Spontaneous transitions to focal-onset epileptic seizures: A dynamical study

Examining the low-voltage fast seizure-onset and its response to optogenetic stimulation in a biophysical network model of the hippocampus

Low-voltage fast (LVF) seizure-onset is one of the two frequently observed temporal lobe seizure-onset patterns. Depth electroencephalogram profile analysis illustrated that the peak amplitude of LVF onset was deep temporal areas, e.g., hippocampus. However, the specific dynamic transition mechanisms between normal hippocampal rhythmic activity and LVF seizure-onset remain unclear. Recently, the optogenetic approach to gain control over epileptic hyper-excitability both in vitro and in vivo has become a novel noninvasive modulation strategy. Here, we combined biophysical modeling to study LVF dynamics following changes in crucial physiological parameters, and investigated the potential optogenetic intervention mechanism for both excitatory and inhibitory control. In an Ammon's horn 3 (CA3) biophysical model with light-sensitive protein channelrhodopsin 2 (ChR2), we found that the cooperative effects of excessive extracellular potassium concentration of parvalbumin-positive (PV+) inhibitory interneurons and synaptic links could induce abundant types of discharges of the hippocampus, and lead to transitions from gamma oscillations to LVF seizure-onset. Simulations of optogenetic stimulation revealed that the LVF seizure-onset and morbid fast spiking could not be eliminated by targeting PV+ neurons, whereas the epileptic network was more sensitive to the excitatory control of principal neurons with strong optogenetic currents. We illustrate that in the epileptic hippocampal network, the trajectories of the normal and the seizure state are in close vicinity and optogenetic perturbations therefore may result in transitions. The network model system developed in this study represents a scientific instrument to disclose the underlying principles of LVF, to characterize the effects of optogenetic neuromodulation, and to guide future treatment for specific types of seizures.

Introduction to Focus Issue: Dynamical disease: A translational approach

The concept of Dynamical Diseases provides a framework to understand physiological control systems in pathological states due to their operating in an abnormal range of control parameters: this allows for the possibility of a return to normal condition by a redress of the values of the governing parameters. The analogy with bifurcations in dynamical systems opens the possibility of mathematically modeling clinical conditions and investigating possible parameter changes that lead to avoidance of their pathological states. Since its introduction, this concept has been applied to a number of physiological systems, most notably cardiac, hematological, and neurological. A quarter century after the inaugural meeting on dynamical diseases held in Mont Tremblant, Québec [Bélair et al., Dynamical Diseases: Mathematical Analysis of Human Illness (American Institute of Physics, Woodbury, NY, 1995)], this Focus Issue offers an opportunity to reflect on the evolution of the field in traditional areas as well as contemporary data-based methods.

Extracting the transition network of epileptic seizure onset

In presurgical monitoring, focal seizure onset is visually assessed from intracranial electroencephalogram (EEG), typically based on the selection of channels that show the strongest changes in amplitude and frequency. As epileptic seizure dynamics is increasingly considered to reflect changes in potentially distributed neural networks, it becomes important to also assess the interrelationships between channels. We propose a workflow to quantitatively extract the nodes and edges contributing to the seizure onset using an across-seizure scoring. We propose a quantification of the consistency of EEG channel contributions to seizure onset within a patient. The workflow is exemplified using recordings from patients with different degrees of seizure-onset consistency.