High-density EEG

高密度脑电图
  • 文章类型: Journal Article
    赌博活动沿着从娱乐到赌博障碍(GD)的连续过程发展,一个特别的挑战是确定赌徒在早期阶段是否已经存在一些神经生理学的特殊性。我们的主要目标是确定是否,在赌徒的人口中,根据加拿大问题赌博指数(CPGI)定义的有问题赌博风险,在不确定决策过程中产生的神经反应不同.我们检验了以下假设,与低风险的人相比,问题赌博小组将显示与结果处理相关的不同大脑活动。
    为此,根据CPGI(低风险和问题赌博),我们建立了相对同质的在线扑克玩家群体,分为两组。通过高密度脑电图,我们比较了完成爱荷华州赌博任务期间产生的时空动态。
    两组在阴性结果后150-175ms之间观察到一个特定的地形图,而它仅在“问题赌博”组的获胜条件下显示。我们发现,这张地图的全球场力量与参与者对策略的坚持呈负相关。源定位将前扣带回皮质和时间区域确定为该地图的生成器。
    在早期结果过程中发现的奖励超敏脑电图反应可能构成有问题赌博的潜在生物标志物。
    UNASSIGNED: Gambling activity evolves along a continuum from recreational to Gambling Disorder (GD) and a particular challenge is to identify whether there are some neurophysiological particularities already present in gamblers at an early stage. Our main goal was to determine whether, in the gamblers\' population, neural responses generated during uncertain decisions were different depending on problematic gambling risk defined by the Canadian Problem Gambling Index (CPGI). We tested the following hypothesis, that the Problem Gambling group would show a different brain activity related to outcomes processing than people with low risk.
    UNASSIGNED: For this purpose, we established a relatively homogeneous population of Online Poker Players divided into two groups according to the CPGI (Low Risk and Problem Gambling). By means of high-density EEG, we compared the spatio-temporal dynamics generated during the completion of the Iowa Gambling Task.
    UNASSIGNED: One specific topographic map was observed between 150-175 ms after a negative outcome for both groups, whereas it was displayed in the win condition only for the Problem Gambling group. We found that the Global Field Power of this map was negatively correlated with participants\' adherence to a strategy. Source localization identified Anterior Cingulate Cortex and Temporal regions as generators of this map.
    UNASSIGNED: Reward hypersensitivity EEG responses identified in the early outcome process could constitute a potential biomarker of problematic gambling.
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  • 文章类型: Journal Article
    脑电图(EEG)的精度显着影响脑机接口(BCI)的性能。目前,BCI技术的大部分研究优先考虑轻量化设计和减少的电极数量,使其更适合在可穿戴环境中的应用。本文介绍了一种基于深度学习的时间序列双向(BiLSTM)网络,该网络旨在捕获从相邻电极获得的EEG通道的固有特征。它旨在预测EEG数据时间序列,并促进从低密度EEG信号到高密度EEG信号的转换过程。BiLSTM更关注时间序列数据中的依赖关系,而不是数学映射,均方根误差可以有效地限制在0.4μV以下,不到传统方法误差的一半。在将BCICompetitionIII3a数据集从18个通道扩展到60个通道后,我们对四种运动想象任务进行了分类实验。与原始低密度脑电信号(18通道)相比,分类准确率约为82%,增加约20%。当与真实的高密度信号并列时,错误率的增量保持在5%以下。与原始低密度信号相比,EEG通道的扩展显示出实质性和显着的改善。
    The precision of electroencephalograms (EEGs) significantly impacts the performance of brain-computer interfaces (BCI). Currently, the majority of research into BCI technology gives priority to lightweight design and a reduced electrode count to make it more suitable for application in wearable environments. This paper introduces a deep learning-based time series bidirectional (BiLSTM) network that is designed to capture the inherent characteristics of EEG channels obtained from neighboring electrodes. It aims to predict the EEG data time series and facilitate the conversion process from low-density EEG signals to high-density EEG signals. BiLSTM pays more attention to the dependencies in time series data rather than mathematical maps, and the root mean square error can be effectively restricted to below 0.4μV, which is less than half the error in traditional methods. After expanding the BCI Competition III 3a dataset from 18 channels to 60 channels, we conducted classification experiments on four types of motor imagery tasks. Compared to the original low-density EEG signals (18 channels), the classification accuracy was around 82%, an increase of about 20%. When juxtaposed with real high-density signals, the increment in the error rate remained below 5%. The expansion of the EEG channels showed a substantial and notable improvement compared with the original low-density signals.
