Meanings of Waves: Electroencephalography and Society in Mexico City, 1940-1950

Argument This paper focuses on the uses of electroencephalograms (EEGs) in Mexico during their introductory decade from 1940 to 1950. Following Borck (2006), I argue that EEGs adapted to fit local circumstances and that this adjustment led to the consolidation of different ways of making science and the emergence of new objects of study and social types. I also maintain that the way EEGs were introduced into the institutional networks of Mexico entangled them in discussions about the objective and juridical definitions of social groups, thereby preempting concerns about their technical and epistemic limitations. This ultimately enabled the use of EEGs as normative machines and dispositifs. To this end, the paper follows the arrival of EEGs and the creation of institutional networks then analyzes the extent to which the styles of thinking behind the uses of EEGs and attempts to reify a notion of normal electrical brain behavior-particularly by applying EEGs to a community of Otomí Indians-correlated with the difficulties of defining the socio-anthropological notions that articulated legal and disciplinary projects of the time. Finally, it unveils the shortcomings of alternative attempts to define a brain model and to resist the production of ontological determinations.

Pharmaco-EEG Studies in Animals: A History-Based Introduction to Contemporary Translational Applications

Current research on the effects of pharmacological agents on human neurophysiology finds its roots in animal research, which is also reflected in contemporary animal pharmaco-electroencephalography (p-EEG) applications. The contributions, present value and translational appreciation of animal p-EEG-based applications are strongly interlinked with progress in recording and neuroscience analysis methodology. After the pioneering years in the late 19th and early 20th century, animal p-EEG research flourished in the pharmaceutical industry in the early 1980s. However, around the turn of the millennium the emergence of structurally and functionally revealing imaging techniques and the increasing application of molecular biology caused a temporary reduction in the use of EEG as a window into the brain for the prediction of drug efficacy. Today, animal p-EEG is applied again for its biomarker potential - extensive databases of p-EEG and polysomnography studies in rats and mice hold EEG signatures of a broad collection of psychoactive reference and test compounds. A multitude of functional EEG measures has been investigated, ranging from simple spectral power and sleep-wake parameters to advanced neuronal connectivity and plasticity parameters. Compared to clinical p-EEG studies, where the level of vigilance can be well controlled, changes in sleep-waking behaviour are generally a prominent confounding variable in animal p-EEG studies and need to be dealt with. Contributions of rodent pharmaco-sleep EEG research are outlined to illustrate the value and limitations of such preclinical p-EEG data for pharmacodynamic and chronopharmacological drug profiling. Contemporary applications of p-EEG and pharmaco-sleep EEG recordings in animals provide a common and relatively inexpensive window into the functional brain early in the preclinical and clinical development of psychoactive drugs in comparison to other brain imaging techniques. They provide information on the impact of drugs on arousal and sleep architecture, assessing their neuropharmacological characteristics in vivo, including central exposure and information on kinetics. In view of the clear disadvantages as well as advantages of animal p-EEG as compared to clinical p-EEG, general statements about the usefulness of EEG as a biomarker to demonstrate the translatability of p-EEG effects should be made with caution, however, because they depend on the particular EEG or sleep parameter that is being studied. The contribution of animal p-EEG studies to the translational characterisation of centrally active drugs can be furthered by adherence to guidelines for methodological standardisation, which are presently under construction by the International Pharmaco-EEG Society (IPEG).

How we may think: Imaging and writing technologies across the history of the neurosciences

In the neurosciences, two alternative regimes of visualization can be differentiated: anatomical preparations for morphological images and physiological studies for functional representations. Adapting a distinction proposed by Peter Galison, this duality of visualization regimes is analyzed here as the contrast between an imaging and a writing approach: the imaging approach, focusing on mimetic representations, preserving material and spatial relations, and the writing approach as used in physiological studies, retaining functional relations. After a dominance of morphological images gathering iconic representations of brains and architectural brain theories, the advent of electroencephalography advanced writing approaches with their indexical signs. Addressing the brain allegedly at its mode of operation, electroencephalography was conceived as recording the brain's intrinsic language, extending the writing approach to include symbolic signs. The availability of functional neuroimaging signaled an opportunity to overcome the duality of imaging and writing, but revived initially a phrenological conflation of form and function, suppressing the writing approach in relation to imaging. More sophisticated visualization modes, however, converted this reductionism to the ontological productivity of social neuroscience and recuperated the theorizing from the writing approach. In light of the ongoing instrumental mediations between brains, data and theories, the question of how we may think, once proposed by Vannevar Bush as a prospect of enhanced human-machine interaction, has become the state of affairs in the entanglements of instruments and organic worlds.

