Abstract
Electrophysiological experiments have long revealed the existence of two-way transitions between absence and tonic-clonic epileptic seizures in the cerebral cortex. Based on a modified spatially-extended Taylor & Baier neural field model, we here propose a computational framework to mathematically describe the transition dynamics between these epileptic seizures. We first demonstrate the existence of various transition types that are induced by disinhibitory functions between two inhibitory variables in an isolated Taylor & Baier model. Moreover, we show that these disinhibition-induced transitions can lead to stable tonic-clonic oscillations as well as periodic spike with slow-wave discharges, which are the hallmark of absence seizures. We also observe fascinating dynamical states, such as periodic 2-spike with slow-wave discharges, tonic death, bursting oscillations, as well as saturated firing. Most importantly, we identify paths that represent physiologically plausible transitions between absence and tonic-clonic seizures in the modified spatially-extended Taylor & Baier model.
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Introduction
Absence and tonic-clonic seizures in epilepsy are two types of primary generalized seizures1,2,3,4, which represent the pathological brain rhythms involving the whole cortical region in humans. They can be typically distinguished by their inherent features. For grand-mal seizures, there exists a tonic phase in the electroencephalograph (EEG)3, which can be characterized by the neural paroxysmal fast activity with high frequency (>13 Hz) and low amplitude. And, clinical manifestation has shown that it can be characterized by the tense of muscles5, typically preictal awareness and consciousness6 and invariably postictal unconsciousness7. Furthermore, the EEG also shows that tonic oscillation can be generally followed by the evolution into low frequency and high amplitude slow-wave oscillation, which is also known as clonic phase of epileptic seizures2,3. Studies have shown that absence epilepsy that mainly occurs in children and adolescents, is a petit-mal seizures, whose EEG and clinical features are evidently different from those of tonic-clonic seizures8,9,10,11,12,13,14. In the absence seizures, patients’ consciousness can be suddenly and transiently deprived6 along with the EEG characteristics of periodic spike and slow-wave (~2–4 Hz) complexes15. Compared to humans, rodent models for the absence seizures in epilepsy can generate spike and slow-wave oscillations in the relatively fast frequency (5–10 Hz)16, which has been demonstrated to be dependent on the GABAergic conductances of the relay neurons in thalamus16,17,18,19,20,21. Generally, periodic spike and slow-wave discharges are bilaterally synchronous through clinical observations and also well structured2,8.
It is generally believed that epileptic seizures including tonic-clonic and absence seizures can be induced by the abnormal interactions within the corticothalamic system composed of the cerebral cortex and thalamus18,20,22,23,24,25,26,27,28,29,30,31. This can be supported by the simultaneous recordings from the cortex and thalamus of either the rodent animal models32 or clinical patients33. Due to the common anatomical nature, both the tonic-clonic and absence seizures can usually alternatively appear in one complete recording from the same patient15,34,35. The evidences from clinical experiments have demonstrated that tonic-clonic activity can evolve from absence seizure36 and a tonic seizure that can be accompanied by the absence seizure37. Hence, absence tonic-clonic seizure and tonic absence seizure have been termed as the two typical type of seizures36,37.
We know that firing behaviors of neural systems are very complex due to the complexity of every neuron and the influence from the surrounding nerve cells. Investigations of the computational model can uncover some mechanisms of neural behaviors and their transitions including absence and tonic-clonic seizures38. Some literatures related to the neuronal network have focused on the research of brain activity, the magnitude of neurons and simplified sparse connections within the local brain dynamics39,40,41. However, it is still intractable to develop good computational model, which can be matchable to the clinical and experimental results of realistic brain dynamics. As a low computation and complexity alternative, the neural field model can be used to describe the large-scale dynamics of neuronal populations within the cerebral cortex that reproduces the realistic firing rates for each neuronal population1,42. Because it is over-simplified, the neural field model can not yet represent realistic evolutions of the neural population activities and its spatial distribution.
It is well known that the spatially-extended neural field model network can be taken as a compromise43,44,45,46. It is composed of neural field model representing the large-scale dynamics47 of local cerebral cortex on various distantly and globally distributed space locations. Due to its validity on both the local and global scales, the spatially-extended field model network can well produce typical dynamical behaviors of neural systems, which can be a good prototype of macroscopic absence seizure in epilepsy43. Both the absence and tonic-clonic seizures are pathological nonlinear phenomena in the EEG of patients with epileptic disorders. Up to now, their spatiotemporal features have not yet been well understood. Presently, we develop computational mathematical models to provide the way to investigate macroscopically the hypersynchronized pathological behavior of epilepsy seizures. In particular, we study the transition dynamics of absence and tonic-clonic seizures and the spatiotemporally synchronous evolutions of epileptic seizures by means of an isolated modified Taylor & Baier model and the spatially-extended modified Taylor & Baier model.