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  • 文章类型: Journal Article
    在过去的十年里,相位目标听觉刺激(PTAS),一种神经调节方法,它呈现锁定在睡眠过程中慢波的持续阶段的听觉刺激,已显示出增强睡眠功能特定方面的潜力。然而,PTAS反应的复杂性使特定脑电图事件与观察到的获益之间因果关系的建立变得复杂.这里,我们在睡眠期间使用了down-PTAS来特别唤起早期,PTAS后的K-复合物(KC)样反应,而不会导致整个刺激窗口中慢波活动的持续增加。在两个晚上的过程中,一个带有下行PTAS的,另一个没有,记录了14名年轻健康成年人的高密度脑电图(hd-EEG)。早期反应与诱发的KCs表现出惊人的相似性,并且与通过刺激诱发的纺锤体事件嵌套在中部区域正在进行的1Hz波的上升阶段而改善的言语记忆巩固有关。这些发现表明,早期,类似KC的反应足以提高记忆力,可能通过协调海马-新皮层对话的各个方面。
    Over the past decade, phase-targeted auditory stimulation (PTAS), a neuromodulation approach which presents auditory stimuli locked to the ongoing phase of slow waves during sleep, has shown potential to enhance specific aspects of sleep functions. However, the complexity of PTAS responses complicates the establishment of causality between specific electroencephalographic events and observed benefits. Here, we used down-PTAS during sleep to specifically evoke the early, K-complex (KC)-like response following PTAS without leading to a sustained increase in slow-wave activity throughout the stimulation window. Over the course of two nights, one with down-PTAS, the other without, high-density electroencephalography (hd-EEG) was recorded from 14 young healthy adults. The early response exhibited striking similarities to evoked KCs and was associated with improved verbal memory consolidation via stimulus-evoked spindle events nested into the up-phase of ongoing 1 Hz waves in a central region. These findings suggest that the early, KC-like response is sufficient to boost memory, potentially by orchestrating aspects of the hippocampal-neocortical dialogue.
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  • 文章类型: Journal Article
    皮质振荡如何参与功能耦合肌肉的协调以及如何通过不同的运动环境(静态与动态)来调节,目前尚不清楚。这里,通过记录不同前臂肌肉的高密度脑电图(EEG)和肌电图(EMG),而健康参与者(n=20)执行运动任务(静态和动态姿势保持,用他们的优势手伸手)。当应用动态扰动时,β带(15-35Hz)活动在对侧的运动皮质表演手减少在保持阶段,与没有扰动的时候相比。在静态姿势保持期间,与无爆发期相比,皮质β振荡(β爆发)增加的瞬时周期与β频带中更大的皮质肌肉相干性和肌肉之间的相位同步性(肌间相干性)增加相关。抵抗动态扰动时不存在这种影响。结果表明,在健康的运动控制中,在静态姿势保持过程中,皮质β爆发有助于不同肌肉的同步。有助于功能性肌肉群的维持和稳定。理论上,增加的皮质β振荡可能导致不同肌肉的过度同步,使运动的初始化更加困难,正如在帕金森病中观察到的那样。
    How cortical oscillations are involved in the coordination of functionally coupled muscles and how this is modulated by different movement contexts (static vs dynamic) remains unclear. Here, this is investigated by recording high-density electroencephalography (EEG) and electromyography (EMG) from different forearm muscles while healthy participants (n = 20) performed movement tasks (static and dynamic posture holding, and reaching) with their dominant hand. When dynamic perturbation was applied, beta band (15-35 Hz) activities in the motor cortex contralateral to the performing hand reduced during the holding phase, comparative to when there was no perturbation. During static posture holding, transient periods of increased cortical beta oscillations (beta bursts) were associated with greater corticomuscular coherence and increased phase synchrony between muscles (intermuscular coherence) in the beta frequency band compared to the no-burst period. This effect was not present when resisting dynamic perturbation. The results suggest that cortical beta bursts assist synchronisation of different muscles during static posture holding in healthy motor control, contributing to the maintenance and stabilisation of functional muscle groups. Theoretically, increased cortical beta oscillations could lead to exaggerated synchronisation in different muscles making the initialisation of movements more difficult, as observed in Parkinson\'s disease.