[Professor Ivan Tarchanoff]

Napoleon Cybulski, generally recognised the father of Polish physiology, was first a student and later an assistant of Tarchanoff at the Chair of Medical and Surgical Physiology of the Imperial Medical-Surgical Academy in St Petersburg. A Professor of the Jagiellonian University himself (whose nomination, by the way, was supported among others on the recommendations from Tarchanoff), Cybulski was a co-discoverer of adrenaline, and one of the first researchers in the world to make an EEG recording. Tarchanoff's ties with Poland are far greater than his biographers would admit. He was more than just a teacher and a friend of Cybulski: after being dismissed from the Academy in St Petersburg , the scientist not only used to visit Kraków but published his scientific works here, built a house in the vicinity of the city, and here he died on 24th August 1908. His wife, Helena Antokolska-Tarchanoff was active in Kraków's artistic circles. Hints suggesting that Tarchanoff planned to spend the rest of his life in what at the time was Galicia are plenty.

Polysomnography: understanding this technology's past might guide future developments

Hans Berger published the first human electroencephalograph (EEG) recording in 1924 [1]. He used a device called the string galvanometer to record brain waves on a light-sensitive plate. The fluctuating potential difference from the scalp oscillated at eight to 13 cycles per second (alpha rhythm) when an individual closed his or her eyes and remained relaxed but awake. Berger noted that when a person fell asleep, the alpha rhythm disappeared. Amazingly, to this day, the alpha rhythm disappearance remains the primary marker for defining sleep onset. Years later, Carl Ludwig invented a kymograph (the ?wave writer?) that used a stylus to record electroencephalographic oscillation on a rotating drum. Later, an alternative approach evolved so that the brain wave recordings were inked onto a roll or fan-folded continuous paper strip moving at a constant speed. Mechanical engineers gradually improved the drive mechanisms for moving paper by using rotating sprockets, pinch rollers, and pressure plates. Gear mechanisms were also incorporated to permit speed changes.

Adolf Beck: a forgotten pioneer in electroencephalography

Adolf Beck, born in 1863 at Cracow (Poland), joined the Department of Physiology of the Jagiellonian University in 1880 to work directly under the supervision of the prominent physiology professor, Napoleon Cybulski. Following his suggestion, Beck started experimental studies on the electrical brain activity of animals, especially in response to sensory stimulation. Beck placed electrodes directly on the surface of brain to localize brain potentials that were evoked by sensory stimuli. He observed spontaneous fluctuations in the electrical brain activity and noted that these oscillations ceased after sensory stimulation. He published these findings concerning the electrical brain activity, such as spontaneous fluctuations, evoked potentials, and desynchronization of brain waves, in 1890 in the German language Centralblatt für Physiologie. Moreover, an intense polemic arose between physiologists of that era on the question of who should claim being the founder of electroencephalography. Ultimately, Richard Caton from Liverpool showed that he had performed similar experiments in monkeys years earlier. Nevertheless, Beck added new elements to the nature of electrical brain activity. In retrospect, next to Richard Caton, Adolf Beck can be regarded, together with Hans Berger who later introduced the method to humans, as one of the founders of electroencephalography. Soon after his success, Beck got a chair at the Department of Physiology of the University at Lemberg, now Lviv National Medical University.

An old hypothesis and new tools: Alfred Fessard's approach to the problem of consciousness

In 1954, a symposium was held in Canada on "Brain Mechanisms and Consciousness." It was a time for the promotion of international and interdisciplinary scientific cooperation, of new technological expectation, and of speculating about complex human behavior. Alfred Fessard's lecture on "Mechanisms of Nervous Integration and Conscious Experience" was one of the outstanding presentations, rich in critical analysis of the then available experimental data and in working hypothesis proposals. Reading the concept expressed by Fessard, it was found that several of his ideas had anticipated data obtained in modern research with new technologies.

