Skip to main content
Erschienen in: Brain Topography 1/2017

08.10.2016 | Original Paper

Seizure-Onset Mapping Based on Time-Variant Multivariate Functional Connectivity Analysis of High-Dimensional Intracranial EEG: A Kalman Filter Approach

verfasst von: Octavian V. Lie, Pieter van Mierlo

Erschienen in: Brain Topography | Ausgabe 1/2017

Einloggen, um Zugang zu erhalten

Abstract

The visual interpretation of intracranial EEG (iEEG) is the standard method used in complex epilepsy surgery cases to map the regions of seizure onset targeted for resection. Still, visual iEEG analysis is labor-intensive and biased due to interpreter dependency. Multivariate parametric functional connectivity measures using adaptive autoregressive (AR) modeling of the iEEG signals based on the Kalman filter algorithm have been used successfully to localize the electrographic seizure onsets. Due to their high computational cost, these methods have been applied to a limited number of iEEG time-series (<60). The aim of this study was to test two Kalman filter implementations, a well-known multivariate adaptive AR model (Arnold et al. 1998) and a simplified, computationally efficient derivation of it, for their potential application to connectivity analysis of high-dimensional (up to 192 channels) iEEG data. When used on simulated seizures together with a multivariate connectivity estimator, the partial directed coherence, the two AR models were compared for their ability to reconstitute the designed seizure signal connections from noisy data. Next, focal seizures from iEEG recordings (73–113 channels) in three patients rendered seizure-free after surgery were mapped with the outdegree, a graph-theory index of outward directed connectivity. Simulation results indicated high levels of mapping accuracy for the two models in the presence of low-to-moderate noise cross-correlation. Accordingly, both AR models correctly mapped the real seizure onset to the resection volume. This study supports the possibility of conducting fully data-driven multivariate connectivity estimations on high-dimensional iEEG datasets using the Kalman filter approach.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
Zurück zum Zitat Andrzejak RG, David O, Gnatkovsky V et al (2015) Localization of epileptogenic zone on pre-surgical intracranial EEG recordings: toward a validation of quantitative signal analysis approaches. Brain Topogr 28:832–837CrossRefPubMed Andrzejak RG, David O, Gnatkovsky V et al (2015) Localization of epileptogenic zone on pre-surgical intracranial EEG recordings: toward a validation of quantitative signal analysis approaches. Brain Topogr 28:832–837CrossRefPubMed
Zurück zum Zitat Arnold M, Miltner WH, Witte H, Bauer R, Braun C (1998) Adaptive AR modeling of nonstationary time series by means of Kalman filtering. IEEE Trans Biomed Eng 45:553–562CrossRefPubMed Arnold M, Miltner WH, Witte H, Bauer R, Braun C (1998) Adaptive AR modeling of nonstationary time series by means of Kalman filtering. IEEE Trans Biomed Eng 45:553–562CrossRefPubMed
Zurück zum Zitat Astolfi L, Cincotti F, Mattia D et al (2008) Tracking the time-varying cortical connectivity patterns by adaptive multivariate estimators. IEEE Trans Biomed Eng 55:902–913CrossRefPubMed Astolfi L, Cincotti F, Mattia D et al (2008) Tracking the time-varying cortical connectivity patterns by adaptive multivariate estimators. IEEE Trans Biomed Eng 55:902–913CrossRefPubMed
Zurück zum Zitat Baccalá LA, Sameshima K (2001) Partial directed coherence: a new concept in neural structure determination. Biol Cybern 84:463–474CrossRefPubMed Baccalá LA, Sameshima K (2001) Partial directed coherence: a new concept in neural structure determination. Biol Cybern 84:463–474CrossRefPubMed
Zurück zum Zitat Baccalá LA, de Brito CS, Takahashi DY, Sameshima K (2013) Unified asymptotic theory for all partial directed coherence forms. Philos Trans A Math Phys Eng Sci 371:20120158CrossRefPubMed Baccalá LA, de Brito CS, Takahashi DY, Sameshima K (2013) Unified asymptotic theory for all partial directed coherence forms. Philos Trans A Math Phys Eng Sci 371:20120158CrossRefPubMed
