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Simo Monto

Publications and source records attributed to Simo Monto.

3 recordsLinked to original sources

Epileptogenic neocortical networks are revealed by abnormal temporal dynamics in seizure-free subdural EEG.

Long-term video electroencephalographic (EEG) recording is currently a routine procedure in the presurgical evaluation of localization-related epilepsies. Cortical epileptogenic zone is usually localized from ictal recordings with intracranial electrodes, causing a significant burden to patients and health care. Growing literature suggests that epileptogenic networks exhibit aberrant dynamics also during seizure-free periods. We examined if neocortical epileptogenic regions can be circumscribed by quantifying local long-range temporal (auto-)correlations (LRTC) with detrended fluctuation analysis of seizure-free ongoing subdural EEG activity in 4 frequency bands in 5 patients. We show here with subdural EEG recordings that the LRTC are abnormally strong near the seizure onset area. This effect was most salient in neocortical oscillations in the beta frequency band (14-30 Hz). Moreover, lorazepam, a widely used antiepileptic drug, exerted contrasting effects on LRTC (n = 2): lorazepam attenuated beta-band LRTC near the epileptic focus, whereas it strengthened LRTC in other cortical areas. Our findings demonstrate that interictal neuronal network activity near the focus of seizure onset has pathologically strong intrinsic temporal correlations. The observed effect by lorazepam on beta-band activity suggests that the antiepileptic mechanism of benzodiazepines may be related to the normalization of LRTC within the epileptic focus. We propose that this method may become a promising candidate for routine invasive and noninvasive presurgical localization of epileptic foci.

Adult↗

Breakdown of long-range temporal correlations in theta oscillations in patients with major depressive disorder.

Neuroimaging has revealed robust large-scale patterns of high neuronal activity in the human brain in the classical eyes-closed wakeful rest condition, pointing to the presence of a baseline of sustained endogenous processing in the absence of stimulus-driven neuronal activity. This baseline state has been shown to differ in major depressive disorder. More recently, several studies have documented that despite having a complex temporal structure, baseline oscillatory activity is characterized by persistent autocorrelations for tens of seconds that are highly replicable within and across subjects. The functional significance of these long-range temporal correlations has remained unknown. We recorded neuromagnetic activity in patients with a major depressive disorder and in healthy control subjects during eyes-closed wakeful rest and quantified the long-range temporal correlations in the amplitude fluctuations of different frequency bands. We found that temporal correlations in the theta-frequency band (3-7 Hz) were almost absent in the 5-100 s time range in the patients but prominent in the control subjects. The magnitude of temporal correlations over the left temporocentral region predicted the severity of depression in the patients. These data indicate that long-range temporal correlations in theta oscillations are a salient characteristic of the healthy human brain and may have diagnostic potential in psychiatric disorders. We propose a link between the abnormal temporal structure of theta oscillations in the depressive patients and the systems-level impairments of limbic-cortical networks that have been identified in recent anatomical and functional studies of patients with major depressive disorder.

Adult↗

Plastic cortical changes induced by learning to communicate with non-speech sounds.

With Morse code, an acoustic message is transmitted using combinations of tone patterns rather than the spectrally and temporally complex speech sounds that constitute the spoken language. Using MEG recordings of the mismatch negativity (MMN, an index of permanent auditory cortical representations of native language speech sounds), we probed the dominant hemisphere for the developing Morse code representations in adult Morse code learners. Initially, the MMN to the Morse coded syllables was, on average, stronger in the hemisphere opposite to the one dominant for the MMN to native language speech sounds. After a training period of 3 months, the pattern reversed, however: the mean Morse code MMN became lateralized to the hemisphere that was predominant for the speech-sound MMN. This suggests that memory traces for the Morse coded acoustic language units develop within the hemisphere that already accommodates the permanent traces for natural speech sounds. These plastic changes manifest, presumably, the close associations formed between the neural representations of the tone patterns and phonemes.

Acoustic Stimulation↗