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1.
Proc Natl Acad Sci U S A ; 120(17): e2300252120, 2023 04 25.
Artículo en Inglés | MEDLINE | ID: mdl-37068244

RESUMEN

Reading a sentence entails integrating the meanings of individual words to infer more complex, higher-order meaning. This highly rapid and complex human behavior is known to engage the inferior frontal gyrus (IFG) and middle temporal gyrus (MTG) in the language-dominant hemisphere, yet whether there are distinct contributions of these regions to sentence reading is still unclear. To probe these neural spatiotemporal dynamics, we used direct intracranial recordings to measure neural activity while reading sentences, meaning-deficient Jabberwocky sentences, and lists of words or pseudowords. We isolated two functionally and spatiotemporally distinct frontotemporal networks, each sensitive to distinct aspects of word and sentence composition. The first distributed network engages the IFG and MTG, with IFG activity preceding MTG. Activity in this network ramps up over the duration of a sentence and is reduced or absent during Jabberwocky and word lists, implying its role in the derivation of sentence-level meaning. The second network engages the superior temporal gyrus and the IFG, with temporal responses leading those in frontal lobe, and shows greater activation for each word in a list than those in sentences, suggesting that sentential context enables greater efficiency in the lexical and/or phonological processing of individual words. These adjacent, yet spatiotemporally dissociable neural mechanisms for word- and sentence-level processes shed light on the richly layered semantic networks that enable us to fluently read. These results imply distributed, dynamic computation across the frontotemporal language network rather than a clear dichotomy between the contributions of frontal and temporal structures.


Asunto(s)
Mapeo Encefálico , Imagen por Resonancia Magnética , Humanos , Imagen por Resonancia Magnética/métodos , Lenguaje , Lingüística , Lóbulo Frontal/fisiología , Semántica
2.
J Neurosci ; 42(27): 5438-5450, 2022 07 06.
Artículo en Inglés | MEDLINE | ID: mdl-35641189

RESUMEN

Reading words aloud is a fundamental aspect of literacy. The rapid rate at which multiple distributed neural substrates are engaged in this process can only be probed via techniques with high spatiotemporal resolution. We probed this with direct intracranial recordings covering most of the left hemisphere in 46 humans (26 male, 20 female) as they read aloud regular, exception and pseudo-words. We used this to create a spatiotemporal map of word processing and to derive how broadband γ activity varies with multiple word attributes critical to reading speed: lexicality, word frequency, and orthographic neighborhood. We found that lexicality is encoded earliest in mid-fusiform (mFus) cortex, and precentral sulcus, and is represented reliably enough to allow single-trial lexicality decoding. Word frequency is first represented in mFus and later in the inferior frontal gyrus (IFG) and inferior parietal sulcus (IPS), while orthographic neighborhood sensitivity resides solely in IPS. We thus isolate the neural correlates of the distributed reading network involving mFus, IFG, IPS, precentral sulcus, and motor cortex and provide direct evidence for parallel processes via the lexical route from mFus to IFG, and the sublexical route from IPS and precentral sulcus to anterior IFG.SIGNIFICANCE STATEMENT Reading aloud depends on multiple complex cerebral computations: mapping from a written letter string on a page to a sequence of spoken sound representations. Here, we used direct intracranial recordings in a large cohort while they read aloud known and novel words, to track, across space and time, the progression of neural representations of behaviorally relevant factors that govern reading speed. We find, concordant with cognitive models of reading, that known and novel words are differentially processed through a lexical route, sensitive to frequency of occurrence of known words in natural language, and a sublexical route, performing letter-by-letter construction of novel words.


Asunto(s)
Mapeo Encefálico , Imagen por Resonancia Magnética , Mapeo Encefálico/métodos , Corteza Cerebral , Femenino , Humanos , Lenguaje , Imagen por Resonancia Magnética/métodos , Masculino
3.
J Neurophysiol ; 129(2): 342-346, 2023 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-36576268

