Anterior Electrodes Research Articles

Quantitative EEG biomarkers for STXBP1-related disorders.

EEG patterns and quantitative EEG (qEEG) features have been poorly explored in monogenic epilepsies. Herein, we investigate regional differences in EEG frequency composition in patients with STXBP1 developmental and epileptic encephalopathy (STXBP1-DEE). We conducted a retrospective study collecting electroclinical data of patients with STXBP1-DEE and two control groups of patients with DEEs of different etiologies and typically developing individuals matched for age and sex. We performed a (1) visual EEG assessment, (b) qEEG analysis, and (c) electrical source imaging (ESI). We quantified the relative power (RP) of four frequency bands (α β, θ, δ), in two electrode groups (anterior/posterior), and compared their averages and dynamics (standard deviation [SD] over time). The ESI was performed by applying the standard Distributed Source Modeling algorithm. We analyzed 42 EEG studies in 19 patients with STXBP1-DEE (10 female), with a median age at recordings of 9.6 years (range 9 months to 29 years). The δRP was higher in recordings of STXBP1-DEE (p < .001) compared to both control groups, suggesting the pathogenicity and STXBP1-specificity of these findings. In STXBP1-DEE, the δRP was significantly higher in the anterior electrode group compared to the posterior one (p = .003). There was no correlation between the anterior δRP and the epilepsy focus, age at recordings, and concomitant medications The ESI modeling of this activity showed a widespread involvement of the dorsomesial frontal cortex, suggesting a large corticosubcortical pathologic network. Finally, we identified two groups of recordings: cluster.1 with higher anterior δRP and low dynamics and cluster.2 with lower δRP and higher dynamics. Patients in cluster.1 had a more severe epilepsy and neurological phenotype compared to patients in cluster 2. The qEEG analysis showed a predominant frontal slow activity as a specific STXBP1 feature that correlates with the severity of the phenotype and may represent a biomarker for prospective longitudinal studies of STXBP1-DEE.

Comparing encoding mechanisms in realistic virtual reality and conventional 2D laboratory settings: Event-related potentials in a repetition suppression paradigm.

Although the human brain is adapted to function within three-dimensional environments, conventional laboratory research commonly investigates cognitive mechanisms in a reductionist approach using two-dimensional stimuli. However, findings regarding mnemonic processes indicate that realistic experiences in Virtual Reality (VR) are stored in richer and more intertwined engrams than those obtained from the conventional laboratory. Our study aimed to further investigate the generalizability of laboratory findings and to differentiate whether the processes underlying memory formation differ between VR and the conventional laboratory already in early encoding stages. Therefore, we investigated the Repetition Suppression (RS) effect as a correlate of the earliest instance of mnemonic processes under conventional laboratory conditions and in a realistic virtual environment. Analyses of event-related potentials (ERPs) indicate that the ERP deflections at several electrode clusters were lower in VR compared to the PC condition. These results indicate an optimized distribution of cognitive resources in realistic contexts. The typical RS effect was replicated under both conditions at most electrode clusters for a late time window. Additionally, a specific RS effect was found in VR at anterior electrodes for a later time window, indicating more extensive encoding processes in VR compared to the laboratory. Specifically, electrotomographic results (VARETA) indicate multimodal integration involving a broad cortical network and higher cognitive processes during the encoding of realistic objects. Our data suggest that object perception under realistic conditions, in contrast to the conventional laboratory, requires multisensory integration involving an interconnected functional system, facilitating the formation of intertwined memory traces in realistic environments.

The development of theta and alpha neural oscillations from ages 3 to 24 years

Intrinsic, unconstrained neural activity exhibits rich spatial, temporal, and spectral organization that undergoes continuous refinement from childhood through adolescence. The goal of this study was to investigate the development of theta (4−8 Hertz) and alpha (8−12 Hertz) oscillations from early childhood to adulthood (years 3–24), as these oscillations play a fundamental role in cognitive function. We analyzed eyes-open, resting-state EEG data from 96 participants to estimate genuine oscillations separately from the aperiodic (1/f) signal. We examined age-related differences in the aperiodic signal (slope and offset), as well as the peak frequency and power of the dominant posterior oscillation. For the aperiodic signal, we found that both the aperiodic slope and offset decreased with age. For the dominant oscillation, we found that peak frequency, but not power, increased with age. Critically, early childhood (ages 3–7) was characterized by a dominance of theta oscillations in posterior electrodes, whereas peak frequency of the dominant oscillation in the alpha range increased between ages 7 and 24. Furthermore, theta oscillations displayed a topographical transition from dominance in posterior electrodes in early childhood to anterior electrodes in adulthood. Our results provide a quantitative description of the development of theta and alpha oscillations.

