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The electrophysiological findings have shown that epileptiform spikes triggering sleep spindles within 1[Formula: see text]s across multiple channels are commonly observed during sleep in focal epilepsy (FE). Such spatio-temporal couplings of spikes and spindles (STCSSs) are defined as a kind of pathological waves, and frequent emergence of them may cause the degradation of cognitive function for FE patients. However, the neural mechanisms underlying STCSSs are not well understood.

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