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1101


INTRA-OPERATIVE NEUROMOLECULAR IMAGING (NMI) IN NEOCORTEX OF EPILEPSY PATIENTS: COMPARISON WITH RESECTED EPILEPTOGENIC TISSUE [Meeting Abstract]

Broderick, PA; Doyle, WK; Pacia, SV; Kuzniecky, RI; Devinsky, O; Kolodny, EH
ISI:000270550500091
ISSN: 0013-9580
CID: 106071

AANTERIOR TEMPORAL LOBECTOMY & RADICAL AMYGDALOHIPPOCAMPECTOMY (ATLRA) FOR MESIAL TEMPORAL SCLEROSIS: PREOPERATIVE RISK FACTORS FOR LONG-TERM SEIZURE CONTROL IN A HIGHLY SELECTED POPULATION [Meeting Abstract]

Bollo, RJ; Elliott, RE; Berliner, JL; Silverberg, A; Geller, EB; Devinsky, O; Doyle, WK
ISI:000270550500937
ISSN: 0013-9580
CID: 106074

QUANTITATIVE MAGNETIC RESONANCE IMAGING FINDINGS IN IDIOPATHIC GENERALIZED EPILEPSY [Meeting Abstract]

Carlson, C; DuBois, J; Marcuse, L; Kuzniecky, R; Devinsky, O; Boo, C; Mikhly, M; Blumberg, M; Thesen, T
ISI:000270550500989
ISSN: 0013-9580
CID: 106075

STRUCTURAL BRAIN ABNORMALITIES IN POSTICTAL PSYCHOSIS [Meeting Abstract]

DuBois, J; Carlson, C; Kuzniecky, R; Devinsky, O; Alper, K; Blumberg, M; Mikhly, M; Starner, K; Thesen, T
ISI:000270550501002
ISSN: 0013-9580
CID: 106076

VAGUS NERVE STIMULATION IN PATIENTS WITH TUBEROUS SCLEROSIS COMPLEX: EFFICACY OF NEW IMPLANTATIONS AND ASSOCIATION OF DEVICE INEFFICACY WITH SUBSEQUENT OUTCOME OF INTRACRANIAL EPILEPSY SURGERY [Meeting Abstract]

Kalhorn, SP; Elliott, R; Carlson, C; Moshel, Y; Weiner, H; Devinsky, O; Doyle, W
ISI:000270550501022
ISSN: 0013-9580
CID: 106077

VAGUS NERVE STIMULATION FOR REFRACTORY EPILEPSY: SINGLE SURGEON EXPERIENCE OF OVER 700 CONSECUTIVE OPERATIONS [Meeting Abstract]

Elliott, RE; Morsi, A; Kalhorn, S; Marcus, J; Sellin, J; Kang, M; Silverberg, A; Carlson, C; Geller, E; Devinsky, O; Doyle, W
ISI:000270550501096
ISSN: 0013-9580
CID: 106078

Translations from history: Epilepsy and behavior [Editorial]

Devinsky, Orrin
PMID: 19341978
ISSN: 1525-5069
CID: 134084

Remembrance. In memoriam: Ed Bromfield, M.D., 1951-2009 [Editorial]

Devinsky, Orrin
PMID: 19643673
ISSN: 1525-5069
CID: 111660

The human K-complex represents an isolated cortical down-state

Cash, Sydney S; Halgren, Eric; Dehghani, Nima; Rossetti, Andrea O; Thesen, Thomas; Wang, Chunmao; Devinsky, Orrin; Kuzniecky, Ruben; Doyle, Werner; Madsen, Joseph R; Bromfield, Edward; Eross, Lorand; Halasz, Peter; Karmos, George; Csercsa, Richard; Wittner, Lucia; Ulbert, Istvan
The electroencephalogram (EEG) is a mainstay of clinical neurology and is tightly correlated with brain function, but the specific currents generating human EEG elements remain poorly specified because of a lack of microphysiological recordings. The largest event in healthy human EEGs is the K-complex (KC), which occurs in slow-wave sleep. Here, we show that KCs are generated in widespread cortical areas by outward dendritic currents in the middle and upper cortical layers, accompanied by decreased broadband EEG power and decreased neuronal firing, which demonstrate a steep decline in network activity. Thus, KCs are isolated 'down-states,' a fundamental cortico-thalamic processing mode already characterized in animals. This correspondence is compatible with proposed contributions of the KC to sleep preservation and memory consolidation
PMCID:3715654
PMID: 19461004
ISSN: 1095-9203
CID: 114449

Intracranial microprobe for evaluating neuro-hemodynamic coupling in unanesthetized human neocortex

Keller, Corey J; Cash, Sydney S; Narayanan, Suresh; Wang, Chunmao; Kuzniecky, Ruben; Carlson, Chad; Devinsky, Orrin; Thesen, Thomas; Doyle, Werner; Sassaroli, Angelo; Boas, David A; Ulbert, Istvan; Halgren, Eric
Measurement of the blood-oxygen-level dependent (BOLD) response with fMRI has revolutionized cognitive neuroscience and is increasingly important in clinical care. The BOLD response reflects changes in deoxy-hemoglobin concentration, blood volume, and blood flow. These hemodynamic changes ultimately result from neuronal firing and synaptic activity, but the linkage between these domains is complex, poorly understood, and may differ across species, cortical areas, diseases, and cognitive states. We describe here a technique that can measure neural and hemodynamic changes simultaneously from cortical microdomains in waking humans. We utilize a 'laminar optode,' a linear array of microelectrodes for electrophysiological measures paired with a micro-optical device for hemodynamic measurements. Optical measurements include laser Doppler to estimate cerebral blood flow as well as point spectroscopy to estimate oxy- and deoxy-hemoglobin concentrations. The microelectrode array records local field potential gradients (PG) and multi-unit activity (MUA) at 24 locations spanning the cortical depth, permitting estimation of population trans-membrane current flows (Current Source Density, CSD) and population cell firing in each cortical lamina. Comparison of the laminar CSD/MUA profile with the origins and terminations of cortical circuits allows activity in specific neuronal circuits to be inferred and then directly compared to hemodynamics. Access is obtained in epileptic patients during diagnostic evaluation for surgical therapy. Validation tests with relatively well-understood manipulations (EKG, breath-holding, cortical electrical stimulation) demonstrate the expected responses. This device can provide a new and robust means for obtaining detailed, quantitative data for defining neurovascular coupling in awake humans
PMCID:2680793
PMID: 19428529
ISSN: 1872-678x
CID: 114450