Inhibitory control in prospective memory: An event related potential comparison of task-switch and dual task processing

This study cross-validates reported changes in behavioural and event-related potential (ERP) correlates of prospective memory (PM) inhibitory control performance applying different PM response selection demands (Bisiacchi et al., 2009). Participants were randomly assigned to a control group condition with no PM requirement, or to either inhibit ongoing task processing to respond to PM task cues (task-switch; TS) or provide an ongoing task response prior to providing a PM button press (dual-task; DT). The behavioural data indicated that ongoing task reaction time (RT) performance was similar in the DT, TS, and control group conditions. PM cue detection mechanisms reflected by the N300 did not differ between PM tasks. However, early occurring (400–700 ms) PM late parietal complex (LPC) amplitudes recorded over anterior electrode sites were larger in the TS compared to the DT-PM condition, and this difference persisted during the 700–1000 ms epoch. Thus, ERP correlates of PM task-set remapping were significantly altered via the induction of different PM response production rules retrieved from retrospective memory (RM). The enhancement of anteriorly distributed TS LPC amplitudes between 400 and 700 ms led to the suggestion that increased inhibition in this group condition was accompanied by heightened frontally mediated neural activations that support prepotent ongoing task response inhibition processing.

EEG Phase-Amplitude Coupling Strength and Phase Preference: Association with Age over the First Three Years after Birth.

Phase-amplitude coupling (PAC), the coupling of the phase of slower electrophysiological oscillations with the amplitude of faster oscillations, is thought to facilitate dynamic integration of neural activity in the brain. Although the brain undergoes dramatic change and development during the first few years of life, how PAC changes through this developmental period has not been extensively studied. Here, we examined PAC through electroencephalography (EEG) data collected during an awake, eyes-open EEG collection paradigm in 98 children between the ages of three months and three years. We employed non-parametric clustering methods to identify areas of significant PAC across a range of frequency pairs and electrode locations, and examined how PAC strength and phase preference develops in these areas. We found that PAC, primarily between the α-β and γ frequencies, was positively correlated with age from early infancy to early childhood (p = 2.035 × 10−6). Additionally, we found γ over anterior electrodes coupled with the rising phase of the α-β waveform, while γ over posterior electrodes coupled with the falling phase of the α-β waveform; this regionalized phase preference became more prominent with age. This opposing trend may reflect each region’s specialization toward feedback or feedforward processing, respectively, suggesting opportunities for back translation in future studies.

A systematic review of event-related potentials as outcome measures of attention bias modification.

Attention bias modification (ABM) was initially developed with the goal of reducing attentional bias to threat-and subsequently anxious symptoms-in individuals with heightened anxiety. Although controversial, ABM appears to be generally effective in achieving this goal. Yet, the primary outcome measure of ABM (i.e., the reaction time-based differences score) has poor reliability and temporal resolution, which limits the inferences that can be drawn. In contrast, event-related potentials (ERPs) have superior reliability as well as temporal resolution and may therefore be better outcome measures of ABM. In this review, I systematically assess the research using ERPs as outcome measures in ABM protocols. I focus on the extent to which the ERPs modified by ABM represent earlier or later stages of information processing. In addition, I explore the extent to which ABM produces near and/or far transfer of learning effects on ERP measures. The reviewed literature suggests that ERPs are promising outcome measures of ABM. ABM modulates the effects of affective stimuli on posterior visually evoked ERPs (i.e., P1) as well as ERPs at anterior electrodes (i.e., P2, N2, and ERN). Based on the state of the field, several directions for future research are identified.

