Intraoperative microseizure detection using a high-density micro-electrocorticography electrode array

作者：James Sun, Katrina Barth, Shaoyu Qiao, Chia‐Han Chiang, Charles Wang, Shervin Rahimpour, Michael Trumpis, Suseendrakumar Duraivel, Agrita Dubey, Katie Wingel, Iakov Rachinskiy, Alex Efstathios Voinas, Breonna Ferrentino, Derek G. Southwell, Michael M. Haglund, Allan H. Friedman, Shivanand P. Lad, Werner Doyle, Florian Solzbacher, Gregory B. Cogan, Saurabh R. Sinha, Sasha Devore, Orrin Devinsky, Daniel Friedman, Bijan Pesaran, Jonathan Viventi · 发表于：Brain Communications · 年份：2022 · DOI：10.1093/braincomms/fcac122 · 被引用次数：30 · 研究领域：EEG and Brain-Computer Interfaces、Neuroscience and Neural Engineering、Epilepsy research and treatment

Abstract One-third of epilepsy patients suffer from medication-resistant seizures. While surgery to remove epileptogenic tissue helps some patients, 30–70% of patients continue to experience seizures following resection. Surgical outcomes may be improved with more accurate localization of epileptogenic tissue. We have previously developed novel thin-film, subdural electrode arrays with hundreds of microelectrodes over a 100–1000 mm2 area to enable high-resolution mapping of neural activity. Here, we used these high-density arrays to study microscale properties of human epileptiform activity. We performed intraoperative micro-electrocorticographic recordings in nine patients with epilepsy. In addition, we recorded from four patients with movement disorders undergoing deep brain stimulator implantation as non-epileptic controls. A board-certified epileptologist identified microseizures, which resembled electrographic seizures normally observed with clinical macroelectrodes. Recordings in epileptic patients had a significantly higher microseizure rate (2.01 events/min) than recordings in non-epileptic subjects (0.01 events/min; permutation test, P = 0.0068). Using spatial averaging to simulate recordings from larger electrode contacts, we found that the number of detected microseizures decreased rapidly with increasing contact diameter and decreasing contact density. In cases in which microseizures were spatially distributed across multiple channels, the approximate onset region...