Ellen R. Grass lecture: Back to the future: from grass roots to microchips

The study of the electroencephalogram (EEG) and other clinical neurophysiology (CNP) measurement tools has evolved over the last 70 years. In this evolutionary process, Ellen Grass and many professional technologists along the way have been instrumental in the translation of new developments in CNP technology to clinical utility. Technological developments in long-term EEG/video intensive care unit (ICU) monitoring, intraoperative monitoring, high frequency oscillation (HFO) recordings, automated signal analysis tools, seizure prediction devices, and the study of implanted intracranial recording and stimulation devices will improve our understanding of how the nervous system works. Improved understanding and translation of this evolving technology for improved patient care and outcomes remains the ultimate goal of such endeavors. Professional organizations such as the American Board of Registration of Electroencephalographic and Evoked Potential Technologists (ABRET) and the American Society of Electroneurodiagnostic Technologists (ASET) must continue to serve the CNP community and society to guide the application of this technology with an emphasis on providing information, guidelines on its use, and setting standards of professionalism. Any prior prediction of the demise of CNP technology has been greatly exaggerated. Quite the opposite has occurred, considering that the humble origins of vacuum tube powered Grass EEG machines will eventually yield to intracranial implanted microchip based recording and stimulation devices; the future appears bright for our profession.

The Moscow Colloquium on Electroencephalography of Higher Nervous Activity and its impact on international brain research

Late 1950s was a period of recognition of Russian neurophysiology by international neuroscience community and vice versa. This process of "opening windows in both directions" might be illustrated by the story of The Moscow Colloquium on Electroencephalography of Higher Nervous Activity. The Colloquium took place on October 6-11, 1958 at the House of Scientists in Moscow. It was organized by the Academy of Sciences of the USSR under the initiative of the Institute for Higher Nervous Activity and focused on (a) EEG correlates of cortical excitation and inhibition; (b) electrophysiological study of different brain structures and their role in conditioned reflexes; and (c) EEG of higher nervous activity in humans. At the final session it was suggested to launch an International Year for the Study of the Brain and to ask UNESCO for international coordination of brain research. This resulted into the International Brain Research Organization (IBRO) founded in 1960. This article is based on unpublished records of international contacts of Soviet neurophysiologists and organization of the Moscow Colloquium from the Archive of Russian Academy of Science (ARAN), reports in Soviet periodicals, publications in obscure Festschriften, etc.

[Incursion into bioelectromagnetism]

The term of bioelectromagnetism include electromagnetosenzitive processes at the fundamental interaction of energetical fields with the matter. The alive matter has a dynamical, chemical and energetics structure, but above all, an intense informational activity. The bioelectromagnetism was gradually discovered and understood throughout history of humanity. J. Bernstein defined the cell's bioelectricity, Wagner calculated electrical conductivity and permeability of cells, starting from the Maxwell's field equations, others discovered "mitogenetic radiation" or "dark luminescence" or "ultraweak bioluminescence" and F. A. Popp founded the biophotons theory. On the other hand, Hirata and Nakatani finded points with different electrical conductivity on the surface of the skin and Voll invented the system of electro dermal testing. The practical applications of the bioelectromagnetism are the medical devices based on bioresonance, useful in diagnosis and treatment, as shown in the 17 studies (902 patients) published in 1999-2006.

History of ASET: the first fifty years--1959 to 2009

In 1959 a group of EEG technicians along with the support of electroencephalographers founded and chartered the American Society of Electroencephalographic Technicians (ASET). For the past fifty years, volunteers and staff have worked to make ASET the premier professional membership organization for electroneurodiagnostic technologists. The volunteers included officers, board members, committee chairs, faculty, authors of articles and handouts, vendors, and members assisting in all areas such as membership recruitment. This article is just the beginning of chronicling, sharing, and savoring ASET's history. Beginning in 2010, an article per year will review and describe a five-year span of ASET history including the changes and expansion in technology. We need to preserve the memories, the ideas, and the driving forces to truly appreciate and understand where we are today.

