Bursts of seizures in long-term recordings of human focal epilepsy.
Philippa J KarolyEwan S NurseDean R FreestoneHoameng UngMark J CookRay BostonPublished in: Epilepsia (2017)
We have previously hypothesized that there are distinct physiologic pathways underlying short- and long-duration seizures. Herein we show that burst seizures fall almost exclusively within the short population of seizure durations; however, a short duration event was not sufficient to induce or imply bursting. We can therefore conclude that in addition to distinct mechanisms underlying seizure duration, there are separate factors regulating bursts of seizures. We show that bursts were a robust phenomenon in our patient cohort, which were consistent with overdispersed seizure rates, suggesting long-memory dynamics.