Active compression versus standard anterior-posterior defibrillation for external cardioversion of atrial fibrillation: A prospective randomized study

Electrical cardioversion is the first-line rhythm control therapy for symptomatic persistent atrial fibrillation (AF). Contemporary use of biphasic shock waveforms and anterior-posterior positioning of defibrillation electrodes have improved cardioversion efficacy; however, it remains unsuccessful in >10% of patients. The purpose of this study was to assess the efficacy of applying active compression on defibrillation electrodes during AF cardioversion. We performed a bicenter randomized study including patients referred for persistent AF cardioversion. Elective external cardioversion was performed by a standardized step-up protocol with increasing biphasic shock energy (50-100-150-200 J). Patients were randomly assigned to standard anterior-posterior defibrillation or to defibrillation with active compression applied over the anterior electrode. If sinus rhythm was not achieved at 200 J, a single crossover shock (200 J) was applied. Defibrillation threshold, total delivered energy, number of shocks, and success rate were compared between groups. We included 100 patients, 50 in each group. In the active compression group, defibrillation threshold was lower (103.1 ±49.9 J vs 130.4 ± 47.7 J; P = .008), as well as total delivered energy (203 ± 173.3 J vs 309 ± 213.5 J; P = .0076) and number of shocks (2.2 ± 1.1 vs 2.9 ± 1.2; P = .0033), and cardioversion was more often successful (48 of 50 patients [96%] vs 42 of 50 patients [84%]; P = .0455) than that in the standard anterior-posterior group. Crossover from the compression group to the standard group was not successful (0 of 2 patients), whereas crossover from the standard group to the compression group was successful in 50% of patients (4 of 8). Active compression applied to the anterior defibrillation electrode is more effective for persistent AF cardioversion than standard anterior-posterior cardioversion, with lower defibrillation threshold and higher success rate.

Most Effective Pad Placement in Elective Cardioversion.

Most Effective Pad Placement in Elective Cardioversion.

How discourse constraints influence neurolinguistic mechanisms during the comprehension of proverbs.

We use event-related brain potential (ERP) methodology to examine the influence of the linguistic markers literally speaking and figuratively speaking on the comprehension of proverbs (e.g., The cat is out of the bag). Our results show that slow cortical potentials at anterior electrode sites varied in amplitude across the proverbs as a function of the presence or absence of the markers, the presence and absence of discourse contexts, and the familiarity of the proverbs. The results demonstrate that the integration of literal meaning into context is easier than figurative meaning, and argues against models of figurative language processing that hold that comprehenders are obligated either to first process the literal or figurative sense of the trope.

Comparing electrophysiological correlates of judgment of learning and feeling of knowing during face-name recognition

ABSTRACT We investigated the event-related potential (ERP) correlates of two metacognitive judgments, namely judgment of learning (JOL) and feeling of knowing (FOK) induced by a face-name recognition (FNR) task in 60 participants. The FNR produced N170 and P100 components at posterior, and an N100 component at anterior electrodes. Posterior P200, anterior N200 components were recorded during JOL and FOK judgments. Our data showed that ERP correlates of JOL and FOK emerge as rapidly as 200 ms following stimulus presentation, and these two metacognitive judgments are based on both perceptual fluency and conflict processes. However, these ERP components affected by the degree of JOL and FOK judgments. Thus, we concluded that even though JOL and FOK judgments produced similar ERP wave forms temporal dynamics of these two judgments are different. Also, our results support the hypothesis that metacognitive judgments are linked to distributed neural substrates rather than strictly to frontal lobe function.

Effectiveness of Isochronic Tones on Gamma-domain Brainwave Stimulation

The surge of electric pulses and chemical reactions in human brain produce brain waves at five distinct frequency domains between 0.5 Hz and 100 Hz. These domains are associated with different brain activities and characterize different mental states. The cerebral brain cells, which produce the frequency patterns in accordance to the brain activity, can be synchronized to or resonated at a desired frequency by externally stimulating the cells using acoustical means including binaural beats (BB) and isochronic tones (IT). IT are single frequency tones that can be easily generated and perceived by the brain whereas BB are auditory brainstem responses originating from the decomposition of two tones. The states of alertness and focus can be traced to areas within the frontal lobes of the brain at gamma range of brainwave frequencies, i. e. circa 40 Hz and above. This paper presents the preliminary investigation on the effectiveness of IT over BB on stimulating the mental states of alertness and attention on human brain at the gamma domain. A maiden group of ten healthy male human subjects are chosen for this purpose. Electroencephalograph signals of the evoked potential due to resonance of the prefrontal cortex (PFC) with the induced aural stimuli are measured. It is observed that the root-mean-square values of the potentials recorded at the anterior front electrode locations namely, AF3 and AF4, after exposition to IT increased by an average of 15% over that measured post exposition to BB. Similar observation is made at the frontal right (F4) location, which has a greater influence of the mental states mentioned above. The results indicate that IT has an improved effect than BB on the potentials measured at the PFC locations and render a positive influence on the focus and attention mental states of the brain.