Results
We first modify the original model of Taylor & Baier43 (see Fig. 1(a)) by introducing the inhibition effects between two inhibitory populations I1 and I2 (see Fig. 1(b)). And then, based on electrophysiological experiments, we extend a spatial Taylor & Baier network model (see Fig. 2) to investigate its transition dynamics, which can be related to the epileptic seizures. Importantly, the transitional dynamics between absence and tonic-clonic seizures will be indeed explored. In particular, we will consider the mutually disinhibitory functions between I1 and I2, i.e., parameters κ5 and κ7, to study the transitional dynamics of the single modified Taylor & Baier model and spatially-extended network, respectively, as the disinhibitory effect is introduced.
Transition dynamics in an isolated modified Taylor & Baier model
In this section, we mainly investigate the dynamics of the isolated modified Taylor & Baier model induced by the mutually disinhibitory functions as the parameters κ5 and κ7 change. Results of Fig. 3 show that the single modified Taylor & Baier model can display rich dynamics as the inhibitory coupling strength κ5 or κ7 varies. In particular, from the upper panel of Fig. 3(a), it can be clearly seen that the dynamics of the modified Taylor & Baier model firstly transits from the periodic 2-spike and slow-wave discharges to the 1-spike and slow-wave discharges as the parameter κ5 changes with fixing κ7 = 0.05. Afterwards, transition to the simple tonic discharges can be found with further increasing κ5. For the larger value of κ5, the single modified model can exhibit tonic death oscillations, which occurs around κ5 = 3. Similarly, when we take κ5 = 0.05, bifurcation scenario of an isolated modified Taylor & Baier model is plotted in Fig. 3(b) as the parameter κ7 varies. Obviously, we can also find rich transitions from the periodic 2-spike with slow-wave discharges to the 1-spike with slow-wave discharges, finally to saturated firing as the parameter κ7 increases. In addition, variations of the corresponding dominant frequency are also given in the lower panels of Fig. 3, where we can observe two sudden jumps and one sudden dive in frequencies corresponding to the transitions of different firing states. Moreover, compared Fig. 3(a) with Fig. 3(b), it can be found that as κ7 is fixed, the inhibitory effect of I2 on I1, i.e., κ5 can induce high-frequency oscillations, while the inhibitory action of I1 on I2, i.e., κ7 can lead to low-frequency oscillations with step-likely decreasing frequencies when κ5 is fixed. Hence, both κ5 and κ7 can induce evident and stable periodic spike and slow-wave discharges, which are the key EEG feature of the pathological absence seizure in epilepsy. Also, moderate values of κ5 and κ7 can produce simple tonic (see Fig. 3(a)) and slow-wave (clonic) oscillations (see Fig. 3(b)), respectively.
For a clearer vision, Fig. 4 shows the typical time series of the spatial mean of the excitatory populations E and the two inhibitory populations I1, I2 and corresponding phase-plane portraits of E verse I1 and I2, respectively with some combinations of the parameters κ5 and κ7. Particularly, as κ7 = 0.05, we take κ5 = 0.05, 0.2, 2, 3, respectively. And then, we can observe the complex transitions from the periodic 2-spike with slow-wave discharges (Fig. 4(a)), periodic 1-spike with slow-wave discharges (Fig. 4(b)) to the low-amplitude high-frequency tonic discharge (Fig. 4(c)) and finally to the tonic death oscillation (Fig. 4(d)), respectively. Also, as we fix κ5 = 0.05, apart from the dynamics similar to the above, we can observe other discharge patterns such as high-amplitude low-frequency slow-wave (clonic) oscillation (Fig. 4(e)) and saturated firing (Fig. 4(f)) as κ7 = 0.6 and 0.9, respectively. Hence, it is concluded that increasing κ5 can initially induce the transition from periodic spike with slow-wave discharges representing absence seizure to tonic epileptic seizure and finally to the termination of epileptic seizures characterized by the tonic death oscillation. And, the larger κ7 can eventually lead to the saturated discharge of neuronal populations.
