Interictal Functional Connectivity of Human Epileptic Networks Assessed by Intracerebral EEG and BOLD Signal Fluctuations
2011

Understanding Brain Connectivity in Temporal Lobe Epilepsy

Sample size: 5 publication Evidence: moderate

Author Information

Author(s): Bettus Gaelle, Ranjeva Jean-Philippe, Wendling Fabrice, Bénar Christian G., Confort-Gouny Sylviane, Régis Jean, Chauvel Patrick, Cozzone Patrick J., Lemieux Louis, Bartolomei Fabrice, Guye Maxime

Primary Institution: CNRS (Centre National de la Recherche Scientifique), UMR 6612, CRMBM (Centre de Résonance Magnétique Biologique et Médicale), Marseille, France

Hypothesis

Does the BOLD signal from resting state fMRI reflect spontaneous neuronal activity in brain regions affected by epilepsy?

Conclusion

The study found that functional connectivity measured by iEEG and BOLD signals provides complementary but sometimes inconsistent information in patients with temporal lobe epilepsy.

Supporting Evidence

  • Functional connectivity was higher in regions affected by electrical abnormalities compared to non-affected areas.
  • Significant negative correlations were found between functional connectivities of iEEG and BOLD signals.
  • Indices of directionality showed that epileptogenic regions influence non-epileptic areas during the interictal period.

Takeaway

This study looked at how brain signals from patients with epilepsy connect with each other. It found that some areas of the brain work together differently when epilepsy is present.

Methodology

The study used intracerebral EEG and resting-state fMRI to measure functional connectivity in patients with temporal lobe epilepsy.

Potential Biases

Potential biases may arise from the non-simultaneous nature of the recordings and the small sample size.

Limitations

The study compared non-simultaneous recordings of iEEG and BOLD signals, which may affect the results.

Participant Demographics

Five patients with drug-resistant temporal lobe epilepsy, including three with right TLE, one with left TLE, and one with bilateral TLE.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0020071

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