Zurück zum Zitat Bishara AJ, Hittner JB (2012) Testing the significance of a correlation with nonnormal data: comparison of pearson, spearman, transformation, and resampling approaches. Psychol Methods 17:399–417CrossRefPubMed Bishara AJ, Hittner JB (2012) Testing the significance of a correlation with nonnormal data: comparison of pearson, spearman, transformation, and resampling approaches. Psychol Methods 17:399–417CrossRefPubMed
Zurück zum Zitat Brodbeck V, Spinelli L, Lascano AM et al (2011) Electroencephalographic source imaging: a prospective study of 152 operated epileptic patients. Brain 134:2887–2897CrossRefPubMedPubMedCentral Brodbeck V, Spinelli L, Lascano AM et al (2011) Electroencephalographic source imaging: a prospective study of 152 operated epileptic patients. Brain 134:2887–2897CrossRefPubMedPubMedCentral
Zurück zum Zitat Bulacio JC, Jehi L, Wong C et al (2012) Long-term seizure outcome after resective surgery in patients evaluated with intracranial electrodes. Epilepsia 53:1722–1730CrossRefPubMed Bulacio JC, Jehi L, Wong C et al (2012) Long-term seizure outcome after resective surgery in patients evaluated with intracranial electrodes. Epilepsia 53:1722–1730CrossRefPubMed
Zurück zum Zitat Carrette E, Vonck K, De Herdt V et al (2010) Predictive factors for outcome of invasive video-EEG monitoring and subsequent resective surgery in patients with refractory epilepsy. Clin Neurol Neurosurg 112:118–126CrossRefPubMed Carrette E, Vonck K, De Herdt V et al (2010) Predictive factors for outcome of invasive video-EEG monitoring and subsequent resective surgery in patients with refractory epilepsy. Clin Neurol Neurosurg 112:118–126CrossRefPubMed
Zurück zum Zitat Ding M, Bressler SL, Yang W, Liang H (2000) Short-window spectral analysis of cortical event-related potentials by adaptive multivariate autoregressive modeling: data preprocessing, model validation, and variability assessment. Biol Cybern 83:35–45CrossRefPubMed Ding M, Bressler SL, Yang W, Liang H (2000) Short-window spectral analysis of cortical event-related potentials by adaptive multivariate autoregressive modeling: data preprocessing, model validation, and variability assessment. Biol Cybern 83:35–45CrossRefPubMed
Zurück zum Zitat Enatsu R, Jin K, Elwan S, Kubota Y et al (2012) Correlations between ictal propagation and response to electrical cortical stimulation: a cortico-cortical evoked potential study. Epilepsy Res 101:76–87CrossRefPubMed Enatsu R, Jin K, Elwan S, Kubota Y et al (2012) Correlations between ictal propagation and response to electrical cortical stimulation: a cortico-cortical evoked potential study. Epilepsy Res 101:76–87CrossRefPubMed
Zurück zum Zitat Englot DJ, Modi B, Mishra AM, DeSalvo M, Hyder F, Blumenfeld H (2009) Cortical deactivation induced by subcortical network dysfunction in limbic seizures. J Neurosci 29:13006–13018CrossRefPubMedPubMedCentral Englot DJ, Modi B, Mishra AM, DeSalvo M, Hyder F, Blumenfeld H (2009) Cortical deactivation induced by subcortical network dysfunction in limbic seizures. J Neurosci 29:13006–13018CrossRefPubMedPubMedCentral
Zurück zum Zitat Florin E, Gross J, Pfeifer J, Fink GR, Timmermann L (2011) Reliability of multivariate causality measures for neural data. J Neurosci Methods 198:344–358CrossRefPubMed Florin E, Gross J, Pfeifer J, Fink GR, Timmermann L (2011) Reliability of multivariate causality measures for neural data. J Neurosci Methods 198:344–358CrossRefPubMed
Zurück zum Zitat Granger CWJ (1969) Investigating causal relations by econometric models and crossspectral methods. Econometrica 37:424–438CrossRef Granger CWJ (1969) Investigating causal relations by econometric models and crossspectral methods. Econometrica 37:424–438CrossRef