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  • 文章类型: Journal Article
    许多患有严重听力损失的儿童接受了人工耳蜗植入(CI),以帮助恢复一些听觉。有,然而,对通过aCI听力长大的年轻人的长期神经认知结果的研究有限。这项研究比较了早期植入(n=20)和晚期植入(n=21)年轻成年CI使用者的认知结果,通常是听力(TH)控制(n=56),他们都被大学录取了。认知流动性,非语言智力,和美国手语(ASL)的理解进行了评估,揭示早期和晚期植入组之间的认知和非语言智力没有显着差异。然而,对ASL的理解有所不同,晚期植入组的ASL理解力明显更高。尽管年轻的成年CI用户在工作记忆和处理速度任务中的得分明显低于TH年龄匹配的对照组,在涉及执行功能转变的任务中没有显着差异,抑制控制,年轻成人CI和年轻成人TH参与者之间的情景记忆。在对CI参与者子集(n=17)的探索性分析中,我们能够检查交叉模态可塑性,与早期植入CI的年轻人相比,我们发现更多证据表明,在植入晚期的年轻人中,视觉系统有跨模态募集.然而,跨模态可塑性的皮层视觉诱发电位潜伏期生物标志物与认知测量或ASL理解无关.结果表明,在植入后期的CI用户中,早期获得手语可能是适当认知发展的支架,而在早期植入组中,早期获得口头语言有利于认知发展。此外,我们的结果表明,跨模态神经可塑性持续到成年期并不一定会影响认知发育.总之,早期获得语言-口语或签名-可能对认知发展很重要,交叉模态可塑性对认知结果没有观察到的影响。
    Many children with profound hearing loss have received cochlear implants (CI) to help restore some sense of hearing. There is, however, limited research on long-term neurocognitive outcomes in young adults who have grown up hearing through a CI. This study compared the cognitive outcomes of early-implanted (n = 20) and late-implanted (n = 21) young adult CI users, and typically hearing (TH) controls (n=56), all of whom were enrolled in college. Cognitive fluidity, nonverbal intelligence, and American Sign Language (ASL) comprehension were assessed, revealing no significant differences in cognition and nonverbal intelligence between the early and late-implanted groups. However, there was a difference in ASL comprehension, with the late-implanted group having significantly higher ASL comprehension. Although young adult CI users showed significantly lower scores in a working memory and processing speed task than TH age-matched controls, there were no significant differences in tasks involving executive function shifting, inhibitory control, and episodic memory between young adult CI and young adult TH participants. In an exploratory analysis of a subset of CI participants (n = 17) in whom we were able to examine crossmodal plasticity, we saw greater evidence of crossmodal recruitment from the visual system in late-implanted compared with early-implanted CI young adults. However, cortical visual evoked potential latency biomarkers of crossmodal plasticity were not correlated with cognitive measures or ASL comprehension. The results suggest that in the late-implanted CI users, early access to sign language may have served as a scaffold for appropriate cognitive development, while in the early-implanted group early access to oral language benefited cognitive development. Furthermore, our results suggest that the persistence of crossmodal neuroplasticity into adulthood does not necessarily impact cognitive development. In conclusion, early access to language - spoken or signed - may be important for cognitive development, with no observable effect of crossmodal plasticity on cognitive outcomes.
