HOUSE_OVERSIGHT_013722.jpg

1.87 MB

Extraction Summary

10
People
1
Organizations
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Locations
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Events
4
Relationships
1
Quotes

Document Information

Type: Scientific paper / academic review (page 222)
File Size: 1.87 MB
Summary

This document is page 222 of a scientific paper or report discussing the use of EEG and Lyapunov exponents (chaos theory mathematics) to predict epileptic seizures. It reviews literature from the late 1980s and 1990s regarding brain mechanisms and seizure anticipation. While the text is purely academic, the Bates stamp 'HOUSE_OVERSIGHT_013722' indicates it was part of the Congressional investigation into Jeffrey Epstein, likely related to his funding of scientific research or his association with scientists.

People (10)

Name Role Context
Babloyantz Researcher
Cited for reporting first EEG findings in epilepsy (1986)
Destexhe Researcher
Co-author with Babloyantz (1986)
Iasemidis Researcher
Cited for studies on seizure anticipation and Lyapunov exponents (listed as Iasemedia in one instance, Iasemidis in o...
Frank Researcher
Cited for confirming EEG findings (1990)
Elger Researcher
Cited for confirming findings using intracranial recordings (1998)
Lehnertz Researcher
Co-author with Elger (1998)
Krystal Researcher
Cited for psychiatric patient studies involving electroconvulsive shock treatment (1991)
Weiner Researcher
Co-author with Krystal (1991)
Martinerie Researcher
Cited for scalp EEG recording studies (1998)
Sackellares Researcher
Co-author with Iasemidis regarding drug management and seizure prediction (1996)

Organizations (1)

Name Type Context
House Oversight Committee
Source of the document via Bates stamp HOUSE_OVERSIGHT_013722

Relationships (4)

Babloyantz Co-authors Destexhe
Citation (Babloyantz and Destexhe, 1986)
Elger Co-authors Lehnertz
Citation (Elger and Lehnertz, 1998)
Krystal Co-authors Weiner
Citation (Krystal and Weiner, 1991)
Iasemidis Co-authors Sackellares
Citation (Iasemidis and Sackellares, 1996)

Key Quotes (1)

"The most exciting potential application of this approach is its use, in real time, for the prediction and prophylactic treatment of incipient seizures, minutes to hours before the event, in place of or augmenting long term drug management"
Source
HOUSE_OVERSIGHT_013722.jpg
Quote #1

Full Extracted Text

Complete text extracted from the document (2,258 characters)

known or explorable brain mechanisms, one might argue that at this early stage of the work it would be more desirable to simply report the quantitative findings, leaving unanswerable questions about ultimate causality for later discussion (see below).
The first EEG λ(+) was reported in a patient with epilepsy (Babloyantz and Destexhe, 1986) which was confirmed by others (Iasemedia et al, 1988; Frank et all, 1990). An important study of simultaneous time series from 16 subdural electrodes placed in the right temporal cortex of a patient with a right medial temporal lobe epileptogenic focus demonstrated that a decrease in a single lead’s λ(+) reliably anteceded and localized the first signs of the incipient seizure. The rest of the leads followed with similarly decreased positivity in their leading Lyapounov exponents associated with spatially coherent patterns of behavior. In addition, the averaged value of the leading Lyapounov exponents in the 16 leads increased post-ictally over the averaged values of λ(+) in the pre-ictal state (Iasemidis et al, 1988,1990). These findings, including seizure anticipation for 25 minutes, were confirmed using intracranial recordings in 16 patients with temporal lobe epilepsy (Elger and Lehnertz, 1998). The para-ictal decrease and post-ictal increase in λ(+) found in patients with focal temporal lobe seizures was confirmed more generally in left and right pre-frontal-to-mastoid EEG recordings made before, during and after electroconvulsive shock treatment of psychiatric patients (Krystal and Weiner, 1991). Pre-ictal changes were also found six minutes before seizure onset from scalp EEG recordings in 17/19 patients with chronic focal epilepsy (Martinerie et al, 1998). The most exciting potential application of this approach is its use, in real time, for the prediction and prophylactic treatment of incipient seizures, minutes to hours before the event, in place of or augmenting long term drug management (Iasemidis and Sackellares, 1996).
There is a growing literature about leading Lyapounov exponent(s) in the reconstructed attractor of the EEG associated with a variety of normal and pathological human behavioral states. For examples, two and sometimes three
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HOUSE_OVERSIGHT_013722

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