Objective: In terms of dynamical system theory the rapid alteration of elec
tromagnetic brain signal properties observed with transition from intericta
l into ictal epileptic activity implies an alteration between at least two
dynamical states (attractors). We explored whether such a multistability is
reflected also in the dynamical characteristics of the interictal signal.
Methods: A combined method consisting of structural MRI, multichannel magne
toencephalography (MEG) and the non-linear dynamics was applied for the det
ection of subthreshold interictal activity in temporal lobe epilepsy. Emplo
ying multichannel MEG we calculated local Lyapunov exponents (ILE) as a mea
sure of the probability of state transitions in patients with mesiotemporal
and extra-mesiotemporal focal epilepsy.
Results: The spatial distribution of the variability of ILE was found to be
correlated to the side of the epileptic focus, thus, providing a reliable
estimate of its localization.
Conclusion: Our results demonstrate that interictal epileptic activity is c
haracterized by an increase of the number of transitions between different
attractors. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.