Epileptic seizure suppression: A computational approach for identification and control using real data

PLoS One. 2024 Feb 28;19(2):e0298762. doi: 10.1371/journal.pone.0298762. eCollection 2024.

Abstract

Epilepsy affects millions of people worldwide every year and remains an open subject for research. Current development on this field has focused on obtaining computational models to better understand its triggering mechanisms, attain realistic descriptions and study seizure suppression. Controllers have been successfully applied to mitigate epileptiform activity in dynamic models written in state-space notation, whose applicability is, however, restricted to signatures that are accurately described by them. Alternatively, autoregressive modeling (AR), a typical data-driven tool related to system identification (SI), can be directly applied to signals to generate more realistic models, and since it is inherently convertible into state-space representation, it can thus be used for the artificial reconstruction and attenuation of seizures as well. Considering this, the first objective of this work is to propose an SI approach using AR models to describe real epileptiform activity. The second objective is to provide a strategy for reconstructing and mitigating such activity artificially, considering non-hybrid and hybrid controllers - designed from ictal and interictal events, respectively. The results show that AR models of relatively low order represent epileptiform activities fairly well and both controllers are effective in attenuating the undesired activity while simultaneously driving the signal to an interictal condition. These findings may lead to customized models based on each signal, brain region or patient, from which it is possible to better define shape, frequency and duration of external stimuli that are necessary to attenuate seizures.

MeSH terms

  • Brain
  • Electroencephalography* / methods
  • Epilepsy*
  • Humans
  • Seizures
  • Writing

Grants and funding

This work was supported by: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES (code 001, granted to E.A.C., and 88887.481049/2020-00, granted to J.A.F.B.), Conselho Nacional de Desenvolvimento Científico e Tecnológico - CNPq: 442563-2016/7, granted to J.F., CNPq/MCT-Instituto Nacional de Neurociência Translacional (INNT): 573604/2008-8, granted to E.A.C., Universidad Nacional Autónoma de Honduras (CU-O-041-05-2014, granted to S.Z.R G.). The sponsors/funders did not play any role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. There was no additional external funding received for this study.