02590nas a2200325 4500008004100000022001400041245010900055210006900164260001600233300000900249490000700258520156700265653001001832653002301842653002701865653002401892653001301916653001101929653001801940100002101958700001801979700001601997700001902013700002502032700002102057700002302078700001902101700002502120856011902145 2024 eng d a2041-172300aMultisensory flicker modulates widespread brain networks and reduces interictal epileptiform discharges.0 aMultisensory flicker modulates widespread brain networks and red c2024 Apr 11 a31560 v153 a

Modulating brain oscillations has strong therapeutic potential. Interventions that both non-invasively modulate deep brain structures and are practical for chronic daily home use are desirable for a variety of therapeutic applications. Repetitive audio-visual stimulation, or sensory flicker, is an accessible approach that modulates hippocampus in mice, but its effects in humans are poorly defined. We therefore quantified the neurophysiological effects of flicker with high spatiotemporal resolution in patients with focal epilepsy who underwent intracranial seizure monitoring. In this interventional trial (NCT04188834) with a cross-over design, subjects underwent different frequencies of flicker stimulation in the same recording session with the effect of sensory flicker exposure on local field potential (LFP) power and interictal epileptiform discharges (IEDs) as primary and secondary outcomes, respectively. Flicker focally modulated local field potentials in expected canonical sensory cortices but also in the medial temporal lobe and prefrontal cortex, likely via resonance of stimulated long-range circuits. Moreover, flicker decreased interictal epileptiform discharges, a pathological biomarker of epilepsy and degenerative diseases, most strongly in regions where potentials were flicker-modulated, especially the visual cortex and medial temporal lobe. This trial met the scientific goal and is now closed. Our findings reveal how multi-sensory stimulation may modulate cortical structures to mitigate pathological activity in humans.

10aBrain10aCross-Over Studies10aElectroencephalography10aEpilepsies, Partial10aEpilepsy10aHumans10aTemporal Lobe1 aBlanpain, Lou, T1 aCole, Eric, R1 aChen, Emily1 aPark, James, K1 aWalelign, Michael, Y1 aGross, Robert, E1 aCabaniss, Brian, T1 aWillie, Jon, T1 aSinger, Annabelle, C uhttps://neurotechcenter.org/publications/2024/multisensory-flicker-modulates-widespread-brain-networks-and-reduces02881nas a2200397 4500008004100000022001400041245011100055210006900166260001200235300001100247490000700258520172500265653001501990653002002005653001802025653002002043653002502063653002702088653002402115653001102139653001102150653001302161653002902174653003202203653001102235100002602246700001902272700002602291700002402317700001902341700001902360700001802379700002302397700001502420856004802435 2014 eng d a1933-071500aReal-time functional mapping: potential tool for improving language outcome in pediatric epilepsy surgery.0 aRealtime functional mapping potential tool for improving languag c09/2014 a287-950 v143 a

Accurate language localization expands surgical treatment options for epilepsy patients and reduces the risk of postsurgery language deficits. Electrical cortical stimulation mapping (ESM) is considered to be the clinical gold standard for language localization. While ESM affords clinically valuable results, it can be poorly tolerated by children, requires active participation and compliance, carries a risk of inducing seizures, is highly time consuming, and is labor intensive. Given these limitations, alternative and/or complementary functional localization methods such as analysis of electrocorticographic (ECoG) activity in high gamma frequency band in real time are needed to precisely identify eloquent cortex in children. In this case report, the authors examined 1) the use of real-time functional mapping (RTFM) for language localization in a high gamma frequency band derived from ECoG to guide surgery in an epileptic pediatric patient and 2) the relationship of RTFM mapping results to postsurgical language outcomes. The authors found that RTFM demonstrated relatively high sensitivity (75%) and high specificity (90%) when compared with ESM in a "next-neighbor" analysis. While overlapping with ESM in the superior temporal region, RTFM showed a few other areas of activation related to expressive language function, areas that were eventually resected during the surgery. The authors speculate that this resection may be associated with observed postsurgical expressive language deficits. With additional validation in more subjects, this finding would suggest that surgical planning and associated assessment of the risk/benefit ratio would benefit from information provided by RTFM mapping.

