Understanding the Spatio-Temporal Coupling of Spikes and Spindles in Focal Epilepsy Through a Network-Level...

The electrophysiological findings have shown that epileptiform spikes triggering sleep spindles within 1[Formula: see text]s across multiple channels are commonly observed during sleep in focal epilepsy (FE). Such spatio-temporal couplings of spikes and spindles (STCSSs) are defined as a kind of pathological waves, and frequent emergence of them may cause the degradation of cognitive function for FE patients. However, the neural mechanisms underlying STCSSs are not well understood. To this end, this work first develops a neural mass network model for focal epilepsy (FE-NMNM) with multiple thalamocortical columns being its nodes and the long-range synaptic interactions of thalamocortical columns being its edges, where each thalamocortical column is extended on the basis of Costa model and then they are connected through excitatory synapses between pyramidal cells. Then, how the cortico-cortical connectivity affects the evolution of STCSSs across the network is especially discussed by simulations in two cases, where the inter-ictal state and the ictal state are considered separately. Simulation results demonstrate that: (1) the more STCSSs occur in a more extensive area when the cortico-cortical connectivity becomes stronger, and the significant increase of coupling discharges is attributed to the presence of abundant spikes; (2) when the connectivity is excessively strong, the cortical hyperexcitability will happen, thereby inducing massive spike discharges which may further inhibit the occurrence of spindles, and hence, resulting in the disappearance of STCSSs. The obtained results provide a mechanistic insight into STCSSs, and suggest that such coupling patterns could reflect widespread network dysfunction in FE, thereby potentially advancing therapeutic strategies for FE.