Key result
In patients with refractory epilepsy, the preictal state minutes before a seizure is characterized by a shift in high-frequency oscillation ripple bands (220-240 Hz) toward maximum entropy and near-zero complexity compared to basal signals.
Why the study?
The study was conducted to search for possible epileptic biomarkers and to determine the epileptogenic zone that gives rise to seizures by investigating the dynamics of basal and preictal signals.
Observational (n=6)
Analysis of high-frequency oscillations in the entropy-complexity plane may serve as a biomarker for identifying preictal states in refractory epilepsy.
May aid preictal detection via entropy-complexity analysis; leaves open prospective validation before clinical use.
Intracranial electroencephalography (iEEG) can directly record local field potentials (LFPs) from a large set of neurons in the vicinity of the electrode. To search for possible epileptic biomarkers and to determine the epileptogenic zone that gives rise to seizures, we investigated the dynamics of basal and preictal signals. For this purpose, we explored the dynamics of the recorded time series for different frequency bands considering high-frequency oscillations (HFO) up to 240 Hz. We apply a Hilbert transform to study the amplitude and phase of the signals. The dynamics of the different frequency bands in the time causal entropy-complexity plane, H × C, is characterized by comparing the dynamical evolution of the basal and preictal time series. As the preictal states evolve closer to the time in which the epileptic seizure starts, the, H × C, dynamics changes for the higher frequency bands. The complexity evolves to very low values and the entropy becomes nearer to its maximal value. These quasi-stable states converge to equiprobable states when the entropy is maximal, and the complexity is zero. We could, therefore, speculate that in this case, it corresponds to the minimization of Gibbs free energy. In this case, the maximum entropy is equivalent to the principle of minimum consumption of resources in the system. We can interpret this as the nature of the system evolving temporally in the preictal state in such a way that the consumption of resources by the system is minimal for the amplitude in frequencies between 220-230 and 230-240 Hz.
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Granado et al. (2022) conducted an observational in Refractory epilepsy (n=6). Preictal state (10 minutes before seizure onset) vs. Basal state (far from seizure) was evaluated on Shannon entropy and statistical complexity of the amplitude and phase of local field potentials in high-frequency oscillation (HFO) bands. In patients with refractory epilepsy, the preictal state minutes before a seizure is characterized by a shift in high-frequency oscillation ripple bands (220-240 Hz) toward maximum entropy and near-zero complexity compared to basal signals.
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