Zurück zum Zitat He B, Dai Y, Astolfi L, Babiloni F, Yuan H, Yang L (2011) eConnectome: a MATLAB toolbox for mapping and imaging of brain functional connectivity. J Neurosci Methods 195:261–269CrossRefPubMed He B, Dai Y, Astolfi L, Babiloni F, Yuan H, Yang L (2011) eConnectome: a MATLAB toolbox for mapping and imaging of brain functional connectivity. J Neurosci Methods 195:261–269CrossRefPubMed
Zurück zum Zitat Jiménez-Jiménez D, Nekkare R, Flores L et al (2015) Prognostic value of intracranial seizure onset patterns for surgical outcome of the treatment of epilepsy. Clin Neurophysiol 126:257–267CrossRefPubMed Jiménez-Jiménez D, Nekkare R, Flores L et al (2015) Prognostic value of intracranial seizure onset patterns for surgical outcome of the treatment of epilepsy. Clin Neurophysiol 126:257–267CrossRefPubMed
Zurück zum Zitat Jouny CC, Adamolekun B, Franaszczuk PJ, Bergey GK (2007) Intrinsic ictal dynamics at the seizure focus: effects of secondary generalization revealed by complexity measures. Epilepsia 48:297–304CrossRefPubMed Jouny CC, Adamolekun B, Franaszczuk PJ, Bergey GK (2007) Intrinsic ictal dynamics at the seizure focus: effects of secondary generalization revealed by complexity measures. Epilepsia 48:297–304CrossRefPubMed
Zurück zum Zitat Kalman RE (1960) A new approach to linear filtering and prediction theory. J Basic Eng 82:34–45 Kalman RE (1960) A new approach to linear filtering and prediction theory. J Basic Eng 82:34–45
Zurück zum Zitat Kalman RE, Bucy RS (1961) New results on linear filtering and prediction theory. J Basic Eng 83:95–108CrossRef Kalman RE, Bucy RS (1961) New results on linear filtering and prediction theory. J Basic Eng 83:95–108CrossRef
Zurück zum Zitat Kasess CH (2002) Estimation of time-variant multivariate autoregressive models using Kalman filtering, dissertation, Graz University of Technology, Graz Kasess CH (2002) Estimation of time-variant multivariate autoregressive models using Kalman filtering, dissertation, Graz University of Technology, Graz
Zurück zum Zitat Korzeniewska A, Mańczak M, Kamiński M, Blinowska KJ, Kasicki S (2003) Determination of information flow direction among brain structures by a modified directed transfer function (dDTF) method. J Neurosci Methods 125:195–207CrossRefPubMed Korzeniewska A, Mańczak M, Kamiński M, Blinowska KJ, Kasicki S (2003) Determination of information flow direction among brain structures by a modified directed transfer function (dDTF) method. J Neurosci Methods 125:195–207CrossRefPubMed
Zurück zum Zitat Korzeniewska A, Cervenka MC, Jouny CC et al (2014) Ictal propagation of high frequency activity is recapitulated in interictal recordings: effective connectivity of epileptogenic networks recorded with intracranial EEG. Neuroimage 101:96–113CrossRefPubMedPubMedCentral Korzeniewska A, Cervenka MC, Jouny CC et al (2014) Ictal propagation of high frequency activity is recapitulated in interictal recordings: effective connectivity of epileptogenic networks recorded with intracranial EEG. Neuroimage 101:96–113CrossRefPubMedPubMedCentral
Zurück zum Zitat Leonardi N, Van De Ville D (2015) On spurious and real fluctuations of dynamic functional connectivity during rest. Neuroimage 104:430–436CrossRefPubMed Leonardi N, Van De Ville D (2015) On spurious and real fluctuations of dynamic functional connectivity during rest. Neuroimage 104:430–436CrossRefPubMed
Zurück zum Zitat Lie OV, Papanastassiou AM, Cavazos JE, Szabó ÁC (2015) Influence of intracranial electrode density and spatial configuration on interictal spike localization: a case study. J Clin Neurophysiol 32:e30–e40CrossRefPubMed Lie OV, Papanastassiou AM, Cavazos JE, Szabó ÁC (2015) Influence of intracranial electrode density and spatial configuration on interictal spike localization: a case study. J Clin Neurophysiol 32:e30–e40CrossRefPubMed