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  • 文章类型: Journal Article
    近年来,关于基于视觉诱发电位(VEP)的脑机接口(BCI),已经有相当多的研究。然而,检测由小的视觉刺激引起的VEP仍然是一个巨大的挑战。为了应对这一挑战,这项研究采用了256电极高密度脑电图(EEG)帽,顶叶和枕叶中有66个电极来记录EEG信号。设计并实现了基于代码调制VEP(C-VEP)的在线BCI系统,该系统由30个时移二进制伪随机序列调制目标。采用任务判别分量分析(TDCA)算法进行特征提取和分类。离线和在线实验旨在评估EEG响应和分类性能,以便在0.5°的视角下比较四种不同的刺激大小。1°,2°,和3°。通过优化在线实验中每个受试者的数据长度,信息传输速率(ITR)为126.48±14.14比特/分钟,221.73±15.69位/分,258.39±9.28位/分,0.5°时达到266.40±6.52位/分钟,1°,2°,3°,分别。本研究进一步比较了来自256电极EEG帽的66电极布局的EEG特征和分类性能,128电极脑电图帽的32电极布局,以及64电极脑电图帽的21电极布局,阐明了更高的电极密度在使用小刺激增强C-VEPBCI系统性能方面的关键作用。
    In recent years, there has been a considerable amount of research on visual evoked potential (VEP)-based brain-computer interfaces (BCIs). However, it remains a big challenge to detect VEPs elicited by small visual stimuli. To address this challenge, this study employed a 256-electrode high-density electroencephalogram (EEG) cap with 66 electrodes in the parietal and occipital lobes to record EEG signals. An online BCI system based on code-modulated VEP (C-VEP) was designed and implemented with thirty targets modulated by a time-shifted binary pseudo-random sequence. A task-discriminant component analysis (TDCA) algorithm was employed for feature extraction and classification. The offline and online experiments were designed to assess EEG responses and classification performance for comparison across four different stimulus sizes at visual angles of 0.5°, 1°, 2°, and 3°. By optimizing the data length for each subject in the online experiment, information transfer rates (ITRs) of 126.48 ± 14.14 bits/min, 221.73 ± 15.69 bits/min, 258.39 ± 9.28 bits/min, and 266.40 ± 6.52 bits/min were achieved for 0.5°, 1°, 2°, and 3°, respectively. This study further compared the EEG features and classification performance of the 66-electrode layout from the 256-electrode EEG cap, the 32-electrode layout from the 128-electrode EEG cap, and the 21-electrode layout from the 64-electrode EEG cap, elucidating the pivotal importance of a higher electrode density in enhancing the performance of C-VEP BCI systems using small stimuli.
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  • 文章类型: Journal Article
    背景:头皮脑电图是临床评估癫痫的主要工具之一。在某些情况下,从头皮看不到颅内发作间癫痫样放电(IED)。最近的研究表明,如果从同时的颅内记录中提取它们的时间,则在EEG中揭示它们的可行性,但是它们在癫痫发生区的定位潜力尚不明确。
    方法:我们记录了8例耐药局灶性癫痫患者在发作间期同时进行的高密度脑电图(HD-EEG)和立体脑电图(SEEG)。我们在SEEG中识别了IED,并通过诱发电位系统地分析了EEG上的时间锁定信号,地形分析和电源成像(ESI)。该数据集已经标准化,并且正在公开共享。
    结果:我们的结果表明,在单一试验中不清晰可见的IED可以通过平均来发现,与以前的报告一致。他们还表明,他们的地形电压分布与SEEG电极的位置相匹配,并且ESI技术可以以〜2厘米的精度重建它。最后,本数据集为测试不同方法和参数的准确性提供了参考。
    方法:我们的研究首次系统地比较了同时记录的IED的ESI方法,并与体内数据共享公共资源以进行评估。
    结论:同时进行HD-EEG和SEEG记录可以揭示隐藏的IED,其起源可以通过地形和ESI分析进行重建,但结果取决于所选的方法和参数。
    BACKGROUND: Scalp EEG is one of the main tools in the clinical evaluation of epilepsy. In some cases intracranial Interictal Epileptiform Discharges (IEDs) are not visible from the scalp. Recent studies have shown the feasibility of revealing them in the EEG if their timings are extracted from simultaneous intracranial recordings, but their potential for the localization of the epileptogenic zone is not yet well defined.
    METHODS: We recorded simultaneous high-density EEG (HD-EEG) and stereo-electroencephalography (SEEG) during interictal periods in 8 patients affected by drug-resistant focal epilepsy. We identified IEDs in the SEEG and systematically analyzed the time-locked signals on the EEG by means of evoked potentials, topographical analysis and Electrical Source Imaging (ESI). The dataset has been standardized and is being publicly shared.
    RESULTS: Our results showed that IEDs that were not clearly visible at single-trials could be uncovered by averaging, in line with previous reports. They also showed that their topographical voltage distributions matched the position of the SEEG electrode where IEDs had been identified, and that ESI techniques can reconstruct it with an accuracy of ∼2 cm. Finally, the present dataset provides a reference to test the accuracy of different methods and parameters.
    METHODS: Our study is the first to systematically compare ESI methods on simultaneously recorded IEDs, and to share a public resource with in-vivo data for their evaluation.
    CONCLUSIONS: Simultaneous HD-EEG and SEEG recordings can unveil hidden IEDs whose origins can be reconstructed using topographical and ESI analyses, but results depend on the selected methods and parameters.
