Alterations of network synchrony after epileptic seizures: An analysis of post-ictal intracranial recordings in pediatric epilepsy patients

OBJECTIVE

Post-ictal EEG alterations have been identified in studies of intracranial recordings, but the clinical significance of post-ictal EEG activity is undetermined. The purpose of this study was to examine the relationship between peri-ictal EEG activity, surgical outcome, and extent of seizure propagation in a sample of pediatric epilepsy patients.

METHODS

Intracranial EEG recordings were obtained from 19 patients (mean age = 11.4 years, range = 3-20 years) with 57 seizures used for analysis (mean = 3.0 seizures per patient). For each seizure, 3-min segments were extracted from adjacent pre-ictal and post-ictal epochs. To compare physiology of the epileptic network between epochs, we calculated the relative delta power (Δ) using discrete Fourier transformation and constructed functional networks based on broadband connectivity (conn). We investigated differences between the pre-ictal (Δ_pre, conn_pre) and post-ictal (Δ_post, conn_post) segments in focal-network (i.e., confined to seizure onset zone) versus distributed-network (i.e., diffuse ictal propagation) seizures.

RESULTS

Distributed-network (DN) seizures exhibited increased post-ictal delta power and global EEG connectivity compared to focal-network (FN) seizures. Following DN seizures, patients with seizure-free outcomes exhibited a 14.7% mean increase in delta power and an 8.3% mean increase in global connectivity compared to pre-ictal baseline, which was dramatically less than values observed among seizure-persistent patients (29.6% and 47.1%, respectively).

SIGNIFICANCE

Post-ictal differences between DN and FN seizures correlate with post-operative seizure persistence. We hypothesize that post-ictal deactivation of subcortical nuclei recruited during seizure propagation may account for this result while lending insights into mechanisms of post-operative seizure recurrence.

Atmospheric secondary aerosol formation by heterogeneous reactions of aldehydes in the presence of a sulfuric acid aerosol catalyst

Particle growth by the heterogeneous reaction of aldehydes was evaluated in 0.5 m3 Teflon film bags under darkness in the presence of background seed aerosols. The aldehydes used were as follows: glyoxal, butanal, hexanal, octanal, and decanal. To study acid catalyst effects on aldehyde heterogeneous reactions, one of the Teflon bags was initially filled with seed aerosols composed of ammonium sulfate-aerosol acidified with sulfuric acid. These results were compared to particle growth reactions that contained only ammonium sulfate as a background seed aerosol. The gas-phase aldehydes were then added to the Teflon bags. In selected experiments, 1-decanol was also added to the Teflon bags with aldehydes to clarify particle growth via a heterogeneous hemiacetal/acetal formation in the presence/absence of an acid catalyst. The particle size distribution and growth were measured using a scanning mobility particle sizer (TSI-SMPS), and the results were applied to predicting aerosol growth and size distribution changes by condensation and heterogeneous reactions. Aerosols created from the heterogeneous reactions of aldehydes were collected directly on an ungreased zinc selenide (ZnSe) FTIR disk (25 mm in diameter) by impaction. The ZnSe disks were directly analyzed for product functional groups inthe aerosol phase using a Fourier transform infrared (FTIR) spectrometer with a deuterated triglycine sulfate (DTGS) detector. Aerosol growth by heterogeneous aldehyde reactions proceeds via a hydration, polymerization process, and hemiacetal/acetal formation from the reaction of aldehydes with alcohols. These aldehyde heterogeneous reactions were accelerated in the presence of an acid catalyst, H2SO4, and led to higher aerosol yields than when H2SO4 was not present in the seed aerosol. The FTIR spectra obtained from the growing aerosol, also illustrated aldehyde group transformation in the particle phase as a function of the heterogeneous reaction. It was concluded that aldehydes, which can be produced by atmospheric photochemical reactions, can significantly contribute on secondary aerosol formation through heterogeneous reactions in the presence of an acid catalyst.

Characterization of secondary aerosol from the photooxidation of toluene in the presence of NOx and 1-propene