RESUMEN

Voice and face processing occur through convergent neural systems that facilitate speaker recognition. Neuroimaging studies suggest that familiar voice processing engages early visual cortex, including the bilateral fusiform gyrus (FG) on the basal temporal lobe. However, what role the FG plays in voice processing and whether it is driven by bottom-up or top-down mechanisms is unresolved. In this study we directly examined neural responses to famous voices and faces in human FG with direct cortical surface recordings (electrocorticography) in epilepsy surgery patients. We tested the hypothesis that neural populations in human FG respond to famous voices and investigated the temporal properties of voice responses in FG. Recordings were acquired from five adult participants during a person identification task using visual and auditory stimuli from famous speakers (U.S. Presidents Barack Obama, George W. Bush, and Bill Clinton). Patients were presented with images of presidents or clips of their voices and asked to identify the portrait/speaker. Our results demonstrate that a subset of face-responsive sites in and near FG also exhibit voice responses that are both lower in magnitude and delayed (300-600 ms) compared with visual responses. The dynamics of voice processing revealed by direct cortical recordings suggests a top-down feedback-mediated response to famous voices in FG that may facilitate speaker identification.NEW & NOTEWORTHY Interactions between auditory and visual cortices play an important role in person identification, but the dynamics of these interactions remain poorly understood. We performed direct brain recordings of fusiform face cortex in human epilepsy patients performing a famous voice naming task, revealing the dynamics of famous voice processing in human fusiform face cortex. The findings support a model of top-down interactions from auditory to visual cortex to facilitate famous voice recognition.


Asunto(s)
Electrocorticografía , Voz , Adulto , Humanos , Encéfalo/fisiología , Lóbulo Temporal/fisiología , Reconocimiento en Psicología/fisiología , Voz/fisiología , Imagen por Resonancia Magnética/métodos
4.
Epilepsia ; 64(6): e118-e126, 2023 06.
Artículo en Inglés | MEDLINE | ID: mdl-36994648

RESUMEN

Focal epileptic seizures are characterized by abnormal neuronal discharges that can spread to other cortical areas and interfere with brain activity, thereby altering the patient's experience and behavior. The origin of these pathological neuronal discharges encompasses various mechanisms that converge toward similar clinical manifestations. Recent studies have suggested that medial temporal lobe (MTL) and neocortical (NC) seizures are often underpinned by two characteristic onset patterns, which, respectively, affect and spare synaptic transmission in cortical slices. However, these synaptic alterations and their effects have never been confirmed or studied in intact human brains. To fill this gap, we here evaluate whether responsiveness of MTL and NC are differentially affected by focal seizures, using a unique data set of cortico-cortical evoked potentials (CCEPs) collected during seizures triggered by single-pulse electrical stimulation (SPES). We find that responsiveness is abruptly reduced by the onset of MTL seizures, despite increased spontaneous activity, whereas it is preserved in the case of NC seizures. The present results provide an extreme example of dissociation between responsiveness and activity and show that brain networks are diversely affected by the onset of MTL and NC seizures, thus extending at the whole brain level the evidence of synaptic alteration found in vitro.


Asunto(s)
Epilepsias Parciales , Epilepsia del Lóbulo Temporal , Neocórtex , Humanos , Convulsiones , Potenciales Evocados/fisiología , Electroencefalografía/métodos
5.
Neuroimage ; 260: 119438, 2022 10 15.
Artículo en Inglés | MEDLINE | ID: mdl-35792291

RESUMEN

Since the second-half of the twentieth century, intracranial electroencephalography (iEEG), including both electrocorticography (ECoG) and stereo-electroencephalography (sEEG), has provided an intimate view into the human brain. At the interface between fundamental research and the clinic, iEEG provides both high temporal resolution and high spatial specificity but comes with constraints, such as the individual's tailored sparsity of electrode sampling. Over the years, researchers in neuroscience developed their practices to make the most of the iEEG approach. Here we offer a critical review of iEEG research practices in a didactic framework for newcomers, as well addressing issues encountered by proficient researchers. The scope is threefold: (i) review common practices in iEEG research, (ii) suggest potential guidelines for working with iEEG data and answer frequently asked questions based on the most widespread practices, and (iii) based on current neurophysiological knowledge and methodologies, pave the way to good practice standards in iEEG research. The organization of this paper follows the steps of iEEG data processing. The first section contextualizes iEEG data collection. The second section focuses on localization of intracranial electrodes. The third section highlights the main pre-processing steps. The fourth section presents iEEG signal analysis methods. The fifth section discusses statistical approaches. The sixth section draws some unique perspectives on iEEG research. Finally, to ensure a consistent nomenclature throughout the manuscript and to align with other guidelines, e.g., Brain Imaging Data Structure (BIDS) and the OHBM Committee on Best Practices in Data Analysis and Sharing (COBIDAS), we provide a glossary to disambiguate terms related to iEEG research.