Zurück zum Zitat Milde T, Leistritz L, Astolfi L et al (2010) A new Kalman filter approach for the estimation of high-dimensional time-variant multivariate AR models and its application in analysis of laser-evoked brain potentials. Neuroimage 50:960–969CrossRefPubMed Milde T, Leistritz L, Astolfi L et al (2010) A new Kalman filter approach for the estimation of high-dimensional time-variant multivariate AR models and its application in analysis of laser-evoked brain potentials. Neuroimage 50:960–969CrossRefPubMed
Zurück zum Zitat Moeller F, Muthuraman M, Stephani U, Deuschl G, Raethjen J, Siniatchkin M (2013) Representation and propagation of epileptic activity in absences and generalized photoparoxysmal responses. Hum Brain Mapp 34:1896–1909CrossRefPubMed Moeller F, Muthuraman M, Stephani U, Deuschl G, Raethjen J, Siniatchkin M (2013) Representation and propagation of epileptic activity in absences and generalized photoparoxysmal responses. Hum Brain Mapp 34:1896–1909CrossRefPubMed
Zurück zum Zitat Molenaar PC, Beltz AM, Gates KM, Wilson SJ (2016) State space modeling of time-varying contemporaneous and lagged relations in connectivity maps. Neuroimage 125:791–802CrossRefPubMed Molenaar PC, Beltz AM, Gates KM, Wilson SJ (2016) State space modeling of time-varying contemporaneous and lagged relations in connectivity maps. Neuroimage 125:791–802CrossRefPubMed
Zurück zum Zitat Morrell MJ, RNS System in Epilepsy Study Group (2011) Responsive cortical stimulation for the treatment of medically intractable partial epilepsy. Neurology 77:1295–1304CrossRefPubMed Morrell MJ, RNS System in Epilepsy Study Group (2011) Responsive cortical stimulation for the treatment of medically intractable partial epilepsy. Neurology 77:1295–1304CrossRefPubMed
Zurück zum Zitat Mullen T, Acar ZA, Worrell G, Makeig S (2011) Modeling cortical source dynamics and interactions during seizure. Conf Proc IEEE Eng Med Biol Soc 2011:1411–1414PubMedPubMedCentral Mullen T, Acar ZA, Worrell G, Makeig S (2011) Modeling cortical source dynamics and interactions during seizure. Conf Proc IEEE Eng Med Biol Soc 2011:1411–1414PubMedPubMedCentral
Zurück zum Zitat Omidvarnia AH, Mesbah M, Khlif MS, O’Toole JM, Colditz PB, Boashash B (2011) Kalman filter-based time-varying cortical connectivity analysis of newborn EEG. Conf Proc IEEE Eng Med Biol Soc 2011:1423–1426PubMed Omidvarnia AH, Mesbah M, Khlif MS, O’Toole JM, Colditz PB, Boashash B (2011) Kalman filter-based time-varying cortical connectivity analysis of newborn EEG. Conf Proc IEEE Eng Med Biol Soc 2011:1423–1426PubMed
Zurück zum Zitat Plomp G, Quairiaux C, Michel CM, Astolfi L (2014) The physiological plausibility of time-varying Granger-causal modeling: normalization and weighting by spectral power. Neuroimage 97:16–206CrossRef Plomp G, Quairiaux C, Michel CM, Astolfi L (2014) The physiological plausibility of time-varying Granger-causal modeling: normalization and weighting by spectral power. Neuroimage 97:16–206CrossRef
Zurück zum Zitat Plomp G, Astolfi L, Coito A, Michel CM (2015) Spectrally weighted Granger-causal modeling: motivation and applications to data from animal models and epileptic patients. Conf Proc IEEE Eng Med Biol Soc 2015:5392–5395PubMed Plomp G, Astolfi L, Coito A, Michel CM (2015) Spectrally weighted Granger-causal modeling: motivation and applications to data from animal models and epileptic patients. Conf Proc IEEE Eng Med Biol Soc 2015:5392–5395PubMed
Zurück zum Zitat Schlögl A (2000) The electroencephalogram and the adaptive autoregressive model: theory and applications. Shaker Verlag, Aachen Schlögl A (2000) The electroencephalogram and the adaptive autoregressive model: theory and applications. Shaker Verlag, Aachen
Zurück zum Zitat Schlögl A, Supp G (2006) Analyzing event-related EEG data with multivariate autoregressive parameters. Prog Brain Res 159:135–147CrossRefPubMed Schlögl A, Supp G (2006) Analyzing event-related EEG data with multivariate autoregressive parameters. Prog Brain Res 159:135–147CrossRefPubMed
Zurück zum Zitat Sinha N, Dauwels J, Wang Y, Cash SS, Taylor PN (2014) An in silico approach for pre-surgical evaluation of an epileptic cortex. Conf Proc IEEE Eng Med Biol Soc 2014:4884–4887PubMed Sinha N, Dauwels J, Wang Y, Cash SS, Taylor PN (2014) An in silico approach for pre-surgical evaluation of an epileptic cortex. Conf Proc IEEE Eng Med Biol Soc 2014:4884–4887PubMed
