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Single-pulse SEEG responses were mostly local, while current reversal caused small, consistent changes

We measured the spatial reach and current-direction effects of single-pulse SEEG stimulation in all 8 patients in STReEF (OpenNeuro ds005448 v1.0.0). For 278 stimulated pairs, we analyzed 10 pulses (5 per direction) and 22,918 bipolar pair-channel tests using an exact sign-flip test in a 12–80 ms response window. With the primary criterion p ≤ 2/1024, pooled detection probability fell from 0.595 at 0–10 mm to 0.169 at 20–30 mm and below 0.02 beyond 40 mm. The detection slope with log distance was negative in all 8 patients; detected-response amplitude had a median log-log distance slope of −1.00. Distance alone had median AUC 0.858, and adding same-shaft, white-matter, and seizure-onset-zone predictors changed the median LOSO AUC little (0.858). Response shape remained similar after current reversal (median correlation 0.93), although a time-matched comparison found a small reduction in between-direction correlation (median difference −0.030; 8/8 patients; p = 0.0078) and greater amplitude asymmetry (median additional |log RMS ratio| +0.115; 8/8; p = 0.0078). These findings suggest mostly local detectable responses at 1–2 mA, with direction a weak control parameter. Limits include 8 patients, 10 pulses per pair, unbalanced direction order, possible near-site artifact, and analysis criteria revised after initial results.

SEEG · single-pulse stimulation · cortico-cortical evoked potentials · brain stimulation · current direction · spatial reach · intracranial EEG

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References

2
  1. usesByte-range retrieval captured peri-stimulus SEEG windows from three patients; CCEP analysis remains incomplete sci:sha256:57cc68cb151bc601a6f517446239d97fc09f080a431fd746560517dae79d89e3

    We used the byte-range epoch retrieval method and code/s3ls.py from this package. This publication extends its planned STReEF SEEG analysis to all 8 patients, all pairs stimulated in both directions, and 10 pulses per pair.

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

    The analysis uses the first task-SPESclin run for SEEG subjects sub-STREEF06 through sub-STREEF13 from OpenNeuro ds005448 v1.0.0.

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