Resting-State EEG Reveals Abnormal Microstate Characteristics of Depression with Insomnia

Spectral and Microstate EEG Analysis in Narcolepsy Type 1 and Type 2 Across Sleep Stages

BACKGROUND

The primary distinction between narcolepsy type 1 (NT1) and narcolepsy type 2 (NT2) is the presence or absence of cataplexy, which is commonly determined through clinical interviews, though it can be prone to error due to vague patients descriptions.

OBJECTIVE

This study aimed to investigate EEG microstate differences between NT1 and NT2 and their correlation with clinical assessments.

METHODS

Polysomnography (PSG) and the Multiple Sleep Latency Test (MSLT) were performed on 14 NT1 and 13 NT2 patients from three hospitals, with data from the ISRUC-SLEEP dataset serving as the comparison group. After EEG preprocessing, we performed the spectral analysis in NT1 and NT2, followed by microstate analysis. Grand mean maps were used for backfitting to obtain microstate parameters. Then, Spearman correlation was performed between the microstate parameters and the ESS and MSLT parameters.

RESULTS

We found that the relative delta power in N2 was lower in the NT1 group compared to the NT2 group. Four microstates were clustered in all groups, and no statistical differences were observed in the microstate parameters between NT1 and NT2 groups. In the NT1 group, microstate D during wakefulness showed a positive correlation with ESS, while in the NT2 group, microstate D during wakefulness showed a negative correlation with ESS.

CONCLUSIONS

There are spectral differences between the NT1 and NT2 groups, and the opposite correlation between microstate D and ESS during wakefulness in NT1 and NT2 suggest that the underlying mechanisms leading to excessive daytime sleepiness in the two groups may be different.

Modulation of Brain Activities in Healthy Individuals by Acupuncture at Quchi (LI11)

This research investigated the modulation of acupuncture at Quchi (LI11) on the brain activities in healthy individuals. Sub-bands power and EEG microstate analysis were carried out at pre-acupuncture, acupuncture, needle retaining and post-acupuncture periods in both the acupuncture group (n = 16) and control group (n = 18). Four microstate classes (A-D) were derived from the clustering procedure. Regression analysis was conducted, together with a two-way repeated measures ANOVA, which was then followed by Bonferroni correction. In the acupuncture group, we found the beta power during the acupuncture periods was significantly reduced. The channel-by-channel analysis revealed that acupuncture at LI11 mainly altered the power of delta, theta, and alpha waves in specific brain regions. The delta power increased predominantly in parietal, occipital, and central lobes, while theta and alpha power decreased predominantly in temporal, frontal, parietal, and occipital lobes. During the acupuncture period, participants in the acupuncture group showed a significant increase in both duration and contribution of microstate A, as well as the bidirectional transition probabilities A and B/D. Microstate analysis showed that acupuncture at LI11 significantly enhances the activity of microstate A and potentially strengthens the functional connectivity between the auditory network and either the visual network or the dorsal attention network. These correlational results indicate that acupuncture at LI11 mainly affects activities of the frontal, temporal, parietal, and occipital lobes. These findings highlight the potential of microstate as neuroimaging evidence and a specific index for elucidating the neuromodulatory effects of acupuncture at LI11.

Current State of EEG/ERP Microstate Research

The analysis of EEG microstates for investigating rapid whole-brain network dynamics during rest and tasks has become a standard practice in the EEG research community, leading to a substantial increase in publications across various affective, cognitive, social and clinical neuroscience domains. Recognizing the growing significance of this analytical method, the authors aim to provide the microstate research community with a comprehensive discussion on methodological standards, unresolved questions, and the functional relevance of EEG microstates. In August 2022, a conference was hosted in Bern, Switzerland, which brought together many researchers from 19 countries. During the conference, researchers gave scientific presentations and engaged in roundtable discussions aiming at establishing steps toward standardizing EEG microstate analysis methods. Encouraged by the conference's success, a special issue was launched in Brain Topography to compile the current state-of-the-art in EEG microstate research, encompassing methodological advancements, experimental findings, and clinical applications. The call for submissions for the special issue garnered 48 contributions from researchers worldwide, spanning reviews, meta-analyses, tutorials, and experimental studies. Following a rigorous peer-review process, 33 papers were accepted whose findings we will comprehensively discuss in this Editorial.