Probing cortical excitability using cross-frequency coupling in intracranial EEG recordings: A new method for seizure prediction

C. Alvarado-Rojas, M. Valderrama, A. Witon, V. Navarro, M. Le Van Quyen

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

17 Scopus citations

Abstract

The need of a reliable seizure prediction is motivated by the 50 million people in the world suffering from epilepsy, of whom 30% have no control on seizures with current pharmacological treatments. Seizure prediction research holds great promise for such patients, since an effective algorithm will enable the development of a closed-loop system that intervenes before the clinical onset of a seizure. As a step toward practical implementation of this technology, we present a new method based on a measure of brain excitability identified by couplings between low-frequency phases and high-frequency amplitudes of brain oscillations. The proposed method was applied to long-term intracranial recordings of 20 patients with partial epilepsy, for a total of 267 seizures and more than 3400-hour-long interictal activities. We found that our predictor was in 50% of cases better than chance, with an average sensitivity of 98.9% and false prediction rate of 1.84/hour. From these observations, we concluded that our method enables a new quantitative way to identify preictal states with a high risk of seizure generation

Original languageEnglish
Title of host publication33rd Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS 2011
Pages1632-1635
Number of pages4
DOIs
StatePublished - 2011
Externally publishedYes
Event33rd Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS 2011 - Boston, MA, United States
Duration: 30 Aug 201103 Sep 2011

Publication series

NameProceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS
ISSN (Print)1557-170X

Conference

Conference33rd Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS 2011
Country/TerritoryUnited States
CityBoston, MA
Period30/08/1103/09/11

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