Intermittent spike-wave dynamics in a heterogeneous, spatially extended neural mass model

Generalised epileptic seizures are frequently accompanied by sudden, reversible transitions from low amplitude, irregular background activity to high amplitude, regular spike-wave discharges (SWD) in the EEG. The underlying mechanisms responsible for SWD generation and for the apparently spontaneous transitions to SWD and back again are still not fully understood. Specifically, the role of spatial cortico-cortical interactions in ictogenesis is not well studied. We present a macroscopic, neural mass model of a cortical column which includes two distinct time scales of inhibition. This model can produce both an oscillatory background and a pathological SWD rhythm. We demonstrate that coupling two of these cortical columns can lead to a bistability between out-of-phase, low amplitude background dynamics and in-phase, high amplitude SWD activity. Stimuli can cause state-dependent transitions from background into SWD. In an extended local area of cortex, spatial heterogeneities in a model parameter can lead to spontaneous reversible transitions from a desynchronised background to synchronous SWD due to intermittency. The deterministic model is therefore capable of producing absence seizure-like events without any time dependent adjustment of model parameters. The emergence of such mechanisms due to spatial coupling demonstrates the importance of spatial interactions in modelling ictal dynamics, and in the study of ictogenesis.

Cortical local and long-range synchronization interplay in human absence seizure initiation

Brain activity relies on transient, fluctuating interactions between segregated neuronal populations. Synchronization within a single and between distributed neuronal clusters reflects the dynamics of these cooperative patterns. Thus absence epilepsy can be used as a model for integrated, large-scale investigation of the emergence of pathological collective dynamics in the brain. Indeed, spike-wave discharges (SWD) of an absence seizure are thought to reflect abnormal cortical hypersynchronization. In this paper, we address two questions: how and where do SWD arise in the human brain? Therefore, we explored the spatio-temporal dynamics of interactions within and between widely distributed cortical sites using magneto-encephalographic recordings of spontaneous absence seizures. We then extracted, from their time-frequency analysis, local synchronization of cortical sources and long-range synchronization linking distant sites. Our analyses revealed a reproducible sequence of 1) long-range desynchronization, 2) increased local synchronization and 3) increased long-range synchronization. Although both local and long-range synchronization displayed different spatio-temporal profiles, their cortical projection within an initiation time window overlap and reveal a multifocal fronto-central network. These observations contradict the classical view of sudden generalized synchronous activities in absence epilepsy. Furthermore, they suggest that brain states transition may rely on multi-scale processes involving both local and distant interactions.

Der nacheiszeitliche Bergsturz im Kandertal (Schweiz): Alter und Auswirkungen auf die damalige Umwelt

Beim Bau des neuen AlpTransit Lötschberg Basistunnels wurden unter murgangartig verschwemmten Ablagerungen der alten Bergsturzmasse des Kandertals Stillwasserablagerungen mit zahlreichen organischen Resten und Torflagen gefunden. Die 14C-datierten Resultate der Pollen, Makrorest-, Holz- und Holzkohleanalysen ermöglichten eine Rekonstruktion der lokalen bis regionalen Umweltgeschichte. Ein Gewässer, vermutlich ein kleiner See, begann beim Tellenfeld in Frutigen um 8800 kal. Jahre v. Chr. zu verlanden. In der näheren Umgebung wuchs von 8800 v. Chr. bis 8000 v. Chr. ein Föhrenwald (Pinus silvestris), der reichlich mit Hasel (Corylus avellana) und anderen wärmeliebenden Gehölzen (Ulmen, Linden, Eichen; Ulmus, Tilia, Quercus) und Birken (Betula) durchsetzt war. Diese für die Nordalpen sehr frühe Bedeutung der Hasel ist durch 14C-datierte Corylus-Nussfragmente (9310±50 14C BP, 8722–8337 v. Chr.) belegt. Nach 8500 v. Chr. drängte die Hasel die Waldföhre allmählich zurück. Auf Grund der paläoökologischen Resultate muss angenommen werden, dass die Wälder um 7600 v. Chr. durch ein katastrophales Ereignis stark gestört wurden. Als Reaktion darauf kam es zu einer starken Zunahme der Waldbrände und es breiteten sich zuerst Farne und Gräser sowie wenig später Waldföhren aus. Das Gewässer wurde um 7100 v. Chr. durch verschwemmtes Bergsturzmaterial zerstört. Der geomorphologische Befund deutet darauf hin, dass diese Ereignisse in engem Zusammenhang mit dem Hauptbergsturz im Kandertal stehen, der aussergewöhnliche Ausmasse hatte (ca. 800 Millionen m3). Die Zerstörung der lokalen ökosysteme als Folge des Bergsturzes um 7600–7100 v. Chr. fiel in ein frühes holozänes Wärme- und Sonneneinstrahlungsmaximum, in dem es, wie vorgängige Untersuchungen in den Alpen und in anderen Gebirgen belegen, zu überdurchschnittlich vielen Hanginstabilitäten kam.

Sleep-wake disorders persist 18 months after traumatic brain injury but remain underrecognized

OBJECTIVE This study is a prospective, controlled clinical and electrophysiologic trial examining the chronic course of posttraumatic sleep-wake disturbances (SWD). METHODS We screened 140 patients with acute, first-ever traumatic brain injury of any severity and included 60 patients for prospective follow-up examinations. Patients with prior brain trauma, other neurologic or systemic disease, drug abuse, or psychiatric comorbidities were excluded. Eighteen months after trauma, we performed detailed sleep assessment in 31 participants. As a control group, we enrolled healthy individuals without prior brain trauma matched for age, sex, and sleep satiation. RESULTS In the chronic state after traumatic brain injury, sleep need per 24 hours was persistently increased in trauma patients (8.1 ± 0.5 hours) as compared to healthy controls (7.1 ± 0.7 hours). The prevalence of chronic objective excessive daytime sleepiness was 67% in patients with brain trauma compared to 19% in controls. Patients significantly underestimated excessive daytime sleepiness and sleep need, emphasizing the unreliability of self-assessments on SWD in trauma patients. CONCLUSIONS This study provides prospective, controlled, and objective evidence for chronic persistence of posttraumatic SWD, which remain underestimated by patients. These results have clinical and medicolegal implications given that SWD can exacerbate other outcomes of traumatic brain injury, impair quality of life, and are associated with public safety hazards.