Abstract

Understanding how seizures spread throughout the brain is an important problem in the treatment of epilepsy, especially for implantable devices that aim to avert focal seizures before they spread to, and overwhelm, the rest of the brain. This paper presents an analysis of the speed of propagation in a computational model of seizure-like activity in a 2-dimensional recurrent network of integrate-and-fire neurons containing both excitatory and inhibitory populations and having a difference of Gaussians connectivity structure, an approximation to that observed in cerebral cortex. In the same computational model network, alternative mechanisms are explored in order to simulate the range of seizure-like activity propagation speeds (0.1–100 mm/s) observed in two animal-slice-based models of epilepsy: (1) low extracellular , which creates excess excitation and (2) introduction of gamma-aminobutyric acid (GABA) antagonists, which reduce inhibition. Moreover, two alternative connection topologies are considered: excitation broader than inhibition, and inhibition broader than excitation. It was found that the empirically observed range of propagation velocities can be obtained for both connection topologies. For the case of the GABA antagonist model simulation, consistent with other studies, it was found that there is an effective threshold in the degree of inhibition below which waves begin to propagate. For the case of the low extracellular model simulation, it was found that activity-dependent reductions in inhibition provide a potential explanation for the emergence of slowly propagating waves. This was simulated as a depression of inhibitory synapses, but it may also be achieved by other mechanisms. This work provides a localised network understanding of the propagation of seizures in 2-dimensional centre-surround networks that can be tested empirically.

Highlights

  • Epilepsy is a debilitating disorder affecting roughly 1–3% of the population [1]

  • This paper investigates a computational model of the local mechanisms of seizure propagation across a 2-dimensional (2D) centre-surround network of integrate-and-fire (IAF) neurons which can be considered to be a simplified model of the cerebro-cortical sheet

  • The slow propagation speeds are of the order of 0.1–10 mm/s which is within the lower range for seizure speeds as outlined in the literature, and corresponds closely to the range of speeds observed for low extracellular 1⁄2Mg2zŠ slices [22,23,27]

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Summary

Introduction

Epilepsy is a debilitating disorder affecting roughly 1–3% of the population [1]. Approximately 33% of these people suffer from pharmaco-resistant epilepsy [2]. Current treatment for pharmacoresistant epilepsy involves surgical resection of the seizuregenerating tissue [3] or, more recently through clinical trials, the implantation of a seizure control device that can avert seizures through electrical stimulation or drug delivery [4,5,6]. The success of both these forms of treatment is heavily dependent on being able to determine the seizure-focus and the epileptic brain network through which seizures first spread before they take over the activity within the rest of the brain. Our work provides a slightly more realistic network topology including both excitatory and inhibitory neurons and seeks to better understand the mechanisms underlying seizure propagation through comparison with physiological data

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