Dynamical analysis of the EEG and treatment of human status epilepticus by antiepileptic drugs

Aaron Faith, Shivkumar Sabesan, Norman Wang, David Treiman, Joseph Sirven, Konstantinos Tsakalis, Leon Iasemidis

Research output: Chapter in Book/Report/Conference proceedingChapter

3 Scopus citations

Abstract

An estimated 42,000 epileptic patients die from status epilepticus (SE) every year in the United States alone. Evaluation of antiepileptic drugs and protocols for SE treatment, in terms of the dynamics of concurrently monitored electroencephalogram (EEG), may lead to the design of new, more effective treatment paradigms for successfully controlling SE. Such monitoring techniques may have a profound effect in the treatment of SE in the emergency department (ED) and intensive care unit (ICU), where antiepileptic drugs (AEDs) are given in rapid succession in the hope of patient recovery, or even in the epilepsy monitoring unit (EMU), where occasionally a patient may progress to SE. In the past, using techniques from nonlinear dynamics and synchronization theory, we have shown that successful treatment with AEDs results in dynamical disentrainment (desynchro- nization) of entrained brain sites in SE, a phenomenon we have called dynamical resetting. We herein apply this nonlinear dynamical analysis to scalp EEG recordings from two patients, one admitted to the EMU and the other to the ED and ICU and both treated with AEDs, to show that successful administration of AEDs dynamically disentrains the brain and correlates well with the patients’ recovery. This result further supports our hypothesis of dynamical resetting of the brain by AEDs into the recovery regime, and indicates that the proposed measures/ methodology may assist in an objective evaluation of the efficacy of current and the design of future AEDs for the treatment of SE.

Original languageEnglish (US)
Title of host publicationSpringer Optimization and Its Applications
PublisherSpringer International Publishing
Pages305-315
Number of pages11
Volume38
DOIs
StatePublished - 2010

Publication series

NameSpringer Optimization and Its Applications
Volume38
ISSN (Print)19316828
ISSN (Electronic)19316836

ASJC Scopus subject areas

  • Control and Optimization

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    Faith, A., Sabesan, S., Wang, N., Treiman, D., Sirven, J., Tsakalis, K., & Iasemidis, L. (2010). Dynamical analysis of the EEG and treatment of human status epilepticus by antiepileptic drugs. In Springer Optimization and Its Applications (Vol. 38, pp. 305-315). (Springer Optimization and Its Applications; Vol. 38). Springer International Publishing. https://doi.org/10.1007/978-0-387-88630-5_17