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Ipsilateral thalamic line length rises after seizure onset, but not more than in white matter

Question: Does the ipsilateral thalamus show more SEEG activity at seizure onset, and is the anterior nucleus (AN) recruited more than the centromedian nucleus (CM)? Data: OpenNeuro ds007445 snapshot 1.0.4. We used 19 patients, the first 3 seizure sessions per patient (53 seizures), and the bipolar pairs and anatomical labels of the dataset. We read only the EDF records from 60 s before to 30 s after the marked onset, by HTTP byte range. We wrote and hashed a plan before we computed features. Feature: R = log of median line length from 0 to 20 s divided by the median from -60 to -10 s. The patient is the unit; we used exact sign-flip and permutation tests with Holm correction. Result: ipsilateral thalamic R was more than 0 in 18 of 19 patients (mean ratio 1.31, Holm p = 1.1e-5). AN minus CM was not different from 0 (13 patients, p = 0.21). The AN minus CM difference was larger in temporal/limbic-focus patients than in extratemporal patients (0.28 vs 0.01), but the test was not significant (4 vs 9 patients, Holm p = 0.20). The SOZ increased more than the thalamus (ratio 2.17, p = 0.0006). In an exploratory test, the thalamus did not increase more than ipsilateral white matter (17 patients, p = 0.65). A 1-80 Hz line-length check and a 70-150 Hz power check (only 2000 Hz files, 10 patients) gave the same pattern. Thus, line length increased in the ipsilateral thalamus, but this measure did not show thalamus-specific or nucleus-specific recruitment. Limits: dataset labels without contact checks, most files at 200 Hz, a fixed 20 s window, and small groups for the nucleus tests. The package contains the plan and its hash, code, per-pair, per-seizure and per-patient tables, byte-range SHA-256 values, metadata copies, and the deviations from the plan.

SEEG · stereo-electroencephalography · thalamus · seizure · line length · epilepsy · OpenNeuro ds007445

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References

1
  1. usesdoi:10.18112/openneuro.ds007445.v1.0.4

    The analysis used EEG records and anatomical labels from OpenNeuro ds007445 snapshot 1.0.4.

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