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  • 文章类型: Journal Article
    目的:皮层扩散去极化在物种之间高度保守。它在直接皮质表面记录中很容易检测到,并已记录在患有严重神经系统疾病的人的皮质中。它被认为是人类偏头痛先兆的病理生理相关性,但仍缺少直接的电生理学证据.由于在头皮脑电图中已经认识到皮质扩散去极化的特征,我们调查了典型的自发性偏头痛先兆,采用全波段高密度脑电图(HD-EEG)。
    方法:在这项前瞻性研究中,对有先兆的偏头痛患者进行了自发性先兆偏头痛患者的调查。分析时间压缩的HD-EEG是否存在皮层扩散去极化,其特征是(a)低于0.05Hz的缓慢电位变化,(b)抑制来自0.5Hz-45Hz的更快活动(c)在先兆阶段期间这些变化向相邻区域的扩散。Further,分析了先兆期间α功率谱密度(8-14Hz)的地形变化。
    结果:总计,有先兆的偏头痛患者记录了26例HD-EEG,其中10个HD-EEG在先兆期间。在同一受试者中记录了8个HD-EEG。在光环期间,没有记录到慢电位,但α功率在视觉先兆对侧半球的顶枕-颞位置显着降低,持续到头痛阶段。有先兆的偏头痛患者的发作间期α功率与年龄和性别匹配的健康对照没有显着差异。
    结论:在偏头痛的完整头皮上,EEG未记录到明显的扩散去极化特征。主要视觉症状对侧的α功率降低与皮层扩散去极化的结果是自发脑活动的局灶性抑制一致,但不是特异性的。
    结论:皮质扩散去极化与偏头痛有关,其他阵发性神经系统疾病和神经重症监护。
    Cortical spreading depolarization is highly conserved among the species. It is easily detectable in direct cortical surface recordings and has been recorded in the cortex of humans with severe neurological disease. It is considered the pathophysiological correlate of human migraine aura, but direct electrophysiological evidence is still missing. As signatures of cortical spreading depolarization have been recognized in scalp EEG, we investigated typical spontaneous migraine aura, using full band high-density EEG (HD-EEG).
    In this prospective study, patients with migraine with aura were investigated during spontaneous migraine aura and interictally. Time compressed HD-EEG were analyzed for the presence of cortical spreading depolarization characterized by (a) slow potential changes below 0.05 Hz, (b) suppression of faster activity from 0.5 Hz - 45 Hz (c) spreading of these changes to neighboring regions during the aura phase. Further, topographical changes in alpha-power spectral density (8-14 Hz) during aura were analyzed.
    In total, 26 HD-EEGs were recorded in patients with migraine with aura, thereof 10 HD-EEGs during aura. Eight HD-EEGs were recorded in the same subject. During aura, no slow potentials were recorded, but alpha-power was significantly decreased in parieto-occipito-temporal location on the hemisphere contralateral to visual aura, lasting into the headache phase. Interictal alpha-power in patients with migraine with aura did not differ significantly from age- and sex-matched healthy controls.
    Unequivocal signatures of spreading depolarization were not recorded with EEG on the intact scalp in migraine. The decrease in alpha-power contralateral to predominant visual symptoms is consistent with focal depression of spontaneous brain activity as a consequence of cortical spreading depolarization but is not specific thereof.
    Cortical spreading depolarization is relevant in migraine, other paroxysmal neurological disorders and neurointensive care.
