4.2 Article

Responders to vagus nerve stimulation (VNS) in refractory epilepsy have reduced interictal cortical synchronicity on scalp EEG

Journal

EPILEPSY RESEARCH
Volume 113, Issue -, Pages 98-103

Publisher

ELSEVIER SCIENCE BV
DOI: 10.1016/j.eplepsyres.2015.03.018

Keywords

VNS; EEG; Functional connectivity; Synchrony; Epilepsy

Ask authors/readers for more resources

EEG desynchronization has been proposed to be an important mechanism for antiepileptic effect of vagus nerve stimulation (VNS) but has never been clearly documented in human. The aim of this study was to evaluate impact of VNS on the synchronicity of interictal EEG rhythms. We estimated synchronization between scalp EEG signals using phase lag index (PLI) in 19 patients with chronic VNS therapy. We estimated changes in synchronization between ON and OFF phases and between responder (R) and non-responder (NR) patients. We found that R have a lower global level of synchronization (EEG broadband) than NR (p< 0.0001) In addition, ON periods were characterized by lower values in comparison with OFF periods (p< 0.001). R had significantly lower global synchronization levels in delta and alpha frequency bands (p<0.0001). Patients responding to VNS have thus a lower level of broadband EEG synchronization than non-responders. Estimating changes of synchronization level is thus a promising tool for predicting response to VNS. (C) 2015 Elsevier B.V. All rights reserved.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.2
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Clinical Neurology

Symptom network analysis of the sleep disorders diagnostic criteria based on the clinical text of the ICSD-3

Christophe Gauld, Regis Lopez, Charles Morin, Pierre A. Geoffroy, Julien Maquet, Pierre Desvergnes, Aileen McGonigal, Yves Dauvilliers, Pierre Philip, Guillaume Dumas, Jean-Arthur Micoulaud-Franchi

Summary: The study utilized symptom network analysis to explore diagnostic criteria in the ICSD-3 manual, revealing strong interconnections between sleep symptoms. Central roles were found for daytime sleepiness, insomnia, and behavior during sleep symptoms in the network, suggesting potential implications for better systematizing and organizing symptomatology in sleep medicine.

JOURNAL OF SLEEP RESEARCH (2022)

Article Clinical Neurology

Epileptogenic networks in drug-resistant epilepsy with amygdala enlargement: Assessment with stereo-EEG and 7 T MRI

Julia Makhalova, Arnaud Le Troter, Sandrine Aubert-Conil, Bernard Giusiano, Aileen McGonigal, Agnes Trebuchon, Romain Carron, Samuel Medina Villalon, Christian G. Benar, Jean-Philippe Ranjeva, Maxime Guye, Fabrice Bartolomei

Summary: This study assessed the epileptogenic networks underlying drug-resistant epilepsy with amygdala enlargement and found that most cases involved a combination of temporal and other networks. Amygdala enlargement could reflect an interaction between stress-mediated limbic network alterations and mechanisms of epileptogenesis.

CLINICAL NEUROPHYSIOLOGY (2022)

Article Clinical Neurology

De novo psychosis after left temporal lobectomy: a case of forced normalization?

Marie Arthuis, Stanislas Lagarde, Aileen Mcgonigal, Fabrice Bartolomei

Summary: Forced normalization refers to the appearance of psychiatric disturbance following control of previously uncontrolled epileptic seizures. This case report discusses the occurrence of acute psychosis after epilepsy surgery and raises questions about the relationship between forced normalization and the effect of surgery itself.

EPILEPTIC DISORDERS (2022)

Article Clinical Neurology

Frontal lobe seizures: overview and update

Aileen McGonigal

Summary: Frontal lobe seizures are debilitating and diverse, making them challenging to evaluate. Research has shown that motor symptoms reflect the hierarchical organization of the frontal lobe, aiding in presurgical localization. Distinguishing between different frontal sublobar regions is possible based on motor and emotional signs. The semiology of frontal lobe seizures also provides valuable in vivo human behavioral data for neuroscience.

JOURNAL OF NEUROLOGY (2022)

Article Clinical Neurology

Psychogenic non-epileptic seizures: Chronology of multidisciplinary team approach to diagnosis and management

I Kotwas, M. Arthuis, M. Cermolacce, F. Bartolomei, A. McGonigal

Summary: This article reviews the guidelines for the diagnosis and management of psychogenic non-epileptic seizures (PNES) and discusses the team's experience in managing patients. The article emphasizes the importance of a multidisciplinary team approach in optimizing patient care.

REVUE NEUROLOGIQUE (2022)

Article Clinical Neurology

Correlation between fluorodeoxyglucose positron emission tomography brain hypometabolism and posttraumatic stress disorder symptoms in temporal lobe epilepsy

Lisa-Dounia Soncin, Sylvane Faure, Aileen McGonigal, Tatiana Horowitz, Sara Belquaid, Fabrice Bartolomei, Eric Guedj

Summary: The study suggests that there are specific brain changes in patients with temporal lobe epilepsy and PTSD, with hypometabolism in certain areas correlating with PTSD symptoms. This indicates a close relationship between epileptogenic and psychogenic processes in these individuals.

