Abstract

Despite widespread using electroencephalography (EEG) and Doppler ultrasound in pediatric neurology clinical practice, there are still no well-known correlations between these methods that could contribute to a better understanding of brain processes and development of neurological pathology. This study aims to reveal relationship between EEG and Doppler ultrasound methods. We compared two cohorts of adults and preschool children with no history of neurological or mental diseases. The data analysis included investigation of EEG and carotid blood flow indexes, which are significant in neurological diagnosis, as well as calculation of linear and non-linear EEG parameters and ratios between the systolic peak velocities of carotid arteries and carotid blood asymmetry. We have found age-dependent correlations between EEG and power Doppler ultrasound imaging (PDUI) data. Carotid blood flow asymmetry correlated with delta-rhythm power spectral density only in preschoolers. The ratios of blood flow velocities in the internal carotid arteries to those in the common carotid arteries correlated with higher peak alpha frequency and lower fractal dimension; moreover, they were associated with lower Epworth sleepiness scale scores. The study revealed significant correlations between EEG and PDUI imaging indexes, which are different for healthy children and adults. Despite the fact that the correlations were associated with non-clinical states such as overwork or stress, we assumed that the investigated parameters could be applicable for clinical trials.

Highlights

  • Transcranial Doppler ultrasonography and electroencephalography are widely used in clinical practice

  • The 6–8 Hz Power Spectral Density (PSD) in the group of children was significantly higher compared to adults, and 10–12 Hz PSD was higher in the group of adults compared to children (F(1, 72) = 13.5583, p = 0.00021)

  • Power Doppler ultrasound imaging of carotid arteries of patients in acute states could provide evidence of brain damage that is registered by EEG

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Summary

Introduction

Transcranial Doppler ultrasonography and electroencephalography are widely used in clinical practice. In pediatric neurology, these methods are the basis for diagnosing neurological and developmental diseases [1,2]. There are still no well-known correlations between electroencephalography (EEG) and Doppler ultrasound data that could contribute to a better understanding of brain processes and development of neurological pathology. The variability of power Doppler ultrasound imaging (PDIU) data was earlier referred to the developmental problems in preschoolers [3]. The most significant impact of ultrasound findings, especially for speech development, was related to blood flow asymmetry [4]. The other correlation between children’s neurological status and ultrasound indexes has been associated with velocity ratios in carotid and cerebral arteries. Abnormalities in the cerebral blood flow have been considered as crucial contributors to the pathogenesis of periventricular white matter lesions in

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