PMID- 32976091 OWN - NLM STAT- MEDLINE DCOM- 20210625 LR - 20210625 IS - 1558-2531 (Electronic) IS - 0018-9294 (Linking) VI - 68 IP - 4 DP - 2021 Apr TI - How Alpha Rhythm Spatiotemporally Acts Upon the Thalamus-Default Mode Circuit in Idiopathic Generalized Epilepsy. PG - 1282-1292 LID - 10.1109/TBME.2020.3026055 [doi] AB - GOAL: Idiopathic generalized epilepsy (IGE) represents generalized spike-wave discharges (GSWD) and distributed changes in thalamocortical circuit. The purpose of this study is to investigate how the ongoing alpha oscillation acts upon the local temporal dynamics and spatial hyperconnectivity in epilepsy. METHODS: We evaluated the spatiotemporal regulation of alpha oscillations in epileptic state based on simultaneous EEG-fMRI recordings in 45 IGE patients. The alpha-BOLD temporal consistency, as well as the effect of alpha power windows on dynamic functional connectivity strength (dFCS) was analyzed. Then, stable synchronization networks during GSWD were constructed, and the spatial covariation with alpha-based network integration was investigated. RESULTS: Increased temporal covariation was demonstrated between alpha power and BOLD fluctuations in thalamus and distributed cortical regions in IGE. High alpha power had inhibition effect on dFCS in healthy controls, while in epilepsy, high alpha windows arose along with the enhancement of dFCS in thalamus, caudate and some default mode network (DMN) regions. Moreover, synchronization networks in GSWD-before, GSWD-onset and GSWD-after stages were constructed, and the connectivity strength in prominent hub nodes (precuneus, thalamus) was associated with the spatially disturbed alpha-based network integration. CONCLUSION: The results indicated spatiotemporal regulation of alpha in epilepsy by means of the increased power and decreased coherence communication. It provided links between alpha rhythm and the altered temporal dynamics, as well as the hyperconnectivity in thalamus-default mode circuit. SIGNIFICANCE: The combination between neural oscillations and epileptic representations may be of clinical importance in terms of seizure prediction and non-invasive interventions. FAU - Qin, Yun AU - Qin Y FAU - Zhang, Nan AU - Zhang N FAU - Chen, Yan AU - Chen Y FAU - Tan, Yue AU - Tan Y FAU - Dong, Li AU - Dong L FAU - Xu, Peng AU - Xu P FAU - Guo, Daqing AU - Guo D FAU - Zhang, Tao AU - Zhang T FAU - Yao, Dezhong AU - Yao D FAU - Luo, Cheng AU - Luo C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210318 PL - United States TA - IEEE Trans Biomed Eng JT - IEEE transactions on bio-medical engineering JID - 0012737 RN - Epilepsy, Idiopathic Generalized SB - IM MH - *Alpha Rhythm MH - Brain Mapping MH - *Electroencephalography MH - Epilepsy, Generalized MH - Humans MH - Magnetic Resonance Imaging MH - Nerve Net/diagnostic imaging MH - Thalamus/diagnostic imaging EDAT- 2020/09/26 06:00 MHDA- 2021/06/29 06:00 CRDT- 2020/09/25 17:10 PHST- 2020/09/26 06:00 [pubmed] PHST- 2021/06/29 06:00 [medline] PHST- 2020/09/25 17:10 [entrez] AID - 10.1109/TBME.2020.3026055 [doi] PST - ppublish SO - IEEE Trans Biomed Eng. 2021 Apr;68(4):1282-1292. doi: 10.1109/TBME.2020.3026055. Epub 2021 Mar 18.