In order to investigate the overall dynamics transition of an isolated modified Taylor & Baier model as shown in Fig. 5, we depict the state transitions (Fig. 5(a)) and corresponding dominant frequency (Fig. 5(b)) of this isolated modified Taylor & Baier model as the two inhibitory coupling strengths κ5 and κ7 are changed. In particular, it can be seen in Fig. 5(a) that there are five types of firing states, which are denoted as: I: periodic 2-spike with slow-wave discharges, II: periodic 1-spike with slow-wave discharges, III: simple oscillations, IV: tonic death oscillation and V: saturated firing. Furthermore, for the type III: simple oscillations, according to the oscillatory frequency (Fig. 5(b)), it can be classified into IIIa: low-amplitude (~ ≤ 0.6, similarly hereinafter) and high-frequency (~ ≥ 25 Hz, similarly hereinafter) tonic and IIIb: high-amplitude and low-frequency slow-wave (clonic) oscillations. For small κ5 and κ7, the system exhibits the 2-spike slow-wave discharges in the state ‘I’ as shown in the left bottom of Fig. 5(a). And, as they become larger, the system firstly transits to the ‘II’ state and successively to the ‘IIIb’ with the slow-wave (clonic) discharge. With the further increasing κ5 and κ7, the system can transit either to the state ‘V’, saturated firing for all the κ5 and when κ7 is above 0.75, or to the states ‘IIIa’ and ‘IV’ as the κ7 < 0.5 and κ5 increases successively through the boundaries of these two states, respectively. Still, when the κ5 and κ7 lie in the state ‘IIIa’ where whether decreasing κ5 or increasing κ7, i.e., weakening the disinhibitory coupling action of I2 on I1 or strengthening the disinhibitory function of I1 on I2, can induce the state ‘IIIb’. According to the electrophysiological EEG observation, this can imply the transition from tonic to clonic seizures in epilepsy. Hence, state ‘III’ consisting of the ‘IIIa’ and ‘IIIb’ represents the parameter region of tonic-clonic seizure, which is a specific type of epilepsy seizure1,48. Also, the transition from state ‘II’ that indicates the physiologically epileptic absence seizure, to the state ‘III’ with the tonic-clonic seizure, or vice versa, is consistent with the electrophysiological observation for the patients with pathological epileptic behavior36,37. Moreover, for the small κ7, the κ5 can eventually induce the transition to the state ‘IV’: tonic death, which shows the seizure termination of pathological epileptic behavior described by this isolated modified Taylor & Baier model. But the larger κ7 can eventually lead to the saturated firing irrespectively of the value of κ5.
Firing transitions in the spatially-extended modified Taylor & Baier model
Based on the Taylor & Baier model43 and the Amari model49, we use the mode of “Mexican hat” connectivity (see Fig. 2(b)) to spatially expand the modified Taylor & Baier neural field network model on several space locations. The spatially-extended Taylor & Baier network model is illustrated as in Fig. 2(a). This spatially-extended network model can match the process of electrophysiological EEG measurement, where every individual Taylor & Baier model on the specific location is analogous to the cortical contact of every electrode used in the EEG measurement. This idea results from the fact that an isolated Taylor & Baier model is a neural field model that represents the activity of neuronal populations, which is equivalent to the space scale of local cerebral cortex of the electrode contacts. More importantly, this network dynamics model can provide a novel way to reveal the firing characters of neuronal populations on different locations and macroscopically investigate the spatiotemporal behaviors such as pathological synchronization of the cerebral cortex.