Asunto(s)
Electrocorticografía , Electroencefalografía , Encéfalo/fisiología , Mapeo Encefálico/métodos , Electrocorticografía/métodos , Electrodos , Electroencefalografía/métodos , Humanos
6.
Neuroimage ; 234: 117964, 2021 07 01.
Artículo en Inglés | MEDLINE | ID: mdl-33771696

RESUMEN

Focal cortical lesions are known to result in large-scale functional alterations involving distant areas; however, little is known about the electrophysiological mechanisms underlying these network effects. Here, we addressed this issue by analysing the short and long distance intracranial effects of controlled structural lesions in humans. The changes in Stereo-Electroencephalographic (SEEG) activity after Radiofrequency-Thermocoagulation (RFTC) recorded in 21 epileptic subjects were assessed with respect to baseline resting wakefulness and sleep activity. In addition, Cortico-Cortical Evoked Potentials (CCEPs) recorded before the lesion were employed to interpret these changes with respect to individual long-range connectivity patterns. We found that small structural ablations lead to the generation and large-scale propagation of sleep-like slow waves within the awake brain. These slow waves match those recorded in the same subjects during sleep, are prevalent in perilesional areas, but can percolate up to distances of 60 mm through specific long-range connections, as predicted by CCEPs. Given the known impact of slow waves on information processing and cortical plasticity, demonstrating their intrusion and percolation within the awake brain add key elements to our understanding of network dysfunction after cortical injuries.


Asunto(s)
Encéfalo/fisiología , Epilepsia Refractaria/fisiopatología , Electrocoagulación/métodos , Terapia por Radiofrecuencia/métodos , Sueño/fisiología , Vigilia/fisiología , Encéfalo/diagnóstico por imagen , Epilepsia Refractaria/diagnóstico por imagen , Epilepsia Refractaria/cirugía , Electroencefalografía/métodos , Humanos , Imagen por Resonancia Magnética/métodos , Técnicas Estereotáxicas
7.
Epilepsia ; 62(10): 2357-2371, 2021 10.
Artículo en Inglés | MEDLINE | ID: mdl-34338315

RESUMEN

OBJECTIVE: In patients with epilepsy, interictal epileptic discharges are a diagnostic hallmark of epilepsy and represent abnormal, so-called "irritative" activity that disrupts normal cognitive functions. Despite their clinical relevance, their mechanisms of generation remain poorly understood. It is assumed that brain activity switches abruptly, unpredictably, and supposedly randomly to these epileptic transients. We aim to study the period preceding these epileptic discharges, to extract potential proepileptogenic mechanisms supporting their expression. METHODS: We used multisite intracortical recordings from patients who underwent intracranial monitoring for refractory epilepsy, the majority of whom had a mesial temporal lobe seizure onset zone. Our objective was to evaluate the existence of proepileptogenic windows before interictal epileptic discharges. We tested whether the amplitude and phase synchronization of slow oscillations (.5-4 Hz and 4-7 Hz) increase before epileptic discharges and whether the latter are phase-locked to slow oscillations. Then, we tested whether the phase-locking of neuronal activity (assessed by high-gamma activity, 60-160 Hz) to slow oscillations increases before epileptic discharges to provide a potential mechanism linking slow oscillations to interictal activities. RESULTS: Changes in widespread slow oscillations anticipate upcoming epileptic discharges. The network extends beyond the irritative zone, but the increase in amplitude and phase synchronization is rather specific to the irritative zone. In contrast, epileptic discharges are phase-locked to widespread slow oscillations and the degree of phase-locking tends to be higher outside the irritative zone. Then, within the irritative zone only, we observe an increased coupling between slow oscillations and neuronal discharges before epileptic discharges. SIGNIFICANCE: Our results show that epileptic discharges occur during vulnerable time windows set up by a specific phase of slow oscillations. The specificity of these permissive windows is further reinforced by the increased coupling of neuronal activity to slow oscillations. These findings contribute to our understanding of epilepsy as a distributed oscillopathy and open avenues for future neuromodulation strategies aiming at disrupting proepileptic mechanisms.