Magnetoencephalographic Source Localization of the Eye Area of the Motor Homunculus.

A patient with intractable epilepsy, previous right frontal resection, and active vagus nerve stimulation (VNS) developed new onset quasi-continuous twitching around the left eye. Electroencephalography showed no correlate to the orbicularis oculi twitches apart from myographic potentials at the left supraorbital and anterior frontal electrodes. Magnetoencephalography was performed using spatiotemporal signal space separation to suppress magnetic artifacts associated with the VNS apparatus. Magnetoencephalographic source imaging performed on the data back-averaged from the left supraorbital myographic potentials revealed an intrasulcal cortical generator situated in the posterior wall of the right precentral gyrus representing the eye area of the motor homunculus.

Temporal dynamics of audiovisual affective processing

This study used event-related potentials (ERPs) to investigate the time course of auditory, visual, and audiovisual affective processing. Stimuli consisted of naturalistic silent videos, instrumental music clips, or combination of the two, with valence varied at three levels for each modality and arousal matched across valence conditions. Affective ratings of the unimodal and multimodal stimuli showed evidence of visual dominance, congruency, and negativity dominance effects. ERP results for unimodal presentations revealed valence effects in early components for both modalities, but only for the visual condition in a late positive potential. The ERP results for multimodal presentations showed effects for both visual valence and auditory valence in three components, early N200, P300 and LPP. A modeling analysis of the N200 component suggested its role in the visual dominance effect, which was further supported by a correlation between behavioral visual dominance scores and the early ERP components. Significant congruency comparisons were also found for N200 amplitudes, suggesting that congruency effects may occur early. Consistent differences between negative and positive valence were found for both visual and auditory modalities in the P300 at anterior electrode clusters, suggesting a potential source for the negativity dominance effect observed behaviorally. The separation between negative and positive valence also occurred at LPP for the visual modality. Significant auditory valence modulation was found for the LPP, implying an integration effect in which valence sensitivity of the LPP emerged for the audiovisual condition. These results provide a basis for mapping out the temporal dynamics of audiovisual affective processing.

T160. Magnetoencephalography findings of benign epileptiform transients of sleep on scalp EEG in three patients with temporal lobe epilepsy

Introduction Benign epileptiform transients of sleep (BETS) is a finding on electroencephalography, defined as monophasic or diphasic transients with low amplitude ( μ V) and short duration ( Methods Patient 1, a 37-year-old right-handed male, was diagnosed with left TLE. Complex partial seizures started from age 15 years. Video-EEG (VEEG) showed interictal left anterior and posterior temporal sharp waves, and left temporal seizure onset was suggested. Magnetic resonance (MR) imaging revealed a mass lesion in the left lateral temporal lobe, suspected to be dysembryoplastic neuroepithelial tumor. Patient 2, a 38-year-old right-handed male, was diagnosed with left TLE. Complex partial seizures started from age 20 years. VEEG showed interictal bilateral independent temporal spikes, and left temporal seizure onset was suggested. MR imaging showed no abnormalities. Patient 3, a 33-year-old right-handed female, was diagnosed with right TLE. Complex partial seizures with oral automatism started from age 20 years. VEEG showed interictal right anterior temporal spikes, and right temporal seizure onset was suggested. MR imaging showed no abnormalities. All three patients underwent simultaneous EEG-MEG recording. EEG electrode placement used the 10–10 system with additional anterior temporal electrodes. MEG used a 200 channel whole-head system (MEGvision PQA160C, Ricoh Company, Ltd., Tokyo, Japan). The study investigated MEG activities correlated with EEG findings concordant with BETS. Results In Patient 1, MEG spikes correlated with BETS in the left temporal lobe had epileptic form, with high amplitude spike activity followed by slow wave activity. The source as evaluated with equivalent current dipoles was estimated around the left temporal lesion. In Patient 2, MEG spikes correlated with BETS in the right temporal lobe had epileptic form, with high amplitude spike activity followed by slow wave activity. No activity fulfilling the definition of BETS was detected in the left hemisphere. In Patient 3, no apparent MEG activity correlated with BETS was seen in the right temporal lobe. Conclusion The present study demonstrated variations in MEG findings correlated with EEG BETS in patients with TLE. These results may indicate heterogeneous background of BETS, so that only some BETS have an epileptic mechanism.