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  • 文章类型: Journal Article
    随着传统的手写逐渐被数字设备所取代,研究对人类大脑的影响是至关重要的。在36名大学生中记录了脑电活动,因为他们使用数字笔手写视觉呈现的单词并在键盘上打字。对使用256通道传感器阵列记录的EEG数据进行连通性分析。手写时,大脑连接模式远比在键盘上打字时复杂得多,如在顶叶和中央大脑区域的网络集线器和节点之间广泛的theta/alpha连接相干模式所示。现有文献表明,这些大脑区域和频率的连接模式对于记忆形成和编码新信息至关重要,因此,有利于学习。我们的发现表明,使用笔时通过精确控制的手部运动获得的视觉和本体感受信息的时空模式,广泛有助于促进学习的大脑连接模式。我们敦促孩子们,从很小的时候开始,必须在学校进行手写活动,以建立神经元连接模式,为大脑提供最佳的学习条件。尽管在学校保持手写练习至关重要,跟上不断发展的技术进步也很重要。因此,教师和学生都应该意识到在什么样的背景下,哪种练习有最好的学习效果,例如,在做课堂笔记或写论文时。
    As traditional handwriting is progressively being replaced by digital devices, it is essential to investigate the implications for the human brain. Brain electrical activity was recorded in 36 university students as they were handwriting visually presented words using a digital pen and typewriting the words on a keyboard. Connectivity analyses were performed on EEG data recorded with a 256-channel sensor array. When writing by hand, brain connectivity patterns were far more elaborate than when typewriting on a keyboard, as shown by widespread theta/alpha connectivity coherence patterns between network hubs and nodes in parietal and central brain regions. Existing literature indicates that connectivity patterns in these brain areas and at such frequencies are crucial for memory formation and for encoding new information and, therefore, are beneficial for learning. Our findings suggest that the spatiotemporal pattern from visual and proprioceptive information obtained through the precisely controlled hand movements when using a pen, contribute extensively to the brain\'s connectivity patterns that promote learning. We urge that children, from an early age, must be exposed to handwriting activities in school to establish the neuronal connectivity patterns that provide the brain with optimal conditions for learning. Although it is vital to maintain handwriting practice at school, it is also important to keep up with continuously developing technological advances. Therefore, both teachers and students should be aware of which practice has the best learning effect in what context, for example when taking lecture notes or when writing an essay.
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  • 文章类型: Journal Article
    目的:脑电图(EEG)微状态异常已在不同的神经系统疾病中得到证实。我们旨在评估颞叶癫痫(TLE)患者的脑电图微状态是否也发生了改变,以及单侧TLE(UTLE)和双侧TLE(BTLE)患者的脑电图微状态是否表现出不同的激活。
    方法:19例UTLE患者,12与BTLE,纳入15名健康对照。闭眼记录静息状态高密度脑电图(128通道)15分钟。我们获得了一组代表脑电图活动的稳定头皮图,命名为微型国家,从中我们获得了以下变量:全局解释方差(GEV),平均持续时间(MD),时间覆盖范围(TC),和出现频率(FO)。双向重复测量方差分析用于比较组,和Spearman相关性被用来研究与临床和神经心理学数据相关的地图。
    结果:BTLE和UTLE患者在大多数参数上显示出差异(GEV,MD,TC,与对照相比,四个微观状态图(A-D)的FO)。与UTLE和对照相比,具有BTLE的患者显示Map-A中的微状态的所有参数的显著增加和Map-D的降低。我们观察到Map-A之间的相关性,疾病持续时间,和空间短期记忆,而微态Map-D与整体智力评分和短期记忆表现相关。
    结论:与对照组相比,在TLE患者中观察到神经动力学的整体改变。与UTLE相比,BTLE中发现了不同模式的EEG微状态异常,这可能代表了一种独特的生物标志物。
    OBJECTIVE: Electroencephalographic (EEG) microstate abnormalities have been documented in different neurological disorders. We aimed to assess whether EEG microstates are altered also in patients with temporal epilepsy (TLE) and whether they show different activations in patients with unilateral TLE (UTLE) and bilateral TLE (BTLE).
    METHODS: Nineteen patients with UTLE, 12 with BTLE, and 15 healthy controls were enrolled. Resting state high-density electroencephalography (128 channels) was recorded for 15 min with closed eyes. We obtained a set of stable scalp maps representing the EEG activity, named microstates, from which we acquired the following variables: global explained variance (GEV), mean duration (MD), time coverage (TC), and frequency of occurrence (FO). Two-way repeated measures analysis of variance was used to compare groups, and Spearman correlation was performed to study the maps in association with the clinical and neuropsychological data.
    RESULTS: Patients with BTLE and UTLE showed differences in most of the parameters (GEV, MD, TC, FO) of the four microstate maps (A-D) compared to controls. Patients with BTLE showed a significant increase in all parameters for the microstates in Map-A and a decrease in Map-D compared to UTLE and controls. We observed a correlation between Map-A, disease duration, and spatial short-term memory, whereas microstate Map-D was correlated with the global intelligence score and short-term memory performance.
    CONCLUSIONS: A global alteration of the neural dynamics was observed in patients with TLE compared to controls. A different pattern of EEG microstate abnormalities was identified in BTLE compared to UTLE, which might represent a distinctive biomarker.
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