High-frequency oscillations in epilepsy: what have we learned and what needs to be addressed

Z Chen, MI Maturana, AN Burkitt, MJ Cook… - Neurology, 2021 - AAN Enterprises
For the past 2 decades, high-frequency oscillations (HFOs) have been enthusiastically
studied by the epilepsy community. Emerging evidence shows that HFOs harbor great …

Passive and active markers of cortical excitability in epilepsy

G Ramantani, MB Westover, S Gliske, J Sarnthein… - …, 2023 - Wiley Online Library
Electroencephalography (EEG) has been the primary diagnostic tool in clinical epilepsy for
nearly a century. Its review is performed using qualitative clinical methods that have …

Flexible, high‐resolution cortical arrays with large coverage capture microscale high‐frequency oscillations in patients with epilepsy

KJ Barth, J Sun, CH Chiang, S Qiao, C Wang… - …, 2023 - Wiley Online Library
Objective Effective surgical treatment of drug‐resistant epilepsy depends on accurate
localization of the epileptogenic zone (EZ). High‐frequency oscillations (HFOs) are potential …

A neuromorphic spiking neural network detects epileptic high frequency oscillations in the scalp EEG

K Burelo, G Ramantani, G Indiveri, J Sarnthein - Scientific Reports, 2022 - nature.com
Abstract Interictal High Frequency Oscillations (HFO) are measurable in scalp EEG. This
development has aroused interest in investigating their potential as biomarkers of …

Correcting for physiological ripples improves epileptic focus identification and outcome prediction

WJEM Zweiphenning, N von Ellenrieder, F Dubeau… - …, 2022 - Wiley Online Library
Objective The integration of high‐frequency oscillations (HFOs; ripples [80–250 Hz], fast
ripples [250–500 Hz]) in epilepsy evaluation is hampered by physiological HFOs, which …

Graph theoretical measures of fast ripples support the epileptic network hypothesis

SA Weiss, T Pastore, I Orosz, D Rubinstein… - Brain …, 2022 - academic.oup.com
The epileptic network hypothesis and epileptogenic zone hypothesis are two theories of
ictogenesis. The network hypothesis posits that coordinated activity among interconnected …

[HTML][HTML] Delta oscillation coupled propagating fast ripples precede epileptiform discharges in patients with focal epilepsy

SA Weiss, L Sheybani, N Seenarine, I Fried, C Wu… - Neurobiology of …, 2022 - Elsevier
Epileptiform spikes are used to localize epileptogenic brain tissue. The mechanisms that
spontaneously trigger epileptiform discharges are not yet elucidated. Pathological fast ripple …

Graph theoretical measures of fast ripple networks improve the accuracy of post-operative seizure outcome prediction

SA Weiss, I Fried, C Wu, A Sharan, D Rubinstein… - Scientific Reports, 2023 - nature.com
Fast ripples (FR) are a biomarker of epileptogenic brain, but when larger portions of FR
generating regions are resected seizure freedom is not always achieved. To evaluate and …

[HTML][HTML] Chloride ion dysregulation in epileptogenic neuronal networks

SA Weiss - Neurobiology of Disease, 2023 - Elsevier
GABA is the major inhibitory neurotransmitter in the mature CNS. When GABA A receptors
are activated the membrane potential is driven towards hyperpolarization due to chloride …

Fast ripples reflect increased excitability that primes epileptiform spikes

SA Weiss, I Fried, J Engel Jr, MR Sperling… - Brain …, 2023 - academic.oup.com
The neuronal circuit disturbances that drive inter-ictal and ictal epileptiform discharges
remain elusive. Using a combination of extra-operative macro-electrode and micro-electrode …