EEG beta desynchronization during hand goal-directed action observation in newborn monkeys and its relation to the emergence of hand motor skills

Previous developmental research suggests that motor experience supports the development of action perception across the lifespan. However, it is still unknown when the neural mechanisms underlying action-perception coupling emerge in infancy. The goal of this study was to examine the neural correlates of action perception during the emergence of grasping abilities in newborn rhesus macaques. Neural activity, recorded via electroencephalogram (EEG), while monkeys observed grasping actions, mimed actions and means-end movements during the first (W1) and second week (W2) of life was measured. Event-related desynchronization (ERD) during action observation was computed from the EEG in the alpha and beta bands, two components of the sensorimotor mu rhythm associated with activity of the mirror neuron system (MNS). Results revealed age-related changes in the beta band, but not the alpha band, over anterior electrodes, with greater desynchronization at W2 than W1 for the observation of grasping actions. Additionally, desynchronization to observed grasping actions at W2 was associated with infants’ motor skills – measured by a separate behavioral task – such that more grasping attempts were associated to greater beta ERD. These findings suggest the emergence of an early action-perception system, that relies on motor experience, shortly after birth.

Predictors of deep brain stimulation outcome in tremor patients

BackgroundDeep brain stimulation of the ventro-intermedius nucleus of the thalamus is an established treatment for tremor of differing etiologies but factors that may predict the short- and especially long-term outcome of surgery are still largely unknown. MethodsWe retrospectively investigated the clinical, pharmacological, electrophysiological and anatomical features that might predict the initial response and preservation of benefit in all patients who underwent deep brain stimulation for tremor. Data were collected at the following time points: baseline (preoperative), one-year post-surgery, and most recent visit. Tremor severity was recorded using the Fahn-Tolosa-Marin Tremor Rating Scale and/or the Unified Parkinson's Disease Rating Scale. ResultsA total of 52 patients were included in the final analysis: 31 with essential tremor, 15 with cerebellar tremor of different etiologies, and 6 with Parkinson's disease. Long-term success (mean follow-up duration 34.7 months, range 1.7–121.1 months) was reported in 63.5%. Predictors of long-term benefit were: underlying tremor etiology (best outcome in Parkinson's disease, worst outcome in cerebellar tremor); age at surgery (the older the better); baseline tremor severity (the greater the better); lack of response to benzodiazepines; a more anterior electrode placement and single-unit beta power (the greater the better). ConclusionsSpecific patients' features (including single unit beta activity) and electrode locations may predict the short- and long-term benefit of thalamic stimulation for tremor. Future prospective studies enrolling a much larger sample of patients are needed to substantiate the associations detected by this retrospective study.

S149 Video-EEG monitoring in young children

Video-EEG monitoring, the synchronous recording of the ictal EEG pattern and the paroxysmal behaviour, is used to confirm the epileptic origine, to classify the seizure type(s) and the electro-clinical syndrome, and to assess seizure frequency and eventual precipitating factors. It is an essential diagnostic procedure in the presurgical evaluation of children with refractory focal epilepsy, in order to establish surgical candidacy, and to define localization and extent of the epileptogenic zone and its relationship to eloquent function. Although it is preferable to record seizures without modifying the anti-seizure medication, treatment reduction may be necessary along with other provocative procedures as i.e. sleep deprivation. Interpretation is based on the seizure semiology, the localization of the onset of the ictal discharge, EEG and clinical symptoms in the postictal phase, and the interictal EEG anomalies. Additional electrodes to the usual 10/20 system may be indicated, particularly important in mesial temporal discharges, using inferior temporal and anterior temporal surface electrodes. Refractory epilepsy in the pediatric population represents a particular challenge because of the wide variety of etiologies compounded to the brain maturation, very fast during infancy and early childhood, leading to a complex evolution of the clinical presentation. Especially genetically determined epilepsies may mimick structural focal epilepsies. Video-EEG recording is still the most widely available and useful test in evaluating the candidacy for a surgical treatment, with however limitations as imprecise localization or inability to detect deep or tangentially orientated foci. Therefore presurgical evaluation is multimodal combining scalp video EEG recording, electrical and magnetic source imaging, anatomical MRI, Arterial Spin Labelling (ASL) MRI, EEG-triggered functional MRI, and FDG-PET studies.

