Abstract

Reflex epilepsies have been demonstrated to exploit specific networks that subserve normal physiological function. It is unclear whether more common forms of epilepsy share this particular feature. By measuring interictal spikes in patients with a range of epilepsies, we show that 2 tasks known to specifically engage the hippocampus and temporal neocortex promoted increased interictal spiking within these regions, whereas a nonhippocampal dependent task did not. This indicates that interictal spike frequency may reflect the processing demands being placed on specific functional–anatomical networks in epilepsy. ANN NEUROL 2019;86:304–309

Highlights

  • Reflex epilepsies have been demonstrated to exploit specific networks that subserve normal physiological function

  • Hippocampal Interictal Spike Frequency Is Increased during a Spatial Memory Task First, we compared normalized Interictal spikes (IISs) frequency during the spatial memory task with nontask periods immediately before and after

  • We have shown that IIS frequency increases in the hippocampus during the performance of a spatial memory task, which is known to engage that region in both rodents[6] and humans.[3,7]

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Summary

Introduction

Reflex epilepsies have been demonstrated to exploit specific networks that subserve normal physiological function. It is unclear whether more common forms of epilepsy share this particular feature. By measuring interictal spikes in patients with a range of epilepsies, we show that 2 tasks known to engage the hippocampus and temporal neocortex promoted increased interictal spiking within these regions, whereas a nonhippocampal dependent task did not. This indicates that interictal spike frequency may reflect the processing demands being placed on specific functional–anatomical networks in epilepsy.

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Results
Conclusion

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