EEG-response consistency across subjects in an active oddball task

Clinical and advanced neurophysiology in the prognostic and diagnostic evaluation of disorders of consciousness: review of an IFCN-endorsed expert group

The analysis of spontaneous EEG activity and evoked potentialsis a cornerstone of the instrumental evaluation of patients with disorders of consciousness (DoC). Thepast few years have witnessed an unprecedented surge in EEG-related research applied to the prediction and detection of recovery of consciousness after severe brain injury,opening up the prospect that new concepts and tools may be available at the bedside. This paper provides a comprehensive, critical overview of bothconsolidated and investigational electrophysiological techniquesfor the prognostic and diagnostic assessment of DoC.We describe conventional clinical EEG approaches, then focus on evoked and event-related potentials, and finally we analyze the potential of novel research findings. In doing so, we (i) draw a distinction between acute, prolonged and chronic phases of DoC, (ii) attempt to relate both clinical and research findings to the underlying neuronal processes and (iii) discuss technical and conceptual caveats.The primary aim of this narrative review is to bridge the gap between standard and emerging electrophysiological measures for the detection and prediction of recovery of consciousness. The ultimate scope is to provide a reference and common ground for academic researchers active in the field of neurophysiology and clinicians engaged in intensive care unit and rehabilitation.

Differential Effects of Carbohydrates on Behavioral and Neuroelectric Indices of Selective Attention in Preadolescent Children

The importance of breakfast consumption for ideal cognitive performance has received much attention in recent years, although research on the topic has yielded mixed results. The present study utilized event-related brain potentials (ERPs) elicited during a modified flanker task to investigate the neuroelectric implications of receiving different mixed macronutrient beverages after an overnight fast. A repeated measures design was employed whereby preadolescent participants (9–10 years of age) completed cognitive testing while ERPs were collected during two non-consecutive testing sessions, one in which they received one of three treatment beverages consisting of mixed-macronutrient formulations (either Carbohydrate Blend, Sucrose, Maltodextrin) and the other in which they received a placebo drink containing Sucralose. Performance indices, ERPs, and blood glucose were recorded at three time points before the testing session and after the ingestion of each drink. While the behavioral performance indices and N2 results showed some evidence of glucose facilitation, the effects were small and selective. Participants who received the Maltodextrin treatment showed faster reaction times and more stable N2 amplitudes after ingesting the treatment beverage. The most robust effects were seen in the P3 amplitude measurement. Across the three drink groups, participants showed a marked amplitude increase over time after the placebo drink was ingested, although P3 amplitudes remained stable when a carbohydrate treatment drink was ingested. These effects were eliminated when changes in blood glucose were accounted for, suggesting that the neurolectric effects were directly related to glycemic change. These findings suggest that ingestion of carbohydrates after an overnight fast results in changes to the P3 amplitude of the ERP waveform elicited during an attentional inhibition task.

Event-related EEG power modulations and phase connectivity indicate the focus of attention in an auditory own name paradigm

Estimating cognitive abilities in patients suffering from Disorders of Consciousness remains challenging. One cognitive task to address this issue is the so-called own name paradigm, in which subjects are presented with first names including the own name. In the active condition, a specific target name has to be silently counted. We recorded EEG during this task in 24 healthy controls, 8 patients suffering from Unresponsive Wakefulness Syndrome (UWS) and 7 minimally conscious (MCS) patients. EEG was analysed with respect to amplitude as well as phase modulations and connectivity. Results showed that general reactivity in the delta, theta and alpha frequency (event-related de-synchronisation, ERS/ERD, and phase locking between trials and electrodes) toward auditory stimulation was higher in controls than in patients. In controls, delta ERS and lower alpha ERD indexed the focus of attention in both conditions, late theta ERS only in the active condition. Additionally, phase locking between trials and delta phase connectivity was highest for own names in the passive and targets in the active condition. In patients, clear stimulus-specific differences could not be detected. However, MCS patients could reliably be differentiated from UWS patients based on their general event-related delta and theta increase independent of the type of stimulus. In conclusion, the EEG signature of the active own name paradigm revealed instruction-following in healthy participants. On the other hand, DOC patients did not show clear stimulus-specific processing. General reactivity toward any auditory input, however, allowed for a reliable differentiation between MCS and UWS patients.

A 15-day course of donepezil modulates spectral EEG dynamics related to target auditory stimuli in young, healthy adult volunteers

OBJECTIVE

To identify possible electroencephalographic (EEG) markers of donepezil's effect on cortical activity in young, healthy adult volunteers at the group level.

METHODS

Thirty subjects were administered a daily dose of either 5mg donepezil or placebo for 15days in a double-blind, randomized, cross-over trial. The electroencephalogram during an auditory oddball paradigm was recorded from 58 scalp electrodes. Current source density (CSD) transformations were applied to EEG epochs. The event-related potential (ERP), inter-trial coherence (ITC: the phase consistency of the EEG spectrum) and event-related spectral perturbation (ERSP: the EEG power spectrum relative to the baseline) were calculated for the target (oddball) stimuli.

RESULTS

The donepezil and placebo conditions differed in terms of the changes in delta/theta/alpha/beta ITC and ERSP in various regions of the scalp (especially the frontal electrodes) but not in terms of latency and amplitude of the P300-ERP component.

CONCLUSION

Our results suggest that ITC and ERSP analyses can provide EEG markers of donepezil's effects in young, healthy, adult volunteers at a group level.

SIGNIFICANCE

Novel EEG markers could be useful to assess the therapeutic potential of drug candidates in Alzheimer's disease in healthy volunteers prior to the initiation of Phase II/III clinical studies in patients.