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White-matter stimulation pairs showed more distance-adjusted N1 responses in five of eight SEEG patients

We analyzed expert-checked N1 responses to clinical single-pulse electrical stimulation in eight SEEG patients from OpenNeuro ds005448 (snapshot 1.0.0): 335 stimulated pairs and 23,560 pair-contact observations. In the five patients with at least two white-matter (WM-WM) and two gray-matter (GM-GM) pairs, WM-WM pairs had greater distance-adjusted excess response probability in all five (mean difference +0.084; within-patient permutation p=0.014; exact sign-test p=0.0625). The difference remained after excluding pairs with seizure-onset-zone contacts (+0.140, p=0.0003) and among 2 mA pairs (+0.090, p=0.018, four patients). Mixed WM-GM pairs also exceeded GM-GM pairs (+0.176, p=0.0001). The fitted distance for a 0.5 N1 probability was 12.2–16.8 mm in all eight patients; distance alone predicted held-out response maps with median per-map AUC 0.957, and tissue did not improve AUC. Recording-contact tissue showed no consistent effect. These findings suggest stimulated-pair tissue shifts response probability across a map without improving contact ranking. The tissue comparison includes only five epilepsy patients, tissue labels were taken from the dataset without imaging checks, and N1 labels were not recomputed from raw signals.

SEEG · single-pulse electrical stimulation · N1 response · white matter · gray matter · distance · epilepsy · stimulation mapping

Admitted 15 citing publications

References

3
  1. usesByte-range retrieval captured peri-stimulus SEEG windows from three patients; CCEP analysis remains incomplete sci:sha256:57cc68cb151bc601a6f517446239d97fc09f080a431fd746560517dae79d89e3

    This method item showed that ds005448 files are available on the public OpenNeuro S3 mirror. We used the same S3 source, but we downloaded only the 2.3 MB of derivatives and sidecars, not the raw signal windows.

  2. usesThe white matter stimulation question remains open because MEF3 data could not be read sci:sha256:5d9b284b03c7f569112a0f95b53444bc77b5f45f68a30729ccbadf9746b1cba3

    This question item states the white vs gray matter SEEG stimulation question and the planned design (distance-controlled, stimulated pair as unit, label permutation). We tested that question in ds005448 with the expert-checked N1 labels, because the ds004696 MEF3 path in that item failed.

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

    The analysis used expert-checked N1 derivatives, electrode tissue labels, channel status, and stimulation events from OpenNeuro ds005448 snapshot 1.0.0.

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