Asunto(s)
Epilepsia del Lóbulo Temporal , Epilepsia , Susceptibilidad a Enfermedades , Electroencefalografía/métodos , Humanos , Neuronas
8.
Epilepsia ; 59(2): 420-430, 2018 02.
Artículo en Inglés | MEDLINE | ID: mdl-29226305

RESUMEN

OBJECTIVE: Our purpose was to determine the correlation between scalp electroencephalography (EEG) and intracerebral EEG (iEEG) seizure-onset patterns in patients with focal lesional epilepsy to determine whether scalp seizure-onset patterns can be specific to intracerebral seizure-onset patterns and to lesion type. METHODS: We retrospectively analyzed 61 patients with focal epilepsy and a structural magnetic resonance imaging (MRI)-visible lesion, who first underwent extensive scalp recordings and then iEEG studies (stereo-EEG) for presurgical evaluation, and who showed an iEEG seizure onset in the lesional/perilesional area. Five seizure-onset patterns were recognized on scalp EEG, and 7 on iEEG, and in each patient, only the predominant scalp and iEEG seizure-onset patterns were compared. Because scalp and iEEG recordings were acquired at different times, we followed strict criteria based on semiology and topography to match scalp with intracerebral seizures. RESULTS: Seventy-one pairs of seizure-onset patterns matched between scalp and iEEG were identified. Each scalp pattern did not correspond to a single intracerebral pattern, but there were significant associations: (1) paroxysmal fast activity (≥13 Hz) at scalp onset was associated with low-voltage fast activity at iEEG onset (P < .001), with malformations of cortical development (P < .001), and with superficial seizure-onset zone based on iEEG (P < .001); (2) rhythmic slow activity (<13 Hz) at scalp onset was associated with low-frequency high-amplitude periodic spikes at iEEG onset (P = .0014), with medial temporal atrophy/sclerosis (P < .001), and with deep seizure-onset zone (P < .001); and (3) repetitive epileptiform discharge at scalp onset was associated with a burst of high-amplitude polyspikes at iEEG onset (P = .0002). SIGNIFICANCE: Our results disclosed that in focal epilepsy patients with seizures generated in an MRI-visible lesion, some scalp seizure-onset patterns are highly associated with a specific intracerebral pattern, with specific pathologies, and with the depth of seizure-onset zone. These findings allow the interpretation of scalp seizure-onset patterns to be significantly more informative.


Asunto(s)
Encéfalo/fisiopatología , Electrocorticografía , Epilepsias Parciales/fisiopatología , Malformaciones del Desarrollo Cortical/fisiopatología , Convulsiones/fisiopatología , Lóbulo Temporal/fisiopatología , Adolescente , Adulto , Atrofia , Encéfalo/diagnóstico por imagen , Electroencefalografía , Epilepsias Parciales/diagnóstico por imagen , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Malformaciones del Desarrollo Cortical/diagnóstico por imagen , Persona de Mediana Edad , Estudios Retrospectivos , Cuero Cabelludo , Esclerosis , Convulsiones/diagnóstico por imagen , Lóbulo Temporal/diagnóstico por imagen , Lóbulo Temporal/patología , Adulto Joven
9.
Proc Natl Acad Sci U S A ; 111(26): 9621-6, 2014 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-24979802

RESUMEN

Neurocomputational models hold that sparse distributed coding is the most efficient way for hippocampal neurons to encode episodic memories rapidly. We investigated the representation of episodic memory in hippocampal neurons of nine epilepsy patients undergoing intracranial monitoring as they discriminated between recently studied words (targets) and new words (foils) on a recognition test. On average, single units and multiunits exhibited higher spike counts in response to targets relative to foils, and the size of this effect correlated with behavioral performance. Further analyses of the spike-count distributions revealed that (i) a small percentage of recorded neurons responded to any one target and (ii) a small percentage of targets elicited a strong response in any one neuron. These findings are consistent with the idea that in the human hippocampus episodic memory is supported by a sparse distributed neural code.


Asunto(s)
Epilepsia/fisiopatología , Hipocampo/fisiología , Memoria Episódica , Modelos Neurológicos , Humanos , Monitorización Neurofisiológica , Pruebas Neuropsicológicas
10.
Neuroimage ; 109: 249-59, 2015 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-25579446