Simultaneous recording of EEG and BOLD responses: A historical perspective

Electromagnetic fields as measured with electroencephalogram (EEG) are a direct consequence of neuronal activity and feature the same timescale as the underlying cognitive processes, while hemodynamic signals as measured with functional magnetic resonance imaging (fMRI) are related to the energy consumption of neuronal populations. It is obvious that a combination of both techniques is a very attractive aim in neuroscience, in order to achieve both high temporal and spatial resolution for the non-invasive study of cognitive brain function. During the last decade a number of research groups have taken up this challenge. Here, we review the development of the combined EEG-fMRI approach. We summarize the main data integration approaches developed to achieve such a combination, discuss the current state-of-the-art in this field and outline challenges for the future success of this promising approach.

Recording the brain at work: the visible, the readable, and the invisible in electroencephalography

The electroencephalogram (EEG), the graphic recording of the electric activity of the human brain, kindled far-reaching speculations about the imminent deciphering of mind and brain in the 1930s. Regardless of the thousands of neurons in the human cortex, recording from a person at rest produced a surprisingly regular line oscillating at 10 per second that disappeared at the moment of mental activity. With ever more groups specializing in electroencephalography, however, the deciphering of mind and brain did not materialize but moved further away in the information produced. In the various approaches employed in EEG research, such as the analysis of the graphic code, the search for pathognomic patterns or the imaging of cognitive processing, visualization guided research as well as theorizing, its productivity continued to keep the epistemological question open.

Ellen R. Grass lecture: present at the beginning. Ellen Grass and the evolution of modern concepts regarding EEG and epilepsy

Ellen Grass was a remarkable woman whose efforts on behalf of neurophysiology, epilepsy, and physiological technology contributed importantly to the development of neuroscience in the United States during the middle third of the 20th century. She initially provided an important link between a remarkable group of Harvard physiologists and her husband, Albert, a brilliant engineer whose innovative equipment played a critical role in accelerating advances in neurophysiology and, later, EEG and epilepsy. Mrs. Grass herself observed and personally facilitated much of the clinical and basic neuroscience research during this period, when the modern framework for a scientific understanding of epilepsy and EEG was established. She also supported the development of professional societies relevant to these areas, including ASET, the American EEG Society, the American Epilepsy Society, and the Epilepsy Foundation of America.

From lateral to mesial: the quest for a surgical cure for temporal lobe epilepsy

PURPOSE

A gap of more than a hundred years occurred between the first accounts of mesial temporal sclerosis and recognition of its role in the pathogenesis of psychomotor seizures. This paper reviews how the understanding and surgical treatment of temporal lobe epilepsy developed, particularly from the work of Penfield, Jasper, and their associates at the Montreal Neurological Institute (MNI).

METHODS

Publications on EEG and surgery for temporal lobe seizures from 1935 to 1953 were reviewed and charts of selected patients operated on at the MNI in the same period were examined. Attention was focused on the evolution of surgical techniques for temporal lobe epilepsy.

RESULTS

In the late 1930s, some EEG findings suggested deep-lying disturbances originating in the temporal lobe. However, it took another two decades before the correlation of clinical, neurophysiological, and anatomical findings provided evidence for the involvement of the mesial structures in psychomotor or temporal lobe seizures. From 1949 and onward, Penfield and his associates applied this evidence to extend the surgical resections to include the uncus and the hippocampus.

CONCLUSION

The collaborative work of a team led by Penfield and Jasper at the MNI helped to define the role of neurophysiological studies in epilepsy surgery. As a result, the importance of removing the mesial structures in order to obtain better seizure control in patients with temporal lobe epilepsy became firmly established.