Next, we will explore firing dynamics of the spatially-extended network as some key parameters are changed. As depicted in Fig. 6(a), we can find three types of firing states, which are indicated as, A: 1-periodic spike with slow-wave discharges, B: simple oscillations and C: periodic bursting oscillations as the parameters κ5 and κ7 vary in the parameter region considered. Further investigations show that the region of ‘B’ can also be divided into two subregions according to the corresponding dominant frequency (see Fig. 6(b)), i.e., B1: low-amplitude and high-frequency tonic discharge and B2: high-amplitude and low-frequency slow-wave (clonic) oscillation. It is important to explore the physiological significance of transitions of various dynamical behaviors. Similar to the dynamical transitions of an isolated Taylor & Baier model, the transition from B1 to B2 looks like to be the shift of tonic-clonic, but actually can be not a physiological transition. It is because the fact that a real shift of tonic-clonic seizure in epilepsy is generally accompanied by the transition of asynchronous activity to coherent oscillations, even if this transitional mechanism remains yet unknown. However, Fig. 6(c) gives the synchronous evolution induced by κ5 and κ7, which is expressed by the log10x-transformed synchronous error (LTSE) for all the excitatory neuronal populations E. For most of the parameter regions, the network system shows super-synchronous state, in where the LTSE is lower than −6. But, for the region signed by ‘#’, LTSE is around −2, which represents relatively weak synchronous or asynchronous state50. From Figs. 6(a–c), it can be inferred that overlapping island belonging to both the region of B1 and the #-signed one, represents a weak synchronous tonic discharge. In addition, absence seizure can be characterized by super-synchronization and well structured periodic spike with slow-wave discharges. Hence, the paths indicated by the red or green double-headed arrows, as shown in Fig. 6(c), are possible biological transition paths from tonic-clonic to absence seizures (descendant or left-facing paths) and vice versa (ascendant or right-facing paths), because it is accompanied by the transitions from asynchronous activity, coherent oscillations and to super-synchronous state, respectively. Actually, some kinds of transitional paths can also be figured out within the parameter plane of (κ5, κ7), which depends on the specific physiological environment.
To better understand the firing transition, we plot typical bifurcation diagrams to explore this along the two paths indicated by the double-headed arrows (see Fig. 6(c)) with fixing κ5 = 0.05 and κ7 = 0.05, respectively. Fig. 7 shows the bifurcation diagrams (Upper panels) of different firing states, accompanied by the evolutions of their corresponding dominant frequencies (Middle panels) and synchronous errors (Lower Panels, see Fig. 7(a)), as the parameters κ5 and κ7 are independently changed, respectively. Compared Fig. 7 with Fig. 3, we can find that 2-spike slow-wave discharges and saturated firing disappear due to the interactions of neural populations within the Taylor & Baier network with only stable 1-periodic spike with slow-wave discharges and tonic discharge being kept. Meanwhile, the parameter intervals of periodic spike with slow-wave discharges are decreased while the ones of tonic discharge are increased. In addition, the dominant frequencies are reduced with κ5 increasing but become high as κ7 increases, as compared Fig. 7 with Fig. 3. Specially, it is noted that the spatially-extended neural field model network is of having the spatio-temporal pattern. As shown in the lower panel of Fig. 7(a), we can observe the changes of synchronous errors for the model network as κ5 increases. For the ascendant case of vertical path (and vice versa) in the Fig. 6(c), corresponding to the lower panel of Fig. 7(a), the log10x-transformed synchronous error (LTSE) gradually climbs up with κ5 increasing. However, around κ5 = 2.5, there exists a sharp jump entering into the “plateau phenomenon” of LTSE corresponding to the transient asynchronous state. Along with this, compared to the upper and middle panels of the Fig. 7(a), the firing state of the model network transits from the initial super-synchronous periodic spike with slow-wave discharges to the asynchronous level of simple tonic oscillation. Finally, there exists a sharp dive in the synchronous error which corresponds to the synchronous bursting activity. Similarly, for the right-facing case of horizontal path in the Fig. 6(c), we can see the transition from periodic spike with slow-wave discharges to the simple slow-wave (clonic) oscillation (see the upper and middle panels of the Fig. 7(b)) of the spatially-extended model network with κ5 increasing.
As typical examples, we choose several parameters on the two transition paths (see Fig. 6(c)) to visualize the firing behaviors in different types of state regions, as shown in Fig. 8, where Figs. 8(a,c,d) correspond to the vertical path while Figs. 8(a,b) correspond to the horizontal path. As κ5 = 0.05, κ7 = 0.05, which corresponding to the region ‘A’, time evolution of the network clearly displays the periodic spike and slow-wave discharges (see Fig. 8(a)), Figs. 8(b,c) show the slow-wave (clonic) oscillation and tonic discharge, which correspond to the regions ‘B2’ and ‘B1’ with (κ5, κ7) = (0.05, 0.9) and (1.5, 0.05), respectively. Interestingly, as (κ5, κ7) = (3, 0.05) within the region ‘C’, the network can behave as the periodic bursting oscillations (see Fig. 8(d)). This can be caused by the over-strong inhibition of I2 on I1, i.e., large κ5 = 3. In addition, from the lower panels of Fig. 8, we also see the highest level of activities for the excitatory neuronal populations E during the periodic spike and slow-wave discharges, while the tonic, slow-wave (clonic) and periodic bursting oscillations show the relatively low level of activities of excitatory populations.
