A taxonomy of seizure dynamotypes

Abstract: Seizures are a disruption of normal brain activity present across a vast range of species and conditions. We introduce an organizing principle that leads to the first objective Taxonomy of Seizure Dynamics (TSD) based on bifurcation theory. The ‘dynamotype’ of a seizure is the dynamic composition that defines its observable characteristics, including how it starts, evolves and ends. Analyzing over 2000 focal-onset seizures from multiple centers, we find evidence of all 16 dynamotypes predicted in TSD. We demonstrate that patients’ dynamotypes evolve during their lifetime and display complex but systematic variations including hierarchy (certain types are more common), non-bijectivity (a patient may display multiple types) and pairing preference (multiple types may occur during one seizure). TSD provides a way to stratify patients in complement to present clinical classifications, a language to describe the most critical features of seizure dynamics, and a framework to guide future research focused on dynamical properties

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch
Notes
eLife. - 9 (2020) , e55632, ISSN: 2050-084X

Event
Veröffentlichung
(where)
Freiburg
(who)
Universität
(when)
2020
Creator
Saggio, Maria Luisa
Crisp, Dakota
Scott, Jared M.
Karoly, Philippa J.
Kuhlmann, Levin
Nakatani, Mitsuyoshi
Murai, Tomohiko
Dümpelmann, Matthias
Schulze-Bonhage, Andreas
Ikeda, Akio
Cook, Mark
Gliske, Stephen V.
Lin, Jack
Bernard, Christophe
Jirsa, Viktor K.
Stacey, William C.

DOI
10.7554/eLife.55632
URN
urn:nbn:de:bsz:25-freidok-1668769
Rights
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Last update
25.03.2025, 1:46 PM CET

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Associated

Time of origin

  • 2020

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