RESUMEN

Behavioral studies demonstrate that a face presented in the upright orientation attracts attention more rapidly than an inverted face. Saccades toward an upright face take place in 100-140 ms following presentation. The present study using electrocorticography determined whether upright face-preferential neural activation, as reflected by augmentation of high-gamma activity at 80-150 Hz, involved the lower-order visual cortex within the first 100 ms post-stimulus presentation. Sampled lower-order visual areas were verified by the induction of phosphenes upon electrical stimulation. These areas resided in the lateral-occipital, lingual, and cuneus gyri along the calcarine sulcus, roughly corresponding to V1 and V2. Measurement of high-gamma augmentation during central (circular) and peripheral (annular) checkerboard reversal pattern stimulation indicated that central-field stimuli were processed by the more polar surface whereas peripheral-field stimuli by the more anterior medial surface. Upright face stimuli, compared to inverted ones, elicited up to 23% larger augmentation of high-gamma activity in the lower-order visual regions at 40-90 ms. Upright face-preferential high-gamma augmentation was more highly correlated with high-gamma augmentation for central than peripheral stimuli. Our observations are consistent with the hypothesis that lower-order visual regions, especially those for the central field, are involved in visual cues for rapid detection of upright face stimuli.


Asunto(s)
Reconocimiento Facial/fisiología , Ritmo Gamma , Corteza Visual/fisiología , Adolescente , Niño , Estimulación Eléctrica , Electrocorticografía , Potenciales Evocados Visuales , Femenino , Humanos , Masculino , Estimulación Luminosa
11.
Epilepsy Behav ; 31: 381-5, 2014 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-24210459

RESUMEN

Psychogenic seizures (PSs) convincingly mimic seizure phenomena but with no underlying epileptic activity. However, not much is known about their neurophysiological basis. We had the rare opportunity to analyze intracranial brain recordings of PSs occurring besides epileptic seizures (ESs), which identified distinct frequency changes over the parietal cortex. For further validation, we applied topographic frequency analysis to two other patients who presented PSs and ESs during long-term monitoring. The analysis revealed a power decrease in the theta band at the posterior parietal cortex in all three patients during PSs but not during ESs. These changes may reflect disturbed self-referential processing associated with some PSs.


Asunto(s)
Ondas Encefálicas/fisiología , Encéfalo/fisiopatología , Convulsiones/diagnóstico , Convulsiones/psicología , Trastornos Somatomorfos/diagnóstico , Adolescente , Adulto , Mapeo Encefálico , Electroencefalografía , Femenino , Humanos , Imagenología Tridimensional , Imagen por Resonancia Magnética , Masculino , Grabación en Video , Adulto Joven
12.
Neuroimage ; 83: 224-36, 2013 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-23792979

RESUMEN

By repeating saccades unconsciously, humans explore the surrounding world every day. Saccades inevitably move external visual images across the retina at high velocity; nonetheless, healthy humans don't perceive transient blurring of the visual scene during saccades. This perceptual stability is referred to as saccadic suppression. Functional suppression is believed to take place transiently in the visual systems, but it remains unknown how commonly or differentially the human occipital lobe activities are suppressed at the large-scale cortical network level. We determined the spatial-temporal dynamics of intracranially-recorded gamma activity at 80-150 Hz around spontaneous saccades under no-task conditions during wakefulness and those in darkness during REM sleep. Regardless of wakefulness or REM sleep, a small degree of attenuation of gamma activity was noted in the occipital regions during saccades, most extensively in the polar and least in the medial portions. Longer saccades were associated with more intense gamma-attenuation. Gamma-attenuation was subsequently followed by gamma-augmentation most extensively involving the medial and least involving the polar occipital region. Such gamma-augmentation was more intense during wakefulness and temporally locked to the offset of saccades. The polarities of initial peaks of perisaccadic event-related potentials (ERPs) were frequently positive in the medial and negative in the polar occipital regions. The present study, for the first time, provided the electrophysiological evidence that human occipital cortices differentially exert perisaccadic modulation. Transiently suppressed sensitivity of the primary visual cortex in the polar region may be an important neural basis for saccadic suppression. Presence of occipital gamma-attenuation even during REM sleep suggests that saccadic suppression might be exerted even without external visual inputs. The primary visual cortex in the medial region, compared to the polar region, may be more sensitive to an upcoming visual scene provided at the offset of each saccade.