EPILEPSIA (2022)

Article Behavioral Sciences

Screening for epilepsy-specific anxiety symptoms: French validation of the EASI

Jean-Arthur Micoulaud-Franchi, Iliana Kotwas, Marie Arthuis, Lisa Soncin, Pauline Rontani, Geraldine Daquin, Michel Cermolacce, Fabrice Bartolomei, Aileen McGonigal

Summary: The study aimed to translate and validate the Epilepsy Anxiety Survey Instrument (EASI) in French people with epilepsy, and further investigate the screening properties of each dimension of the EASI in terms of Diagnostic and Statistical Manual of Mental Disorders (DSM) anxiety disorders and epilepsy specific anxiety disorders. The results showed that a significant proportion of epilepsy patients had anxiety disorders, but the screening performance for epilepsy specific anxiety symptoms was less satisfactory. The study proposed the Epilepsy-Specific Anxiety (ESA) 10-item screening instrument as a complementary tool.

EPILEPSY & BEHAVIOR (2022)

Review Clinical Neurology

Potential new roles for glycogen in epilepsy

Gerald A. Dienel, Lisa Gillinder, Aileen McGonigal, Karin Borges

Summary: Seizures often originate in epileptogenic foci. Between seizures (interictally), the foci and surrounding tissue often have low signals in FDG-PET, indicating glucose hypometabolism. Normal glucose but high glycogen levels have been found in epileptogenic brain areas during the interictal period. Glycogenolysis may lead to low FDG signals and contribute to seizure generation.

EPILEPSIA (2023)

Article Clinical Neurology

Interictal HFO and FDG-PET correlation predicts surgical outcome following SEEG

Baotian Zhao, Aileen McGonigal, Wenhan Hu, Chao Zhang, Xiu Wang, Jiajie Mo, Xiaobin Zhao, Lin Ai, Xiaoqiu Shao, Kai Zhang, Jianguo Zhang

Summary: This study investigated the quantitative relationship between interictal FDG- PET and HFOs in patients with refractory epilepsy. The results showed a negative correlation between interictal FDG-PET and HFOs. The concordance between FRs and hypometabolism inside the resection volume could provide prognostic information regarding surgical outcome.

EPILEPSIA (2023)

Editorial Material Clinical Neurology

Life following epilepsy surgery: Building a holistic framework for enhancing postsurgical recovery and rehabilitation

Lorryn Delle Baite, Evelyn E. Harvey, Michael W. K. Fong, Aileen McGonigal, Sarah J. Wilson

EPILEPSIA (2023)

Article Behavioral Sciences

Post-traumatic stress disorder (PTSD), cognitive control, and perceived seizure control in patients with epilepsy: An exploratory study

Lisa-Dounia Soncin, Sara Belquaid, Aileen Mcgonigal, Bernard Giusiano, Fabrice Bartolomei, Sylvane Faure

Summary: Epilepsy patients with PTSD experience cognitive changes such as heightened executive attentional control, weakened emotional inhibition, and improved seizure control perception. The study found a positive correlation between PTSD scores and performance at the executive control task. In the emotional inhibition task, behavioral inhibition errors were positively correlated with PTSD scores, specifically with hypervigilance symptoms in PTSD+ patients.

EPILEPSY & BEHAVIOR (2023)

Article Clinical Neurology

BDNF as potential biomarker of epilepsy severity and psychiatric comorbidity: pitfalls in the clinical population

Aileen McGonigal, Christel Becker, Julia Fath, Kahina Hammam, Karine Baumstarck, Sara Fernandes, Bernard Giusiano, Stephane Dufau, Sylvain Rheims, Louis Maillard, Arnaud Biraben, Jean-Jacques Benoliel, Christophe Bernard, Fabrice Bartolomei

Summary: This study found that the use of anti-seizure medications affects serum BDNF levels in patients with epilepsy. However, the correlation between BDNF and epilepsy severity or psychiatric comorbidities is still unclear and requires further research.

EPILEPSY RESEARCH (2023)

Review Neurosciences

Stress and Epilepsy: Towards Understanding of Neurobiological Mechanisms for Better Management

Dhanisha J. Jhaveri, Aileen McGonigal, Christel Becker, Jean-Jacques Benoliel, L. Sanjay Nandam, Lisa Soncin, Iliana Kotwas, Christophe Bernard, Fabrice Bartolomei

Summary: Stress is identified as a major contributor to human disease, including epilepsy. This review explores the complex relationship between stress and epilepsy, highlighting key neurobiological mechanisms. It discusses current clinical management approaches and proposes the development of new treatments that target shared mechanisms of stress and epilepsy. The integration of data from genetics to systems biology is emphasized, with the potential for personalized interventions using machine learning and neuromodulation strategies.

ENEURO (2023)

Proceedings Paper Acoustics

A SELF-SUPERVISED PRE-TRAINING FRAMEWORK FOR VISION-BASED SEIZURE CLASSIFICATION

Jen-Cheng Hou, Aileen McGonigal, Fabrice Bartolomei, Monique Thonnat

Summary: This study proposes a method to classify epileptic seizures and psychogenic non-epileptic seizures based on clinical signs in seizure videos. By pre-training a Transformer-based framework on large unlabeled clinical videos and fine-tuning it with minimal modification, the study achieves good classification performance.

2022 IEEE INTERNATIONAL CONFERENCE ON ACOUSTICS, SPEECH AND SIGNAL PROCESSING (ICASSP) (2022)

No Data Available