F. Varela

Anticipating epileptic seizures in real time by a non-linear analysis of similarity between EEG recordings

In a previous publication we showed that non-linear analysis can extract spatio-temporal changes of brain electrical activity prior to epileptic seizures. Here we describe a new method to analyze this long-term non-stationarity in the EEG by a measure of dynamical similarity between different parts of the time series. We apply this method to the study of a group of patients with temporal lobe epilepsy recorded intracranially during transitions to seizure. We show that the method, which can be implemented on a personal computer, can track in real time spatio-temporal changes in brain dynamics several minutes prior to seizure.

Nonlinear analyses of interictal EEG map the brain interdependences in human focal epilepsy

Abstract The degree of interdependence between intracranial electroencephalographic (EEG) channels was investigated in epileptic patients with temporal lobe seizures during interictal (between seizures) periods. With a novel method to characterize nonlinear cross-predictability, that is, the predictability of one channel using another channel as data base, we demonstrated here a possibility to extract information on the spatio-temporal organization of interactions between multichannel recording sites. This method determines whether two channels contain common activity, and often, whether one channel contains activity induced by the activity of the other channel. In particular, the technique and the comparison with surrogate data demonstrated that transient large-scale nonlinear entrainments by the epileptogenic region can be identified, this with or without epileptic activity. Furthermore, these recurrent activities related with the epileptic foci occurred in well-defined spatio-temporal patterns. This suggests that the epileptogenic region can exhibit very subtle influences on other brain regions during an interictal period and raises the possibility that the cross-predictability analysis of interictal data may be used as a significant aid in locating epileptogenic foci.

Nonlinear interdependencies of EEG signals in human intracranially recorded temporal lobe seizures

The degree of interdependence between intracranial EEG channels was investigated in four epileptic patients with complex partial seizures of mesial temporal lobe origin. With a new method to characterize nonlinear dynamical interdependence-the mutual nonlinear prediction-we demonstrated here a possibility to quantify, during epileptic seizures, the relationships between EEG signals of electrode contacts in the epileptogenic area. During the interictal period, the degree of nonlinear interdependences were very low or absent. In contrast, it was found that transient patterns of nonlinear interdependences emerge at the initial spread of the seizure, during essential parts of its development, and at seizure end, but the maintenance of these interactions are not observed throughout the seizure activity. These results suggest that the nonlinear associations plays an important role in epileptogenesis, and that the process of neuronal entrainment during seizure onset involves a transient interaction between a distributed network of neuronal aggregates, but the maintenance of this interaction is not required for sustained seizure activity. Furthermore, this technique can describe properly the spatio-temporal organisation of the seizures of medio-temporal lobe origin and could become a very useful tool to aid the localization of the epileptogenic regions at the origin of epileptic seizures and their pathways of propagation.