The concept of brain death did not evolve to benefit organ transplants

Although it is commonly believed that the concept of brain death (BD) was developed to benefit organ transplants, it evolved independently. Transplantation owed its development to advances in surgery and immunosuppressive treatment; BD owed its origin to the development of intensive care. The first autotransplant was achieved in the early 1900s, when studies of increased intracranial pressure causing respiratory arrest with preserved heartbeat were reported. Between 1902 and 1950, the BD concept was supported by the discovery of EEG, Crile's definition of death, the use of EEG to demonstrate abolition of brain potentials after ischaemia, and Crafoord's statement that death was due to cessation of blood flow. Transplantation saw the first xenotransplant in humans and the first unsuccessful kidney transplant from a cadaver. In the 1950s, circulatory arrest in coma was identified by angiography, and the death of the nervous system and coma dépassé were described. Murray performed the first successful kidney transplant. In the 1960s, the BD concept and organ transplants were instantly linked when the first kidney transplant using a brain-dead donor was performed; Schwab proposed to use EEG in BD; the Harvard Committee report and the Sydney Declaration appeared; the first successful kidney, lung and pancreas transplants using cadaveric (not brain-dead) donors were achieved; Barnard performed the first human heart transplant. This historical review demonstrates that the BD concept and organ transplantation arose separately and advanced in parallel, and only began to progress together in the late 1960s. Therefore, the BD concept did not evolve to benefit transplantation.

State-of-the-Art of Seizure Prediction

SUMMARY

Although there are numerous studies exploring basic neuronal mechanisms that are likely to be associated with seizures, to date no definite information is available as to how, when, or why a seizure occurs in humans. The fact that seizures occur without warning in the majority of cases is one of the most disabling aspects of epilepsy. If it were possible to identify preictal precursors from the EEG of epilepsy patients, therapeutic possibilities and quality of life could improve dramatically. The last three decades have witnessed a rapid increase in the development of new EEG analysis techniques that appear to be capable of defining seizure precursors. Since the 1970s, studies on seizure prediction have advanced from preliminary descriptions of preictal phenomena and proof of principle studies via controlled studies to studies on continuous multiday recordings. At present, it is unclear whether prospective algorithms can predict seizures. If prediction algorithms are to be used in invasive seizure intervention techniques in humans, they must be proven to perform considerably better than a random predictor. The authors present an overview of the field of seizure prediction, its history, accomplishments, recent controversies, and potential for future development.

The concept of the epileptogenic zone: a modern look at Penfield and Jasper's views on the role of interictal spikes

In modern times, the determination of the epileptogenic zone demands a sophisticated combination of neurophysiological and neuroimaging tools. Historically however, the concept of the epileptogenic zone was based on and has evolved from the recording of interictal spikes, both in the scalp electroencephalogram (EEG) and, particularly, in the acute electrocorticogram (ECoG). Because the role of interictal spikes is still not always clear in the decision-making process of epilepsy surgery, the relevance of these spikes in the definition of the epileptogenic zone is reviewed here, starting with the pioneering work of the Montreal school.

Between local cultures and national styles: units of analysis in the history of electroencephalography

The history of the discovery of the human electroencephalogram (EEG) and the ensuing implementation of electroencephalography is characterized by striking national differences. The first publication on the EEG in 1929 by the German psychiatrist Hans Berger was met with skepticism. Substantial work in this area did not start before the public demonstration of the EEG by the British neurophysiologist Edgar Douglas Adrian in 1934. Soon afterwards, many groups specialized in the new method, particularly in the US, whereas interest remained more limited in France and Britain. A comparative analysis of the rise of electroencephalography has certainly to account for such national differences, but the trajectory of the implementation of this technology calls for an investigation of local research cultures in order to identify units of productivity and to understand the dynamics along this trajectory.

W. Grey Walter, pioneer in the electroencephalogram, robotics, cybernetics, artificial intelligence

With the announcement by William Lennox at the 1935 London International Neurology Congress of the use of electroencephalography in the study of epilepsy, it became evident that a new and powerful technique for the investigation of seizures had been discovered. William Grey Walter, a young researcher finishing his post-graduate studies at Cambridge, was selected to construct and study the EEG in clinical neurology at the Maudsley Hospital, London. His hugely productive pioneering career in the use of EEG would eventually lead to groundbreaking work in other fields --the emerging sciences of robotics, cybernetics, and early work in artificial intelligence. In this historical note his pioneering work in the fields of clinical neurophysiology is documented, both in the areas of epileptology and tumour detection. His landmark contributions to clinical neurophysiology are worthy of documentation.

