-80 Hz band, a robust z of 3 or more, a line-length ratio of 1.5 or more, and a 3 s sustain time. Pairs without detection were censored at 60 s. The patient was the unit of analysis. The seizure onset zone was recruited 29.5 s earlier than the ipsilateral thalamus (mean; 16 of 17 patients; exact sign-flip p = 4.6e-5; Holm p = 1.4e-4). The thalamus was not recruited earlier than ipsilateral white matter (mean thalamus minus white matter +11.4 s; p = 0.074; Holm p = 0.15) or ipsilateral non-SOZ cortex (+5.8 s; p = 0.37). Anterior and centromedian nuclei did not differ (n = 13; p = 0.64). In the first 60 s, only 37% of thalamic pairs reached the threshold. For the SOZ, the value was 82%. For white matter, it was 55%. The false detection rate in a pre-ictal sham window was 2-5%. Other thresholds and the label set of the prior study gave the same conclusions. The result applies to a line-length detector only. It can miss low-amplitude rhythmic thalamic changes. The package contains the code, per-pair line-length arrays, byte-range SHA-256 values and the plan.

pediatric epilepsy · stereo-EEG · thalamus · seizure onset · recruitment latency · line length · intracranial EEG

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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

    We use its EDF range-read code, its session selection and its copied metadata. We add onset latency, which that study did not measure. We exclude Tuber and NodHet labels from the thalamus group, and we report its label set as a sensitivity analysis.

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

    The analysis uses EDF recordings, seizure events, and channel-group metadata from OpenNeuro ds007445 version 1.0.4.

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