Notedly, even though the Taylor & Baier model or its spatially-extended network can display various dynamical behaviors, it is our interest to physiologically represent the electrophysiologically observed transitions between tonic-clonic and absence seizures in epilepsy. By means of the above investigation of disinhibitory effect within the modified Taylor & Baier model, we can indeed explore the disinhibition-induced synchronous evolution and the physiological transitions between tonic-clonic and absence seizures in epilepsy.
Discussion
Based on the proposed dynamic models of neural populations, we have investigated the disinhibitory effect of inhibitory variables I1 and I2 on firing transitions of neural populations. The results have revealed that an isolated Taylor & Baier neural field model can show rich dynamical transitions including periodic spike with slow-wave discharges, simple tonic and slow-wave (clonic) oscillations as disinhibitory coupling strengths between I1 and I2 are changed. In addition, we further studied dynamics transition of the spatially-extended Taylor & Baier network consisting of several units in the “Mexican hat” connectivity as used in the original Taylor & Baier model or the original Amari model. Due to the interactions within the Taylor & Baier network, it is shown that the network can only show the transition of stable periodic spike with slow-wave discharges and tonic and clonic slow-wave oscillations as compared to the case of a single modified Taylor & Baier model. Importantly, both the single Taylor & Baier model and the spatially-extended network can produce stable periodic spike with slow-wave discharges, tonic and clonic slow-wave oscillations on their respective specific parameter regions, which characterize physiological transitions between absence and tonic-clonic seizures of epileptic disorders.
In addition, in the region signed by ‘#’ in Fig. 6(c), which corresponds to the moderate disinhibition effect of I1 on I2 and strong disinhibition function of I2 on I1, the modified Taylor & Baier network can exhibit the asynchronous or weak synchronous behaviors. For some other regions, the network has high level of synchronization or super-synchronous state. Because electrophysiologically observed tonic-clonic shift is accompanied by evolution from asynchronous activity to consistent oscillation and absence seizure is characterized by super-synchronous periodic spike and slow-wave discharges, our results about the transitional routes between absence and tonic-clonic seizures in epilepsy can give some theoretical insights into understanding these two primary generalized epileptic seizures.
However, the mechanisms under the electrophysiologically observed transitions between generalized absence and tonic-clonic seizures are very complex and should be further explored in future. Such a complex nonlinear behavior of absence-tonic clonic(TC) transition can’t be caused by only the cerebral cortex but also the subcortical structures, e.g., absence seizure are known to arise in thalamo-cortical networks25,26,27,28,29,30,31 and basal ganglia plays a key regulation function in the absence seizure42 hence possibly influencing the absence-TC transition. Particularly, mutual functions among various structures of neural system are mainly modulated by the excitatory receptors and inhibitory ones such as GABAA and GABAB receptors performing the fast and slow time scales of inhibition effects, respectively. Presently, in order to tentatively provide the possible long and electrophysiologically observed absence-TC transition, we only considered a one layer cortical neural field model network, which is a spatially homogeneous ODE version of the original Taylor & Baier model with the addition of mutual functions of two cortical inhibitory neuronal populations. Therein, we numerically found that disinhibition may be a mechanism for the transition from tonic-clonic seizure to absence seizure, e.g. decreasing GABAA inputs can induce the occurrence of spike-wave behaviour. On the other hand, Cope et al. (2009)25 experimentally considered a more realistic perspective of thalamocortical (TC) network and demonstrated that augmented rather than impaired GABAA current in TC neurons of the somatosensory thalamus may be a feature of absence seizures28. Therefore, the fact that GABAA inputs have different functions for the absence seizure in the different structure domain perplexes the mechanism for the absence-TC transition. Hence, it is still a scientific problem worthy to be further discussed. Neural system is a complex network composed of multi-layer nervous structures including the cerebral cortex and subcortical structure. In the future, more components, e.g. thalamo-cortical loop as well as the contributions via projections to the formatio reticularis also should be taken into account to explore the transitional dynamics between various epileptic seizures, which will further broaden the approach beyond the technical perspective of neural system modelling to emphasize the realistic neural network framework and its clinical correspondence.
