2024
Systematic 1 Hz direct electrical stimulation for seizure induction: A reliable method for localizing seizure onset zone and predicting seizure freedom
Sivaraju A, Quraishi I, Collins E, McGrath H, Ramos A, Turk-Browne N, Zaveri H, Damisah E, Spencer D, Hirsch L. Systematic 1 Hz direct electrical stimulation for seizure induction: A reliable method for localizing seizure onset zone and predicting seizure freedom. Brain Stimulation 2024, 17: 339-345. PMID: 38490472, DOI: 10.1016/j.brs.2024.03.011.Peer-Reviewed Original ResearchSeizure inductionSeizure onset zoneSurgical outcomesHabitual seizuresOnset zonePredicting seizure freedomExcellent surgical outcomesProspective cohort studyMann-Whitney testConsecutive patientsFisher's exactSeizure freedomRefractory epilepsyCohort studyPost-surgeryInsular regionsMann-WhitneyPatientsIntracranial EEGSeizuresLocalizing seizure onset zonesStimulationElectrical stimulationMedial temporal regionsTemporal regions
2019
The connectivity index: an effective metric for grading epileptogenicity.
Yan Q, Gaspard N, Zaveri HP, Blumenfeld H, Hirsch LJ, Spencer DD, Alkawadri R. The connectivity index: an effective metric for grading epileptogenicity. Journal Of Neurosurgery 2019, 133: 971-978. PMID: 31561212, DOI: 10.3171/2019.4.jns195.Peer-Reviewed Original ResearchSingle-pulse electrical stimulationSeizure onset zoneSite of stimulationSOZ contactsIrritative zoneComprehensive Epilepsy CenterControl contactsStimulation current intensityHabitual aurasHabitual seizuresEpilepsy centersSeizure generationBrain sitesFrequency stimulationEpileptic activityElectrical stimulationOnset zonePatientsRecording contactsStimulation sessionsBrain regionsFunctional connectivityStimulationOutcome casesSeizuresSlowing less than 1 Hz is decreased near the seizure onset zone
Lundstrom BN, Boly M, Duckrow R, Zaveri HP, Blumenfeld H. Slowing less than 1 Hz is decreased near the seizure onset zone. Scientific Reports 2019, 9: 6218. PMID: 30996228, PMCID: PMC6470162, DOI: 10.1038/s41598-019-42347-y.Peer-Reviewed Original ResearchConceptsSeizure onset zoneOnset zoneFocal slowingFocal cerebral dysfunctionLocation of dysfunctionFocal epilepsy patientsSlow wave activitySlow oscillationsLocal synaptic strengthsSlow oscillation activityCerebral dysfunctionReduced inhibitory activityPostictal statePostictal slowingEpilepsy patientsModulatory effectsSynaptic strengthDelta frequencyCortical mechanismsIntracranial recordingsDistinct neural mechanismsIntracranial electroencephalographyNeural mechanismsDysfunctionSleep
2018
T103. The connectivity index: A novel metric to grade epileptogenicity
Alkawadri R, Zaveri H, Gaspard N, Yan Q, Hirsch L, Spencer D. T103. The connectivity index: A novel metric to grade epileptogenicity. Clinical Neurophysiology 2018, 129: e42. DOI: 10.1016/j.clinph.2018.04.104.Peer-Reviewed Original ResearchSingle-pulse electrical stimulationSeizure onset zoneSOZ contactsSite of stimulationCortical potentialsOnset zoneDuration of epilepsyEvoked cortical potentialsSingle-pulse stimulationPulse electrical stimulationStimulation current intensityMethods PatientsPartial seizuresResults FiftySeizure generationBrain sitesFrequency stimulationEpileptic activityIrritative zoneElectrical stimulationRecording contactsStimulation intensityStimulation sessionsBrain regionsStimulation site
2009
Intracranial EEG power and metabolism in human epilepsy
Pan JW, Zaveri HP, Spencer DD, Hetherington HP, Spencer SS. Intracranial EEG power and metabolism in human epilepsy. Epilepsy Research 2009, 87: 18-24. PMID: 19699059, PMCID: PMC2783857, DOI: 10.1016/j.eplepsyres.2009.07.006.Peer-Reviewed Original ResearchConceptsMesial temporal lobe epilepsyNAA/CrMesial temporal lobeNeocortical epilepsySeizure onset zoneN-acetyl aspartateHigh-frequency activityTemporal lobeOnset zoneFrequency activityMetabolic imagingIntracranial EEG analysisTemporal lobe epilepsyEEG powerQuantitative EEG measuresLobe epilepsySame anatomical regionMTLE groupSeizure localizationHuman epilepsyTissue injuryEpilepsy patientsHuman studiesAbnormal manifestationsEpilepsy