Asunto(s)
Red Nerviosa/fisiopatología , Inhibición Neural , Lóbulo Occipital/fisiopatología , Movimientos Sacádicos , Convulsiones/fisiopatología , Sueño REM , Adolescente , Niño , Preescolar , Humanos , Masculino
13.
Biol Psychiatry ; 94(6): 445-453, 2023 09 15.
Artículo en Inglés | MEDLINE | ID: mdl-36736418

RESUMEN

BACKGROUND: Disorders of mood and cognition are prevalent, disabling, and notoriously difficult to treat. Fueling this challenge in treatment is a significant gap in our understanding of their neurophysiological basis. METHODS: We recorded high-density neural activity from intracranial electrodes implanted in depression-relevant prefrontal cortical regions in 3 human subjects with severe depression. Neural recordings were labeled with depression severity scores across a wide dynamic range using an adaptive assessment that allowed sampling with a temporal frequency greater than that possible with typical rating scales. We modeled these data using regularized regression techniques with region selection to decode depression severity from the prefrontal recordings. RESULTS: Across prefrontal regions, we found that reduced depression severity is associated with decreased low-frequency neural activity and increased high-frequency activity. When constraining our model to decode using a single region, spectral changes in the anterior cingulate cortex best predicted depression severity in all 3 subjects. Relaxing this constraint revealed unique, individual-specific sets of spatiospectral features predictive of symptom severity, reflecting the heterogeneous nature of depression. CONCLUSIONS: The ability to decode depression severity from neural activity increases our fundamental understanding of how depression manifests in the human brain and provides a target neural signature for personalized neuromodulation therapies.


Asunto(s)
Encéfalo , Depresión , Humanos , Encéfalo/fisiología , Corteza Prefrontal , Mapeo Encefálico/métodos , Giro del Cíngulo
14.
medRxiv ; 2023 Mar 18.
Artículo en Inglés | MEDLINE | ID: mdl-36993429

RESUMEN

Background: The anterior cingulate cortex (ACC) plays an important role in the cognitive and emotional processing of pain. Prior studies have used deep brain stimulation (DBS) to treat chronic pain, but results have been inconsistent. This may be due to network adaptation over time and variable causes of chronic pain. Identifying patient-specific pain network features may be necessary to determine patient candidacy for DBS. Hypothesis: Cingulate stimulation would increase patients' hot pain thresholds if non-stimulation 70-150 Hz activity encoded psychophysical pain responses. Methods: In this study, four patients who underwent intracranial monitoring for epilepsy monitoring participated in a pain task. They placed their hand on a device capable of eliciting thermal pain for five seconds and rated their pain. We used these results to determine the individual's thermal pain threshold with and without electrical stimulation. Two different types of generalized linear mixed-effects models (GLME) were employed to assess the neural representations underlying binary and graded pain psychophysics. Results: The pain threshold for each patient was determined from the psychometric probability density function. Two patients had a higher pain threshold with stimulation than without, while the other two patients had no difference. We also evaluated the relationship between neural activity and pain responses. We found that patients who responded to stimulation had specific time windows where high-frequency activity was associated with increased pain ratings. Conclusion: Stimulation of cingulate regions with increased pain-related neural activity was more effective at modulating pain perception than stimulating non-responsive areas. Personalized evaluation of neural activity biomarkers could help identify the best target for stimulation and predict its effectiveness in future studies evaluating DBS.

15.
eNeuro ; 9(2)2022.
Artículo en Inglés | MEDLINE | ID: mdl-35410871

RESUMEN

Intracranial electroencephalographic (icEEG) recordings provide invaluable insights into neural dynamics in humans because of their unmatched spatiotemporal resolution. Yet, such recordings reflect the combined activity of multiple underlying generators, confounding the ability to resolve spatially distinct neural sources. To empirically quantify the listening zone of icEEG recordings, we computed correlations between signals as a function of distance (full width at half maximum; FWHM) between 8752 recording sites in 71 patients (33 female) implanted with either subdural electrodes (SDEs), stereo-encephalography electrodes (sEEG), or high-density sEEG electrodes. As expected, for both SDEs and sEEGs, higher frequency signals exhibited a sharper fall off relative to lower frequency signals. For broadband high γ (BHG) activity, the mean FWHM of SDEs (6.6 ± 2.5 mm) and sEEGs in gray matter (7.14 ± 1.7 mm) was not significantly different; however, FWHM for low frequencies recorded by sEEGs was 2.45 mm smaller than SDEs. White matter sEEGs showed much lower power for frequencies 17-200 Hz (q < 0.01) and a much broader decay (11.3 ± 3.2 mm) than gray matter electrodes (7.14 ± 1.7 mm). The use of a bipolar referencing scheme significantly lowered FWHM for sEEGs, relative to a white matter reference or a common average reference (CAR). These results outline the influence of array design, spectral bands, and referencing schema on local field potential recordings and source localization in icEEG recordings in humans. The metrics we derive have immediate relevance to the analysis and interpretation of both cognitive and epileptic data.


