Abstract

BackgroundHigh-frequency oscillations (HFOs) have received much attention in recent years, particularly in the clinical context. In addition to their application as a marker for pathological changes in patients with epilepsy, HFOs have also been brought into context with several physiological mechanisms. Furthermore, recent studies reported a relation between an increase of HFO rate and age in invasive EEG recordings. The present study aimed to investigate whether this relation can be replicated in scalp-EEG.MethodsWe recorded high-density EEG from 11 epilepsy patients at rest as well as during motor performance. Manual detection of HFOs was performed by two independent raters following a standardized protocol. Patients were grouped by age into younger (<25 years) and older (>50 years) participants.ResultsNo significant difference of HFO-rates was found between groups [U = 10.5, p = 0.429, r = 0.3].ConclusionsLack of replicability of the age effect of HFOs may be due to the local propagation patterns of age-related HFOs occurring in deep structures. However, limitations such as small sample size, decreased signal-to-noise ratio as compared to invasive recordings, as well as HFO-mimicking artifacts must be considered.

Highlights

  • In the last 2 decades high frequency oscillations (HFOs) have been studied extensively [1, 2]

  • Using scalp-EEG we examined a possible relationship between age and HFO activity by comparing HFO rates between older and younger patients suffering from epilepsy as well as healthy controls

  • Because of the relatively small number of identified ripples, we looked at the overall HFO rate, where in addition to ripples, we included unclear HFOs (HFO = ripples + uHFO)

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Summary

Introduction

In the last 2 decades high frequency oscillations (HFOs) have been studied extensively [1, 2]. These HFOs are considered as oscillatory field potentials in the gamma- or high gamma band standing out of the oscillatory background activity showing a regular morphology that can be classified as ripples (80–250 Hz) and fast ripples (>250 Hz) [3]. High-frequency oscillations (HFOs) have received much attention in recent years, in the clinical context. In addition to their application as a marker for pathological changes in patients with epilepsy, HFOs have been brought into context with several physiological mechanisms. Recent studies reported a relation between an increase of HFO rate and age in invasive EEG recordings. The present study aimed to investigate whether this relation can be replicated in scalp-EEG

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