Zurück zum Zitat Sommerlade L, Thiel M, Platt B et al (2012) Inference of Granger causal time-dependent influences in noisy multivariate time series. J Neurosci Methods 203:173–185CrossRefPubMed Sommerlade L, Thiel M, Platt B et al (2012) Inference of Granger causal time-dependent influences in noisy multivariate time series. J Neurosci Methods 203:173–185CrossRefPubMed
Zurück zum Zitat Stufflebeam SM, Liu H, Sepulcre J, Tanaka N, Buckner RL, Madsen JR (2011) Localization of focal epileptic discharges using functional connectivity magnetic resonance imaging. J Neurosurg 114:1693–1697CrossRefPubMedPubMedCentral Stufflebeam SM, Liu H, Sepulcre J, Tanaka N, Buckner RL, Madsen JR (2011) Localization of focal epileptic discharges using functional connectivity magnetic resonance imaging. J Neurosurg 114:1693–1697CrossRefPubMedPubMedCentral
Zurück zum Zitat Toppi J, Babiloni F, Vecchiato G et al (2012) Towards the time varying estimation of complex brain connectivity networks by means of a General Linear Kalman Filter approach. Conf Proc IEEE Eng Med Biol Soc 2012:6192–6195PubMed Toppi J, Babiloni F, Vecchiato G et al (2012) Towards the time varying estimation of complex brain connectivity networks by means of a General Linear Kalman Filter approach. Conf Proc IEEE Eng Med Biol Soc 2012:6192–6195PubMed
Zurück zum Zitat van Dellen E, Douw L, Baayen JC et al (2009) Long-term effects of temporal lobe epilepsy on local neural networks: a graph theoretical analysis of corticography recordings. PLoS One 4:e8081CrossRefPubMedPubMedCentral van Dellen E, Douw L, Baayen JC et al (2009) Long-term effects of temporal lobe epilepsy on local neural networks: a graph theoretical analysis of corticography recordings. PLoS One 4:e8081CrossRefPubMedPubMedCentral
Zurück zum Zitat van Mierlo P, Carrette E, Hallez H et al (2011) Accurate epileptogenic focus localization through time-variant functional connectivity analysis of intracranial electroencephalographic signals. Neuroimage 56:1122–1133CrossRefPubMed van Mierlo P, Carrette E, Hallez H et al (2011) Accurate epileptogenic focus localization through time-variant functional connectivity analysis of intracranial electroencephalographic signals. Neuroimage 56:1122–1133CrossRefPubMed
Zurück zum Zitat van Mierlo P, Carrette E, Hallez H et al (2013) Ictal-onset localization through connectivity analysis of intracranial EEG signals in patients with refractory epilepsy. Epilepsia 54:1409–1418CrossRefPubMed van Mierlo P, Carrette E, Hallez H et al (2013) Ictal-onset localization through connectivity analysis of intracranial EEG signals in patients with refractory epilepsy. Epilepsia 54:1409–1418CrossRefPubMed
Zurück zum Zitat van Mierlo P, Papadopoulou M, Carrette E et al (2014) Functional brain connectivity from EEG in epilepsy: seizure prediction and epileptogenic focus localization. Prog Neurobiol 121:19–35CrossRefPubMed van Mierlo P, Papadopoulou M, Carrette E et al (2014) Functional brain connectivity from EEG in epilepsy: seizure prediction and epileptogenic focus localization. Prog Neurobiol 121:19–35CrossRefPubMed
Zurück zum Zitat Varotto G, Franceschetti S, Spreafico R, Tassi L, Panzica F (2010) Partial directed coherence estimated on stereo-EEG signals in patients with Taylor’s type focal cortical dysplasia. Conf Proc IEEE Eng Med Biol Soc 2010:4646–4649PubMed Varotto G, Franceschetti S, Spreafico R, Tassi L, Panzica F (2010) Partial directed coherence estimated on stereo-EEG signals in patients with Taylor’s type focal cortical dysplasia. Conf Proc IEEE Eng Med Biol Soc 2010:4646–4649PubMed
Zurück zum Zitat Varotto G, Tassi L, Franceschetti S, Spreafico R, Panzica F (2012) Epileptogenic networks of type II focal cortical dysplasia: a stereo-EEG study. Neuroimage 61:591–598CrossRefPubMed Varotto G, Tassi L, Franceschetti S, Spreafico R, Panzica F (2012) Epileptogenic networks of type II focal cortical dysplasia: a stereo-EEG study. Neuroimage 61:591–598CrossRefPubMed