Secondary organic aerosol (SOA) from the photooxidation of toluene in a hydrocarbon-NOx mixture was generated in a 190 m3 outdoor Teflon chamber. The photooxidation reaction of toluene in the gas phase leads to substituted aromatics (TOL-AR), nonaromatic ring retaining (TOL-R), and ring opening products (TOL-RO). In this work, the following ring opening oxycarboxylic acids were newly identified: glyoxylic acid, methylglyoxylic acid, 4-oxo-2-butenoic acid, oxo-C5-alkenoic acids, dioxopentenoic acids, oxo-C7-alkadienoic acids, dioxo-C6-alkenoic acids, hydroxydioxo-C7-alkenoic acids, and hydroxytrioxo-C6-alkanoic acids. The newly characterized TOL-R and TOL-RO products included methylcyclohexenetriones, hydroxymethylcyclohexentriones, 2-hydroxy-3-penten-1,5-dial, hydroxyoxo-C6-alkenals, hydroxy-C5-triones, hydroxydioxo-C7-alkenals, and hydroxy-C6-tetranones. Products in both the gas and aerosol phases were derivatized with O-(2,3,4,5,6-pentafluorobenzyl)hydroxylamine hydrochloride (PFBHA) for carbonyls and pentafluorobenzyl bromide (PFBBr) for carboxylic acid and phenol groups and analyzed using a gas chromatograph/mass spectrometry (GC/MS) in an electron impact mode (EI) and a gas chromatograph/ion trap mass spectrometry (GC/ITMS) in both chemical impact and EI modes. To confirm different isomers, the PFBHA-derivatives of products were rederivatized by silylation using N,O-bis(trimethylsilyl)trifluoroacetamide (BSTFA). The Fourier transform infrared spectroscope (FTIR) was used to obtain additional functional group information for SOA products impacted on a zinc selenide FTIR disk. The major SOA products under the high NOx conditions of the above experiment included methylnitrophenols, methyldinitrophenols, methylbenzoquinones, methylcyclohexenetriones, 4-oxo-2-butenoic acid, oxo-C5-alkenoic acids, hydroxy-C3-diones, hydroxyoxo-C5-alkenals, hydroxyoxo-C6-alkenals, and hydroxydioxo-C7-alkenals. Of the major SOA products, the experimental partitioning coefficients (iKp) of aldehyde products were much higher and deviated more from predicted iKp values. This is an extremely important result, because it shows that aldehyde products can further react through heterogeneous processes, which may be a very significant SOA generation mechanism from the oxidation of aromatics in the atmosphere.

Modeling aerosol formation from alpha-pinene + NOx in the presence of natural sunlight using gas-phase kinetics and gas-particle partitioning theory

A kinetic mechanism was used to link and model the gas-phase reactions and aerosol accumulation resulting from alpha-pinene reactions in the presence of sunlight, ozone (O3), and oxides of nitrogen (NOx). Reaction products and aerosol formation from the kinetic model were compared to outdoor smog chamber experiments conducted under natural sunlight in the presence of NOx and in the dark in the presence of O3. The gas-particle partitioning of semivolatile organics generated in the gas phase was treated as an equilibrium process between particle absorption and desorption. Models vs experimental aerosol yields illustrate that reasonable predictions of secondary aerosol formation are possible from both dark ozone and light NOx/alpha-pinene systems over a variety of different outdoor conditions. On average, measured gas- and particle-phase products accounted for approximately 54-72% of the reacted alpha-pinene carbon. Model predictions suggest that organic nitrates account for another approximately 25% of the reacted carbon, and most of this is in the gas phase. Measured particle-phase products accounted for 60-100% of the particle filter mass, with pinic acid and pinonic acid being the primary aerosol-phase products. In the gas phase, pinonaldehyde and pinonic acid are major products. Model simulations of these and other products show generally reasonable fits to the experimental data from the perspective of timing and concentrations. These results are very encouraging for a compound such as pinonaldehyde, since it is being formed from OH attack on alpha-pinene and is also simultaneously photolyzed and reacted with OH.

Experimental considerations for the study of contaminant dispersion near the body

Experimental considerations are discussed for conducting controlled studies of the dispersion of contaminants released near a mannequin. A 183 cm x 183 cm cross section wind tunnel was modified to study the low velocity range of 10 to 100 cm/sec (20 to 200 ft/min). Installation of a removable biplanar slat grid produced turbulent intensities up to 15%. The results of validation testing for selected experimental components are reported, including (1) a minimum, unambiguous velocity measurement capability of 2.0 cm/sec (4.0 ft/min); (2) a minimum required integration interval for velocity and contaminant measurements of at least 3 min; (3) a determination that smoke streamline plume settling may be a problem at velocities < or = approximately 15 cm/sec (approximately 30 ft/min); (4) a determination that a 14% tunnel blockage by the mannequin was not of consequence for frontal measurements; and (5) a finding that the biplanar grid produced turbulence spectra representative of low velocity indoor settings. A deceleration zone was noted that extended 50 cm upstream from the mannequin, with freestream velocities reduced 50 to 60%, 2.5 cm from the chest. A contaminant tracer released as a point source 60 cm upstream typically dispersed laterally only 10 to 15 cm and diluted by a factor of 10(4) before reaching the chest.

Evaluation of the mutagenicity of combustion particles from several common biomass fuels in the Ames/Salmonella microsome test

We have evaluated the mutagenicity of dichloromethane extracts of combustion particles from several biomass fuels that are commonly used in developing countries in Salmonella strains TA98 +/- S9 and TA100 +/- S9. Combustion-particle extracts from dried cow dung and crop residue exhibited mutagenic potencies similar to wood-smoke extracts (0.0-1.0 rev./microgram extract). However, extracts from coconut-shell-smoke particles showed relatively potent direct-acting mutagenicity (1.6 rev./micrograms, TA98-S9). Results from testing this sample in nitroreductase- and acetylase- deficient strains TA98NR and TA98 (1,8-DNP-6) revealed no contribution from nitroarenes.