Also, EEG recording of a patient with epilepsy evolves over time, while our results are based on the parameterization plane of coupling strengths. So the continuous-time dynamics of connectivity functions in the original model should be introduced in our future work. Whereas our results initially and qualitatively represent physiologically plausible transitions between absence and tonic-clonic seizures in the modified spatially-extended Taylor & Baier model, further research is still needed to clarify the subtleties of EEG transitions and we do hope that our paper will be motivational to that effect.
Methods
The model considered here is a spatially-extend modified Taylor & Baier network, which is composed of several isolated Taylor & Baier neural field models on different space locations, in the form of “Mexican hat” connectivity as used in previous works43,49. The spatial extension of neural field model makes it possible to macroscopically investigate the spatiotemporal behaviors of distantly distributed neuronal populations.
An isolated modified Taylor & Baier model
Periodic spike and slow-wave discharges are traditionally considered as the homogeneous oscillations at the macroscopic spatial scale. Therefore, previous works exclusively neglected the spatial characteristics and only focused on the space-independent systems. To represent the periodic spike and slow-wave discharge dynamics of the cerebral cortex, Taylor & Baier43 extended the two-variable ODE of Amari model49 by adding a second inhibitory population. Hence, the resulting three-variable ODE has two competing but separate inhibitory mechanisms in this modified model. It has been confirmed that this competition can lead to robust periodic spike and slow-wave discharges dynamics43 when they operate on the different time-scales mediated by the inhibitory GABAA16,21 and GABAB17,18,19,20 receptors, respectively. Also, experimental result51 has demonstrated that there exists a basic disinhibitory circuit module in the mammalian cerebral cortex, which means that there are mutual effects among different inhibitory neurons that can not be simply ignored. Motivated by this, we incorporate the interactions between these two inhibitory populations into the modified version of Amari model43,49. The governing equations can be described as follows,
where E represents the excitatory neuronal population, I1 and I2 represent the two different types of inhibitory neuronal populations with two different fast and slow time scales, which are determined by the parameters τ1 and τ2, respectively. ε1,…ε3 are the additive constants as used in the modified version of Amari model, κ1,…κ7 are the connectivity parameters within different neuronal populations. is the sigmoid transition function as used in model of Taylor & Baier36, where υ determines the steepness and x=E, I1 and I2.
Spatially-extended modified Taylor & Baier model
Increasing evidence has suggested that there are significant spatial components in the generalised epileptic seizures3,44,45,46,52. To explore the spatial feature of neural populations, such as synchronization, the spatially-extended neural field network should be established. Following the works of Amari49 and Taylor & Baier43, by means of the form of “Mexican hat” connectivity we spatially expand the modified Taylor & Baier neural field model to much more spatial locations, thus forming the spatially-extended network. Its dynamics can be determined by the following coupled equations,
where, i, j = 1,…n are the number of spatial locations. Presently, we take n = 100 for our study. (κ1,…κ7) are the Mexican hat connectivity functions identical to the ones in Amari49. In our simulations, similar to Amari49, we use the periodic boundary conditions with one and two spatial dimensions to simulate these equations.
In addition, it is believed that cortical excitatory pyramidal neurons have sufficiently long axons which can produce significant propagation effect on the distant neuronal populations and also can be affected by these populations. However, other neural populations can only influence their adjacent areas due to the too short axons42. Hereby, in Eqs. (4, 5, 6), it is supposed that the excitatory populations can be coupled by the ones from all other locations, while the two inhibitory populations can only interact with the ones in the same locations.
Additional Information
How to cite this article: Fan, D. et al. Disinhibition-induced transitions between absence and tonic-clonic epileptic seizures. Sci. Rep. 5, 12618; doi: 10.1038/srep12618 (2015).
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Acknowledgements
This research was supported by the National Science Foundation of China (Grants 11325208 and 11172017), the Research Fund for the Doctoral Program of Higher Education (Grant 20121102110014), the Deanship of Scientific Research, King Abdulaziz University (Grant 76-130-35-HiCi), by the Slovenian Research Agency (Grant P5-0027) and the Innovation Foundation of BUAA for PhD Graduates.
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D.F., Q.W. and M.P. designed and performed the research as well as wrote the paper.
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Fan, D., Wang, Q. & Perc, M. Disinhibition-induced transitions between absence and tonic-clonic epileptic seizures. Sci Rep 5, 12618 (2015). https://doi.org/10.1038/srep12618
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DOI: https://doi.org/10.1038/srep12618
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