Inter-hemispheric frontal alpha synchronization of event-related potentials reflects memory-induced mental fatigue.

Mental fatigue is often associated with continuous brain activities in our daily life. It can diminish efficiency and increase errors. However, the related physiological features are still not clear and under exploration. The present study investigated changes of inter-hemispheric synchronization in event-related potentials (ERPs) due to mental fatigue during sustained memory processing. Twenty-six participants performed a continuous two-back memory task for around 2.5h. Prefrontal and frontal synchronies in the alpha frequency band (8-13Hz) were analyzed because of their close relationships with memory functions. Coherence was used to examine bilateral synchronization changes of ERP power and phase. We compared ERP coherences in both non-fatigued and fatigued states. We also observed the variation of ERP coherences during the continuous task. High overlaps of inter-hemispheric ERP waveforms were observed at prefrontal and frontal cortex in both non-fatigued and fatigued conditions. During the whole experimental procedure, ERP alpha coherences at frontal regions (FP1-FP2 and F3-F4) were significantly higher than at central (C3-C4), parietal (P3-P4) and occipital (O1-O2) regions. Alpha synchronization in anterior electrode pairs showed significant declines with increasing mental fatigue during the memory task. Our findings about changes in frontal ERP alpha synchronization might be used as biomarkers to assess mental fatigue induced by prolonged memory demands.

Gamma oscillatory activity is impaired in episodic memory encoding with age

The present study proposes to investigate age-related episodic memory impairment in encoding. We collected ERPs in young and old participants performing a word-encoding task. For subsequently remembered words, young adults had greater activity at the left and anterior electrode sites, whereas old adults had greater posterior activity. Performance correlated positively with central sites in young adults but with left parietal hemisphere activity in old adults. Plus, a large left frontoparietal network increased its activity during the successful encoding for the Beta (13–30 Hz) and Gamma (30–100 Hz) bands in young adults. Old adults had increased activity in the right posterior parietal region for forgotten words in the Gamma band. Using a source localization analysis, we found that age leads to a decrease in Gamma band cerebral activity during encoding of words in the left hemisphere and the bilateral parahippocampal regions. These findings indicate that encoding impairment with age may be associated with dysfunctional Gamma oscillatory activity across a widespread network of left cortical regions.

Mapping Horizontal Spread of Activity in Monkey Motor Cortex Using Single Pulse Microstimulation

Anatomical studies have demonstrated that distant cortical points are interconnected through long range axon collaterals of pyramidal cells. However, the functional properties of these intrinsic synaptic connections, especially their relationship with the cortical representations of body movements, have not been systematically investigated. To address this issue, we used multielectrode arrays chronically implanted in the motor cortex of two rhesus monkeys to analyze the effects of single-pulse intracortical microstimulation (sICMS) applied at one electrode on the neuronal activities recorded at all other electrodes. The temporal and spatial distribution of the evoked responses of single and multiunit activities was quantified to determine the properties of horizontal propagation. The typical responses were characterized by a brief excitatory peak followed by inhibition of longer duration. Significant excitatory responses to sICMS could be evoked up to 4 mm away from the stimulation site, but the strength of the response decreased exponentially and its latency increased linearly with the distance. We then quantified the direction and strength of the propagation in relation to the somatotopic organization of the motor cortex. We observed that following sICMS the propagation of neural activity is mainly directed rostro-caudally near the central sulcus but follows medio-lateral direction at the most anterior electrodes. The fact that these interactions are not entirely symmetrical may characterize a critical functional property of the motor cortex for the control of upper limb movements. Overall, these results support the assumption that the motor cortex is not functionally homogeneous but forms a complex network of interacting subregions.