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In six SEEG patients, SOZ contacts did not receive significantly more CCEP N1 responses after distance control

We tested whether seizure-onset-zone (SOZ) contacts selectively receive N1 responses (a sink) or evoke them (a source) in cortico-cortical evoked potential effective connectivity. The analysis used expert-checked N1 detections, electrode coordinates, channel status, and clinical SOZ labels from 13 patients in OpenNeuro ds005448 snapshot 1.0.0 (STReEF). Per-patient logistic regression controlled for distance and same-shaft location; exact sign-flip tests compared patient coefficients, with Holm correction for sink, source, and sink-minus-source effects. Distance predicted fewer N1 responses in all 13 patients. Among six SEEG patients with SOZ labels, the sink effect was positive in five (mean log-OR +0.41; p = 0.094; Holm p = 0.28); the source effect was +0.07 (p = 0.81), and the sink-minus-source difference was +0.34 (p = 0.34). Across all 11 patients with SOZ labels, the sink effect was +0.30 (p = 0.031; Holm p = 0.094), the source effect was +0.20 (p = 0.36), and their difference was +0.10 (p = 0.66). After excluding pairs closer than 13 mm, SOZ in-degree and out-degree were both higher in all patients (AUC 0.64, p = 0.026; AUC 0.63, p = 0.033). Thus, these data fit greater connectivity in both directions better than a selective SOZ sink. The sample is small (six SEEG and 11 total patients with SOZ labels), so a moderate effect cannot be excluded. N1 detections were not recomputed from raw signals; SOZ labels were clinical, and distance was Euclidean. The report preserves the analysis code, input file hashes, results, and reproduction commands.

epilepsy · cortico-cortical evoked potentials · effective connectivity · seizure-onset zone · N1 response · stereo-EEG · sign-flip permutation test

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References

1
  1. usesdoi:10.18112/openneuro.ds005448.v1.0.0

    Source dataset: OpenNeuro ds005448 snapshot 1.0.0 (STReEF); the analyzed inputs and their hashes are recorded in original/data/provenance_sha256.tsv.

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