Richard Caton (1842-1926): pioneer electrophysiologist and cardiologist

Richard Caton is recognized as the discoverer of the waves of electrical potential which today form the basis of electroencephalography. He reported his finding in three communications, two in the British Medical Journal and one to the Ninth International Congress of Medicine at Washington, DC. After defending his priority in having made this discovery, he did no further work on the brain: his family and colleagues were unaware of his discovery for many years after his death. This was possible partly because of many other things that he did in his long life but also because, in his later years, he took deliberate steps to hide the fact that he had worked on the brain. The most important of these other activities was a practical study of the treatment of rheumatic heart disease. The basis of his treatment--complete rest in bed--is still in use today.

The epileptology of William Aldren Turner

William Aldren Turner (1864-1945), in his day Physician to the National Hospital, Queen Square, and to King's College Hospital, London, was one of the major figures in the world of epileptology in the period between Hughlings Jackson in the latter part of the 19th century and the advent of electroencephalography in the 1930s. Although he also made contributions to knowledge in other areas of neurology, and with Grainger Stewart wrote a competent textbook on that subject, Turner's main professional interest throughout his career seems to have been epilepsy. On the basis of a series of earlier, rather heavily statistical, personal publications dealing with various aspects of the disorder, he authored what became a well-accepted monograph entitled Epilepsy - a study of the idiopathic disorder, which appeared in 1907, and he also gave the 1910 Morison lectures in Edinburgh on the topic. His writings on epilepsy over a period of three decades consolidated knowledge rather than led to significant advances, but helped maintain interest in the disorder during a rather long fallow phase in the development of the understanding of its nature.

The First Case of Invasive EEG Monitoring for the Surgical Treatment of Epilepsy: Historical Significance and Context

PURPOSE

Controversy persists about when EEG became a fundamental tool in the preoperative investigation for epilepsy surgery. We revisit Penfield's first use of invasive EEG monitoring, emphasizing its historical importance for the evolution of epilepsy surgery.

METHODS

Patients' hospital charts and articles published before 1940 regarding EEG and epilepsy or EEG and cerebral lesions were reviewed to evaluate the historical context of the surgery.

RESULTS

In April 1939, Penfield performed trephination over both temporal regions and placed electrodes on the dura, intending to lateralize seizure origin in a patient with bitemporal epilepsy. The patient underwent serial EEGs with this technique. The final report of the recordings from epidural leads was "continued random delta activity in the left temporal region indicating a cortical lesion on this side." The pneumoencephalogram showed "the presence of diffuse cerebral atrophy, particularly in the left cerebral hemisphere." Based on these findings, the patient underwent surgery on April 21, revealing a meningocerebral scar in the posterior part of the left temporal lobe. Brain stimulation and electrocorticography delineated the extent of resection, while preserving the speech area. Seizures did not improve.

CONCLUSIONS

We revisit the first case of epidural EEG monitoring for epilepsy surgery and show that the concept of EEG-directed surgery was already present at the Montreal Neurological Institute in the late 1930s.

["If Berger had survived the second world war - he certainly would have been a candidate for the Nobel Prize". Hans Berger and the legend of the Nobel Prize]

The public opinion pays much attention to the Nobel Prize as an indicator for the scientific efficiency of a university or a country in connection with foundation of so-called elite universities. The former holder of the psychiatric chair in Jena and discoverer of the electroencephalogram Hans Berger (1873 - 1941) came into discussion as candidate for the Nobel Prize in physiology or medicine. The current medical-historical publications maintain the view that Berger should have received the Nobel Prize in 1936 as well as in 1949. This was prevented in 1936 by an enactment from Hitler, which forbid him to accept the prize, and later in 1949 by Berger's own death. According to documents of the Nobel archives these statements can be disproved. Berger was only nominated three times out of 65 nominations in 1940. Because of his death the other two recommendations in 1942 and 1947 were never evaluated.