Abstract

Our study aimed to demonstrate time-dependent declarative memory changes and its associated brain regions after status epilepticus (SE) using structural imaging techniques and machine learning methods. Pilocarpine was administrated to establish the SE model. At four different time points after SE (1, 2, 3, and 4 months, respectively), rats were subjected to structural imaging acquisition as well as contextual fear conditioning for the measurement of brain structural changes and declarative memory. Voxel-based morphometry (VBM) analysis were performed. Those significantly different regions were selected as features for training support vector machine (SVM). A linear kernel was chosen for regression of declarative memory. Leave-one-out cross-validation was applied to ensure generalization. Our results showed that the pilocarpine groups displayed the most severely impaired declarative memory at 2 months after SE and improved afterward, but failed to recover to the normal condition at 4 months after SE. The pilocarpine groups showed lower gray matter volumes and larger cerebrospinal fluid (CSF) volumes. After controlling for the total brain volumes, ANOVA demonstrated gray matter volume changes in the CA1 subfield of the hippocampus, primary somatosensory cortex, entorhinal cortex, etc. The combination of VBM and SVM identifies the somatosensory cortex and entorhinal cortex as the correlated brain regions for declarative memory dysfunctions after SE. Our study indicates that compensational mechanisms might be triggered to help with the recovery of memory functions after SE. Structural changes of the somatosensory cortex and entorhinal cortex might be involved in memory impairment after SE.

Highlights

  • Status epilepticus (SE), as an extreme form of epileptic seizures, can prolong for a sufficient length of time and produce irreversible insult to the brain (Trinka et al, 2015)

  • The combination of support vector machine (SVM) and conventional Voxelbased morphometry (VBM) identified several extrahippocampal brain regions possibly related to declarative memory impairment, including the primary somatosensory cortex and the entorhinal cortex

  • Controlling for experimental conditions, our study evaluated declarative memory at four different time points after status epilepticus (SE), making it possible to demonstrate a time-dependent curve of memory impairment after SE

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Summary

Introduction

Status epilepticus (SE), as an extreme form of epileptic seizures, can prolong for a sufficient length of time and produce irreversible insult to the brain (Trinka et al, 2015). The current definition of SE designates a time point t2, after which long-term pathological changes, such as neuronal injury, neuronal death, and neuronal networks, were reported to occur. This time point t2 was proposed as an operational dimension to indicate when long-term, irreversible sequelae may appear. Data regarding the clinical long-term sequelae of convulsive SE are yet incomplete. Long follow-up duration and tons of confounding factors might impose difficulties on clinical studies to reveal the impact of SE on cognition. In this study, we design an experimental study in order to complement evidence of long-term cognitive sequelae after convulsive SE

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