Table 1.
Novel approaches to approximate the epileptogenic zone from interictal intracranial EEG
Recording style | Potential biomarkers | The characteristics of the method |
---|---|---|
Resting-state EEG | High-frequency oscillation (HFO): 80-500 Hz | - HFO reflects cortical hyperexcitability. - HFO indicates the excitatory activity of pyramidal cells. |
Resting-state EEG | Gamma oscillation regularity (GOR): 30-80 Hz | - Increased GOR (i.e., lower entropy) reflects cortical inhibition. - GOR indicates synchronization of inhibitory interneurons through GABAergic activity. |
Evoked responses by SPES | CCEP connectivity (Remote region) | - Increased internal functional connectivity can be observed within the epileptogenic region. - Increased inhibitory input from the non-epileptogenic to ictogenic regions can also be observed. |
Evoked responses by SPES | CCEP excitability (Neighboring region) | - Local cortical excitability is demonstrated as enhanced N1 amplitudes and increased HFOs overriding N1 waveforms close to the stimulation site. |
CCEP, corticocortical evoked potential; EEG, electroencephalography; HFO, High-frequency oscillation; GABA, gamma-aminobutyric acid; SPES, single-pulse electrical stimulation