Electrocorticographic Network Feature Space Constriction as a Preictal Biomarker

In patients with epilepsy, seizures are associated with pathological neural synchronization. However, the preictal period preceding a seizure often exhibits reduced spatial synchronization compared to normal cognition. This observation aligns with the concept of the brain as a complex dynamical system, where a reduction in dimensionality and resilience can precede a phase transition. The Critical Brain Hypothesis suggests a connection between the loss of healthy scale-free behavior and various disorders, including epilepsy. Our study investigates preictal changes by utilizing network features, such as mean node degree and mean clustering coefficient, derived from thresholded correlation matrices of patient intracranial electrocorticographic electrode data. We observed a suppression of intermittent high-synchronization periods within the feature space during the minutes leading up to seizure onset. This constriction of the explored hypervolume in the preictal state indicates a breakdown in the brain's ability to maintain normal coherence. We use these preictal changes to predict the probability of seizure onset using a Support Vector Machine algorithm. These discrete predictions can then be combined into real-time continuous seizure risk forecasts via Bayesian updating. This innovative and computationally lightweight approach has the potential to significantly improve upon static predictions, providing opportunities for more adaptable, quantitative, and interpretable tools for managing seizures.