Asunto(s)
Epilepsia , Sustancia Blanca , Mapeo Encefálico/métodos , Electrocorticografía/métodos , Electrodos Implantados , Electroencefalografía/métodos , Femenino , Sustancia Gris , Humanos , Masculino
16.
J Neurosurg Pediatr ; 29(4): 454-457, 2022 04 01.
Artículo en Inglés | MEDLINE | ID: mdl-35061987

RESUMEN

Stereoelectroencephalography (SEEG) has become increasingly employed as a critical component of epilepsy workups for patients with drug-resistant epilepsy when information from noninvasive studies is not conclusive and sufficient to guide epilepsy surgery. Although exceedingly rare, clinically significant hemorrhagic complications can be caused during SEEG implantation procedures. Intracranial hemorrhage (ICH) can be difficult to recognize due to the minimally invasive nature of SEEG. The authors describe their technique using a commercially available intraparenchymal intracranial pressure (ICP) monitor as a method for early intraoperative detection of ICH during SEEG implantation. Between May 2019 and July 2021, 18 pediatric patients underwent SEEG implantation at a single, freestanding children's hospital with the use of an ICP monitor during the procedure. No patients experienced complications resulting from this technique. The authors have relayed their rationale for ICP monitor use during SEEG, the technical considerations, and the safety profile. In addition, they have reported an illustrative case in which the ICP monitor proved crucial in early detection of ICH during SEEG implantation.


Asunto(s)
Epilepsia Refractaria , Presión Intracraneal , Niño , Epilepsia Refractaria/diagnóstico por imagen , Epilepsia Refractaria/etiología , Epilepsia Refractaria/cirugía , Electrodos Implantados/efectos adversos , Electroencefalografía/métodos , Humanos , Estudios Retrospectivos , Técnicas Estereotáxicas
17.
Clin Neurophysiol ; 132(10): 2391-2403, 2021 10.
Artículo en Inglés | MEDLINE | ID: mdl-34454266

RESUMEN

OBJECTIVE: We clarified the clinical and mechanistic significance of physiological modulations of high-frequency broadband cortical activity associated with spontaneous saccadic eye movements during a resting state. METHODS: We studied 30 patients who underwent epilepsy surgery following extraoperative electrocorticography and electrooculography recordings. We determined whether high-gamma activity at 70-110 Hz preceding saccade onset would predict upcoming ocular behaviors. We assessed how accurately the model incorporating saccade-related high-gamma modulations would localize the primary visual cortex defined by electrical stimulation. RESULTS: The dynamic atlas demonstrated transient high-gamma suppression in the striatal cortex before saccade onset and high-gamma augmentation subsequently involving the widespread posterior brain regions. More intense striatal high-gamma suppression predicted the upcoming saccade directed to the ipsilateral side and lasting longer in duration. The bagged-tree-ensemble model demonstrated that intense saccade-related high-gamma modulations localized the visual cortex with an accuracy of 95%. CONCLUSIONS: We successfully animated the neural dynamics supporting saccadic suppression, a principal mechanism minimizing the perception of blurred vision during rapid eye movements. The primary visual cortex per se may prepare actively in advance for massive image motion expected during upcoming prolonged saccades. SIGNIFICANCE: Measuring saccade-related electrocorticographic signals may help localize the visual cortex and avoid misperceiving physiological high-frequency activity as epileptogenic.


Asunto(s)
Epilepsia Refractaria/fisiopatología , Electrocorticografía/métodos , Ritmo Gamma/fisiología , Movimientos Sacádicos/fisiología , Corteza Visual/fisiología , Adolescente , Niño , Preescolar , Epilepsia Refractaria/diagnóstico por imagen , Femenino , Humanos , Masculino , Corteza Visual/diagnóstico por imagen , Adulto Joven
18.
Cortex ; 128: 35-48, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32311546

