Numerous authors have reported the occurrence of very fast field potential/electroencephalography (EEG)/electrocorticography (ECoG) oscillations, at frequencies ≥80 Hz, prior to, during, and after paroxysmal epileptic events (either interictal or ictal), and both in patients and in experimental preparations, in vivo and in vitro (references include, but are not limited to: Fisher et al., 1992; Bragin et al., 1999a,b, 2002; Grenier et al., 2001, 2003; Jacobs et al., 2008; Khosravani et al., 2009; Worrell et al., 2004; Traub 2et al., 2001, 2005; Roopun et al., in prep.) In some cases, VFOs appear to arise in exquisitely localized regions of cortical tissue (Bragin et al., 1999b, 2002; Roopun et al., in 3prep.); sometimes other epileptiform events can also arise in highly localized regions (Schevon et al., 2008). On different occasions, however, VFOs occur simultaneously in a number of subdural grid ECoG electrodes (e.g., Fig. 1 of Traub et al., 2001), and such activity presumably encompasses several squared centimeters of cortical surface. Although VFOs may be useful in identifying seizure-onset zones (Roopun et al., 2009), it is interesting to note that VFO occurrence is not specific to particular pathologies, and it is not directly related to local pathologic changes (Jacobs et al., 2008). These latter observations suggest that the ability to generate VFOs might be a normal facet of cortical function, which is pathologically enhanced in epilepsy. Figure. 1 Very fast oscillations (VFOs) occur at the surface of human epileptic brain; in layer 5 of rat neocortex, in vitro, with chemical synapses blocked; and in a detailed network model of neurons coupled by gap junctions, without chemical synapses. (A) Electrocorticography ... To our knowledge, the detailed spatiotemporal patterns of VFOs have not yet been investigated. There also continues to be uncertainty concerning the cellular mechanisms of different sorts of VFOs and their significance for epileptogenesis (Engel et al., 2009). Clearer understanding of the two related issues—VFO spatiotemporal pattern and cellular mechanism—may have clinical importance: Factors in the brain that predispose to VFO may also predispose to seizures, or VFO itself may promote seizure onset. In our view, the evidence that in vitro VFO is generated by gap junctional coupling between principal neurons is compelling. The evidence is both positive and negative. On the positive side: Such VFO occurs when chemical synaptic transmission is globally suppressed with low-Ca2+ media, or selectively suppressed with blockers of particular synaptic receptors, including γ-aminobutyric acid (GABA)A receptors; in vitro VFO is associated with action potentials and spikelets in pyramidal cells that are phase-locked to field VFO and it is suppressed by carbenoxolone, halothane, and octanol, all blockers of gap junction conductance, and is augmented by alkalinization of the medium, which would open most types of gap junctions (Draguhn et al., 1998; Nimmrich et al., 2005; Roopun et al., in prep.—but see Gonzales-Nieto et al., 2008). Furthermore, a detailed network model, based on postulated gap junctional coupling between pyramidal cell axons, produces field and intracellular potentials closely resembling experiment (Traub et al., 1999; see also Fig. 1). (The evidence that such gap junctions actually exist is reviewed in the Discussion.) On the negative side, we are not aware of any cortical experimental preparation, dependent on chemical synapses, that has been shown to generate network oscillations at the requisite frequencies. With respect to in vivo epilepsy-related VFOs, Grenier et al. (2003) reported that the gap junction blocker halothane suppressed both the VFOs and seizures that spontaneously occurred in ketamine–xylazine anesthetized cats. However, the cellular mechanisms of in vivo VFO are difficult to study experimentally, at least in a direct fashion. For example, although intracellular and juxtacellular recordings are possible in vivo (in experimental animals), blockade of synaptic transmission is hard to achieve. There is a useful role for network models in a situation such as this, as such models can suggest novel experiments that may be practical to perform. Detailed neuronal network models, of the sort mentioned in the preceding and used to simulate VFOs, are computationally intensive. The original one (Traub et al., 1999) involved