Roman
Project Title
Simulation of Cone Responses for Photosensitive Epilepsy
Introduction
Photosensitive epilepsy occurs in patients who experience seizures when presented with flashing lights. In 1997, thousands of children reported being affected by watching a pokemon episode in Japan. While many these symptoms did not turn out to be seizures, 700 of these children did experience epileptic seizures caused by flashing lights in this pokemon episode [1].
Background
Epidemiology Photosensitive epilepsy affects 10% of children who have been diagnosed with epilepsy, while only 4% of adults affected by epilepsy suffer seizures triggered by visual stimuli [2]. Not all visual stimuli are equally linked to photosensitive epilepsy. Rapid red lights flashing are more likely to trigger photosensitive epileptic seizures, perhaps due to how they stimulate red cones [3]. Additionally, multicolor modulations are also highly epileptic, specially red and blue modulations at 15 hz [2].
Electrophysiology Using EEG, doctors can non-invasively record brain activity in epileptic patients. The photoparoxysmal response (PPR) is an abnormal and amplified pattern of brain activity observed only in epileptic patients while observing flashing stimuli [4]. Recent unpublished data shows that PPRs are observed in more patients when observing a red light flashing stimulus compared to when observing other light colors [5].
Research Goals
While researchers have identified the stimuli and brain responses associated with epilepsy, elucidating the mechanisms that transform epileptic stimuli into epileptic cortical responses is a challenging task. Studying how the human eye processes stimuli and transforms them into electrical signals is difficult without using invasive methods. However, recent tools are designed to carry out computer simulations of the human eye.
Questions
Using the Image System Engineering Toolbox for Biology (ISETBIO), a toolbox to simulate processes at the front-end of the visual system [6], we ask:
1. How does the human eye process stimuli that may trigger epileptic seizures?
2. Could cone activity intensify when processing epileptic stimuli (i.e. red lights)?
Hypotheses
More specifically we test the following hypotheses:
1. Compared to M-cones and S-cones, L-Cones absorb more photons in red stimuli.
2. PPRs caused by colored stimuli are correlated with cone absorption levels.
3. Red flashing stimuli will trigger Photocurrents with a larger dynamic range in L-Cones compared to M-cones and S-cones.
Appendix
References
[1] Radford, B., & Bartholomew, R. (2001). Pokémon contagion: photosensitive epilepsy or mass psychogenic illness?. Southern medical journal, 94(2), 197-204.
[2] Parra, J. (2017). Epileptic Photosensitivity: Towards Implementation of Preventative Measures. In Converging Clinical and Engineering Research on Neurorehabilitation II(pp. 103-106). Springer International Publishing.
[3] Harding, G. R. (1998). TV can be bad for your health. Nature medicine, 4(3), 265-267.
[4] Fisher, R. S., Harding, G., Erba, G., Barkley, G. L., & Wilkins, A. (2005). Photic‐and pattern‐induced seizures: a review for the Epilepsy Foundation of America Working Group. Epilepsia, 46(9), 1426-1441.
[5] Kasteleijn-Nolst-Trenité, unpublished data.