Search

Evaluation of language dominance is an essential step prior to epilepsy surgery. There is no consensus on an optimal methodology for determining language dominance using magnetoencephalography (MEG). Oscillatory dynamics are increasingly recognized as being of fundamental importance for brain function and dysfunction. Using task-related beta power modulations in MEG, we developed an analysis framework for localizing and lateralizing areas relevant to language processing in patients with focal epilepsy. We examined MEG responses from 29 patients (age 42 ​± ​13 years, 15M/14F) during auditory description naming (ADN) and visual picture naming (PN). MEG data were preprocessed using a combination of spatiotemporal filtering, signal thresholding, and ICA decomposition. Beta-band 17–25Hz power decrements were examined at both sensor and source levels. Volumetric grids of anatomical source space were constructed in MNI space at 8 ​mm isotropic resolution, and beta-band power changes were estimated using the dynamic imaging of coherent sources beamformer technique. A 600 ​ms temporal-window that ends 100 ​ms before speech onset was selected for analysis, to focus on later stages of word production such as phonologic selection and motor speech preparation. Cluster-based permutation testing was employed for patient- and group-level statistical inferences. Automated anatomic labeling atlas-driven laterality indices (LIs) were computed for 13 left and right language- and motor speech-related cortical regions. Group localization of ADN and PN consistently revealed significant task-related decrements of beta-power within language-related areas in the frontal, temporal and parietal lobes as well as motor-related regions of precentral/premotor and postcentral/somatomotor gyri. A region-of-interest analysis of ADN and PN suggested a strong correlation of r ​= ​0.74 (p ​ ​0.1) for most individuals (93% and 82% during ADN and PN, respectively), with average LIs of 0.40 ​± ​0.25 and 0.34 ​± ​0.20 for ADN and PN, respectively. Source analysis of task-related beta power decrements appears to be a reliable method for lateralizing and localizing brain activations associated with language processing in patients with epilepsy.

The association of epilepsy with structural brain changes and cognitive abnormalities in midlife has raised concern regarding the possibility of future accelerated brain and cognitive aging and increased risk of later life neurocognitive disorders. To address this issue we examined age-related processes in both structural and functional neuroimaging among individuals with temporal lobe epilepsy (TLE, N = 104) who were participants in the Epilepsy Connectome Project (ECP). Support vector regression (SVR) models were trained from 151 healthy controls and used to predict TLE patients’ brain ages. It was found that TLE patients on average have both older structural (+6.6 years) and functional (+8.3 years) brain ages compared to healthy controls. Accelerated functional brain age (functional – chronological age) was mildly correlated (corrected P = 0.07) with complex partial seizure frequency and the number of anti-epileptic drug intake. Functional brain age was a significant correlate of declining cognition (fluid abilities) and partially mediated chronological age-fluid cognition relationships. Chronological age was the only positive predictor of crystallized cognition. Accelerated aging is evident not only in the structural brains of patients with TLE, but also in their functional brains. Understanding the causes of accelerated brain aging in TLE will be clinically important in order to potentially prevent or mitigate their cognitive deficits. Keywords: Temporal lobe epilepsy (TLE), Accelerated brain aging, Cognitive aging, Age prediction, Functional connectivity

Patterns of resting state connectivity change dynamically and may represent modes of cognitive information processing. The diversity of connectivity patterns (global brain states) reflects the information capacity of the brain and determines the state of consciousness. In this work, computer simulation was used to explore the repertoire of global brain states as a function of cortical activation level. We implemented a modified spin glass model to describe UP/DOWN state transitions of neuronal populations at a mesoscopic scale based on resting state BOLD fMRI data. Resting state fMRI was recorded in 20 participants and mapped to 10,000 cortical regions defined on a group-aligned cortical surface map. Each region represented the population activity of a ~20mm2 area of the cortex. Cross-correlation matrices of the mapped BOLD time courses of the set of regions were calculated and averaged across subjects. In the model, each cortical region was allowed to interact with the 16 other regions that had the highest pair-wise correlation values. All regions stochastically transitioned between UP and DOWN states under the net influence of their 16 pairs. The probability of local state transitions was controlled by a single parameter T corresponding to the level of global cortical activation. To estimate the number of distinct global states, first we ran 10,000 simulations at T=0. Simulations were started from random configurations that converged to one of several distinct patterns. Using hierarchical clustering, at 99% similarity, close to 300 distinct states were found. At intermediate T, metastable state configurations were formed suggesting critical behavior with a sharp increase in the number of metastable states at an optimal T. Both reduced activation (anesthesia, sleep) and increased activation (hyper-activation) moved the system away from equilibrium, presumably incompatible with conscious mentation. During equilibrium, the diversity of large-scale brain sta