On the Centrality of the Focus in Human Epileptic Brain Networks

There is increasing evidence for specific cortical and subcortical large-scale human epileptic networks to be involved in the generation, spread, and termination of not only primary generalized but also focal onset seizures. The complex dynamics of such networks has been studied with methods of analysis from graph theory. In addition to investigating network-specific characteristics, recent studies aim to determine the functional role of single nodes---such as the epileptic focus---in epileptic brain networks and their relationship to ictogenesis. Utilizing the concept of betweenness centrality to assess the importance of network nodes, previous studies reported the epileptic focus to be of highest importance prior to seizures, which would support the notion of a network hub that facilitates seizure activity. We performed a time-resolved analysis of various aspects of node importance in epileptic brain networks derived from long-term, multi-channel, intracranial electroencephalographic recordings from an epilepsy patient. Our preliminary findings indicate that the epileptic focus is not consistently the most important network node, but node importance may drastically vary over time.