Mapping brain activity on the verge of a photically induced generalized tonic-clonic seizure
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Mapping brain activity on the verge of a photically induced generalized tonic-clonic seizure. / Moeller, Friederike; Siebner, Hartwig R; Wolff, Stephan; Muhle, Hiltrud; Granert, Oliver; Jansen, Olav; Stephani, Ulrich; Siniatchkin, Michael.
In: Epilepsia, Vol. 50, No. 6, 2009, p. 1632-7.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Mapping brain activity on the verge of a photically induced generalized tonic-clonic seizure
AU - Moeller, Friederike
AU - Siebner, Hartwig R
AU - Wolff, Stephan
AU - Muhle, Hiltrud
AU - Granert, Oliver
AU - Jansen, Olav
AU - Stephani, Ulrich
AU - Siniatchkin, Michael
N1 - Keywords: Adolescent; Brain; Brain Mapping; Electroencephalography; Female; Humans; Image Processing, Computer-Assisted; Magnetic Resonance Imaging; Oxygen; Photic Stimulation; Retrospective Studies; Seizures
PY - 2009
Y1 - 2009
N2 - In a photosensitive patient intermittent photic stimulation (IPS) accidentally provoked a generalized tonic-clonic seizure during simultaneous recordings of electroencephalography (EEG) and functional magnetic resonance imaging (fMRI). Before seizure onset, IPS consistently induced generalized photoparoxysmal responses (PPRs). These PPRs were associated with increases in blood oxygen level dependent (BOLD) signal in the visual cortex, the thalamus, and both superior colliculi, and a decrease in BOLD signal in the frontoparietal areas. The BOLD signal in the visual cortex increased in magnitude during consecutive epochs of IPS associated with PPRs. We propose that repeated IPS led to an excessive amount of neuronal activity in the visual cortex that evoked PPRs and finally exceeded a critical threshold and triggered a generalized seizure.
AB - In a photosensitive patient intermittent photic stimulation (IPS) accidentally provoked a generalized tonic-clonic seizure during simultaneous recordings of electroencephalography (EEG) and functional magnetic resonance imaging (fMRI). Before seizure onset, IPS consistently induced generalized photoparoxysmal responses (PPRs). These PPRs were associated with increases in blood oxygen level dependent (BOLD) signal in the visual cortex, the thalamus, and both superior colliculi, and a decrease in BOLD signal in the frontoparietal areas. The BOLD signal in the visual cortex increased in magnitude during consecutive epochs of IPS associated with PPRs. We propose that repeated IPS led to an excessive amount of neuronal activity in the visual cortex that evoked PPRs and finally exceeded a critical threshold and triggered a generalized seizure.
U2 - 10.1111/j.1528-1167.2009.02011.x
DO - 10.1111/j.1528-1167.2009.02011.x
M3 - Journal article
C2 - 19400879
VL - 50
SP - 1632
EP - 1637
JO - Epilepsia
JF - Epilepsia
SN - 0013-9580
IS - 6
ER -
ID: 21456884