10aAdolescent10aAnticonvulsants10aBrain Mapping10aCerebral Cortex10aElectric Stimulation10aElectroencephalography10aEpilepsies, Partial10aFemale10aHumans10aLanguage10aNeuropsychological Tests10aSensitivity and Specificity10aSpeech1 aKorostenskaja, Milena1 aChen, Po-Ching1 aSalinas, Christine, M1 aWesterveld, Michael1 aBrunner, Peter1 aSchalk, Gerwin1 aCook, Jane, C1 aBaumgartner, James1 aLee, Ki, H uhttp://www.ncbi.nlm.nih.gov/pubmed/2499581505892nas a2200361 4500008004100000022001400041245010100055210006900156260001200225300001000237490000800247520480000255653001505055653002805070653001805098653002005116653002705136653002405163653001105187653000905198653001105207653003105218653003205249653002805281653004105309653002205350653002805372100002305400700002005423700002005443700001905463856004805482 2008 eng d a0165-027000aExtraction and localization of mesoscopic motor control signals for human ECoG neuroprosthetics.0 aExtraction and localization of mesoscopic motor control signals  c01/2008 a63-810 v1673 a

Electrocorticogram (ECoG) recordings for neuroprosthetics provide a mesoscopic level of abstraction of brain function between microwire single neuron recordings and the electroencephalogram (EEG). Single-trial ECoG neural interfaces require appropriate feature extraction and signal processing methods to identify and model in real-time signatures of motor events in spontaneous brain activity. Here, we develop the clinical experimental paradigm and analysis tools to record broadband (1Hz to 6kHz) ECoG from patients participating in a reaching and pointing task. Motivated by the significant role of amplitude modulated rate coding in extracellular spike based brain-machine interfaces (BMIs), we develop methods to quantify spatio-temporal intermittent increased ECoG voltages to determine if they provide viable control inputs for ECoG neural interfaces. This study seeks to explore preprocessing modalities that emphasize amplitude modulation across frequencies and channels in the ECoG above the level of noisy background fluctuations in order to derive the commands for complex, continuous control tasks. Preliminary experiments show that it is possible to derive online predictive models and spatially localize the generation of commands in the cortex for motor tasks using amplitude modulated ECoG.

10aAdolescent10aBiofeedback, Psychology10aBrain Mapping10aCerebral Cortex10aElectroencephalography10aEpilepsies, Partial10aFemale10aHand10aHumans10aMagnetic Resonance Imaging10aPhysical Therapy Modalities10aPsychomotor Performance10aSignal Processing, Computer-Assisted10aSpectrum Analysis10aUser-Computer Interface1 aSanchez, Justin, C1 aGunduz, Aysegul1 aCarney, Paul, R1 aPrincipe, Jose uhttp://www.ncbi.nlm.nih.gov/pubmed/1758250703153nas a2200481 4500008004100000022001400041245008200055210006900137260001200206300001000218490000700228520180600235653001002041653002802051653002002079653003602099653002402135653002702159653002402186653001102210653001102221653001602232653000902248653001602257653001902273653001702292653004102309653001302350653002502363653001702388653002802405653001202433100002002445700001802465700001302483700002502496700002402521700001802545700001802563700002102581700002102602856004802623 2008 eng d a1525-506900aVoluntary brain regulation and communication with electrocorticogram signals.0 aVoluntary brain regulation and communication with electrocortico c08/2008 a300-60 v133 a

Brain-computer interfaces (BCIs) can be used for communication in writing without muscular activity or for learning to control seizures by voluntary regulation of brain signals such as the electroencephalogram (EEG). Three of five patients with epilepsy were able to spell their names with electrocorticogram (ECoG) signals derived from motor-related areas within only one or two training sessions. Imagery of finger or tongue movements was classified with support-vector classification of autoregressive coefficients derived from the ECoG signals. After training of the classifier, binary classification responses were used to select letters from a computer-generated menu. Offline analysis showed increased theta activity in the unsuccessful patients, whereas the successful patients exhibited dominant sensorimotor rhythms that they could control. The high spatial resolution and increased signal-to-noise ratio in ECoG signals, combined with short training periods, may offer an alternative for communication in complete paralysis, locked-in syndrome, and motor restoration.

10aAdult10aBiofeedback, Psychology10aCerebral Cortex10aCommunication Aids for Disabled10aDominance, Cerebral10aElectroencephalography10aEpilepsies, Partial10aFemale10aHumans10aImagination10aMale10aMiddle Aged10aMotor Activity10aMotor Cortex10aSignal Processing, Computer-Assisted10aSoftware10aSomatosensory Cortex10aTheta Rhythm10aUser-Computer Interface10aWriting1 aHinterberger, T1 aWidman, Guido1 aLal, T N1 aHill, Jeremy, Jeremy1 aTangermann, Michael1 aRosenstiel, W1 aSchölkopf, B1 aElger, Christian1 aBirbaumer, Niels uhttp://www.ncbi.nlm.nih.gov/pubmed/18495541