Zurück zum Zitat Vidaurre C, Sander TH, Schlögl A (2011) BioSig: the free and open source software library for biomedical signal processing. Comput Intell Neurosci 2011:935364CrossRefPubMedPubMedCentral Vidaurre C, Sander TH, Schlögl A (2011) BioSig: the free and open source software library for biomedical signal processing. Comput Intell Neurosci 2011:935364CrossRefPubMedPubMedCentral
Zurück zum Zitat Wang HE, Bénar CG, Quilichini PP, Friston KJ, Jirsa VK, Bernard C (2014) A systematic framework for functional connectivity measures. Front Neurosci 8:405PubMedPubMedCentral Wang HE, Bénar CG, Quilichini PP, Friston KJ, Jirsa VK, Bernard C (2014) A systematic framework for functional connectivity measures. Front Neurosci 8:405PubMedPubMedCentral
Zurück zum Zitat Wilke C, Ding L, He B (2008) Estimation of time-varying connectivity patterns through the use of an adaptive directed transfer function. IEEE Trans Biomed Eng 55:2557–2564CrossRefPubMedPubMedCentral Wilke C, Ding L, He B (2008) Estimation of time-varying connectivity patterns through the use of an adaptive directed transfer function. IEEE Trans Biomed Eng 55:2557–2564CrossRefPubMedPubMedCentral
Zurück zum Zitat Wilke C, van Drongelen W, Kohrman M, He B (2009) Identification of epileptogenic foci from causal analysis of ECoG interictal spike activity. Clin Neurophysiol 120(8):1449–1456CrossRefPubMedPubMedCentral Wilke C, van Drongelen W, Kohrman M, He B (2009) Identification of epileptogenic foci from causal analysis of ECoG interictal spike activity. Clin Neurophysiol 120(8):1449–1456CrossRefPubMedPubMedCentral
Zurück zum Zitat Wilke C, van Drongelen W, Kohrman M, He B (2010) Neocortical seizure foci localization by means of a directed transfer function method. Epilepsia 51(4):564–572CrossRefPubMed Wilke C, van Drongelen W, Kohrman M, He B (2010) Neocortical seizure foci localization by means of a directed transfer function method. Epilepsia 51(4):564–572CrossRefPubMed
Zurück zum Zitat Wilke C, Worrell G, He B (2011) Graph analysis of epileptogenic networks in human partial epilepsy. Epilepsia 52(1):84–93CrossRefPubMed Wilke C, Worrell G, He B (2011) Graph analysis of epileptogenic networks in human partial epilepsy. Epilepsia 52(1):84–93CrossRefPubMed
Zurück zum Zitat Yaffe RB, Borger P, Megevand P et al (2015) Physiology of functional and effective networks in epilepsy. Clin Neurophysiol 126:227–236CrossRefPubMed Yaffe RB, Borger P, Megevand P et al (2015) Physiology of functional and effective networks in epilepsy. Clin Neurophysiol 126:227–236CrossRefPubMed
Metadaten
Titel
Seizure-Onset Mapping Based on Time-Variant Multivariate Functional Connectivity Analysis of High-Dimensional Intracranial EEG: A Kalman Filter Approach
verfasst von
Octavian V. Lie
Pieter van Mierlo
Publikationsdatum
08.10.2016
Verlag
Springer US
Erschienen in
Brain Topography / Ausgabe 1/2017
Print ISSN: 0896-0267
Elektronische ISSN: 1573-6792
DOI
https://doi.org/10.1007/s10548-016-0527-x

Weitere Artikel der Ausgabe 1/2017

Brain Topography 1/2017 Zur Ausgabe

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Frühe Alzheimertherapie lohnt sich

25.04.2024 AAN-Jahrestagung 2024 Nachrichten

Ist die Tau-Last noch gering, scheint der Vorteil von Lecanemab besonders groß zu sein. Und beginnen Erkrankte verzögert mit der Behandlung, erreichen sie nicht mehr die kognitive Leistung wie bei einem früheren Start. Darauf deuten neue Analysen der Phase-3-Studie Clarity AD.

Viel Bewegung in der Parkinsonforschung

25.04.2024 Parkinson-Krankheit Nachrichten

Neue arznei- und zellbasierte Ansätze, Frühdiagnose mit Bewegungssensoren, Rückenmarkstimulation gegen Gehblockaden – in der Parkinsonforschung tut sich einiges. Auf dem Deutschen Parkinsonkongress ging es auch viel um technische Innovationen.

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.