RESUMEN

Simulation theories predict that the observation of other's laughter modulates activity in the same centers controlling its production. Investigating this issue is particularly challenging, given the technical difficulties of studying laughter production. Previous observations from surgical patients reported laughter production following the electrical stimulation (ES) of the pregenual anterior cingulate (pACC), the frontal operculum (FO) and the temporal pole (TP), deemed to control emotional, communicative and cognitive aspects of laughter, respectively. Here we investigated which region is recruited during laughter observation and production, by adopting a twofold strategy which combines ES and intracranial recording in the same patients. We identified nine sites equally distributed in the pACC, FO and TP, where ES elicited laughter. Subsequently, we presented the patients with visual stimuli depicting dynamic (video) and static (pictures) expressions of laughter, along with emotional and neutral controls, while intracranially recording high-frequency gamma activity (50-150 Hz) from the same sites. pACC sites showed a selective activation during laughter observation, but only if laughter is presented in a dynamical fashion. FO and TP failed to respond during both dynamic and static expressions. We conclude that pACC host a mirror mechanism directly mapping other's laughter onto the neural substrate responsible for the production of emotional laughter.


Asunto(s)
Risa , Corteza Cerebral , Lóbulo Frontal , Giro del Cíngulo , Humanos , Lóbulo Temporal
19.
Clin Neurophysiol ; 131(12): 2781-2792, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-33130438

RESUMEN

OBJECTIVE: To determine the optimal depth electrode montages for the assessment of effective connectivity based on single-pulse electrical stimulation (SPES). To determine the effect of SPES locations on the extent of resulting neuronal propagations. METHODS: We studied 14 epilepsy patients who underwent invasive monitoring with depth electrodes and measurement of cortico-cortical evoked potentials (CCEPs) and cortico-cortical spectral responses (CCSRs). We determined the effects of electrode montage and stimulus sites on the CCEP/CCSR amplitudes. RESULTS: Bipolar and Laplacian montages effectively reduced the degree of SPES-related signal deflections at extra-cortical levels, including outside the brain, while maintaining those at the cortical level. SPES of structures more proximal to the deep white matter, compared to the cortical surface, elicited greater CCEPs and CCSRs. CONCLUSIONS: On depth electrode recording, bipolar and Laplacian montages are suitable for measurement of near-field CCEPs and CCSRs. SPES of the white matter axons may induce neuronal propagations to extensive regions of the cerebral cortex. SIGNIFICANCE: This study helps to establish the practical guidelines on the diagnostic use of CCEPs/CCSRs.


Asunto(s)
Corteza Cerebral/fisiología , Estimulación Encefálica Profunda/métodos , Epilepsia Refractaria/terapia , Electrodos Implantados , Red Nerviosa/fisiología , Neuronas/fisiología , Adolescente , Corteza Cerebral/diagnóstico por imagen , Niño , Preescolar , Epilepsia Refractaria/diagnóstico por imagen , Epilepsia Refractaria/fisiopatología , Electroencefalografía/métodos , Femenino , Humanos , Masculino , Adulto Joven
20.
Curr Biol ; 30(14): 2707-2715.e3, 2020 07 20.
Artículo en Inglés | MEDLINE | ID: mdl-32502406

RESUMEN

The rapid recognition and memory of faces and scenes implies the engagement of category-specific computational hubs in the ventral visual stream with the distributed cortical memory network. To better understand how recognition and identification occur in humans, we performed direct intracranial recordings, in a large cohort of patients (n = 50), from the medial parietal cortex (MPC) and the medial temporal lobe (MTL), structures known to be engaged during face and scene identification. We discovered that the MPC is topologically tuned to face and scene recognition, with clusters in MPC performing scene recognition bilaterally and face recognition in right subparietal sulcus. The MTL displayed a selectivity gradient with anterior, entorhinal cortex showing face selectivity and posterior parahippocampal regions showing scene selectivity. In both MPC and MTL, stimulus-specific identifiable exemplars led to greater activity in these cortical patches. These two regions work in concert for recognition of faces and scenes. Feature selectivity and identity-sensitive activity in the two regions was coincident, and they exhibited theta-phase locking during face and scene recognition. These findings together provide clear evidence for a specific role of subregions in the MPC for the recognition of unique entities.


Asunto(s)
Cara/fisiología , Reconocimiento Facial/fisiología , Lóbulo Parietal/fisiología , Reconocimiento Visual de Modelos/fisiología , Reconocimiento en Psicología/fisiología , Adolescente , Adulto , Estudios de Cohortes , Electroencefalografía , Femenino , Humanos , Masculino , Memoria/fisiología , Persona de Mediana Edad , Giro Parahipocampal/fisiología , Lóbulo Temporal/fisiología , Adulto Joven
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