Intracarotid amobarbital disrupts synchronous and nested oscillatory activity ipsilateral to injection

James J. Young , Joshua S. Friedman , Thomas J. Oxley , Christina Palmese , Fedor Panov , Saadi Ghatan , Johanna T. Fifi , Lara V. Marcuse
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Abstract

The mechanism of amobarbital action during the intracarotid amobarbital procedure is poorly understood. We report a patient case who underwent IAP while implanted with bilateral stereo-EEG. We analyzed the spectral power, phase amplitude coupling, and cluster-phase group synchrony during the procedure. Delta and gamma power increased bilaterally. By contrast, phase amplitude coupling increased only ipsilateral to the injection. Similarly, 4–30 Hz cluster-phase group synchrony declines and gamma cluster-phase group synchrony increases only ipsilateral to the injection. These results suggest that a possible additional mechanism for amobarbital action in the IAP is by altering the precise timing of oscillatory activity.

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颈动脉内阿巴比妥破坏同侧注射的同步和嵌套振荡活动
在颈动脉内阿莫巴比妥治疗过程中,阿莫巴比妥的作用机制尚不清楚。我们报告一例在植入双侧立体脑电图的同时接受IAP的患者。在此过程中,我们分析了谱功率、相位振幅耦合和簇-相群同步。双侧δ和γ能量增加。相反,相位振幅耦合仅在注射的同侧增加。同样,4-30 Hz的簇相群同步性下降,伽马簇相群同步性增加。这些结果表明,阿莫巴比妥作用于IAP的一个可能的附加机制是通过改变振荡活性的精确时间。
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