40例慢性脑型血吸虫病的脑电图分析

目的:了解脑型血吸虫病脑电图(EEG)的脑电活动状况,为临床诊断与治疗提供参考。方法:收集1997~2004年临床诊断为脑型血吸虫病的40例EEG资料,主要分析异常EEG的脑电活动状况与异常程度、临床分型及预后的关系。结果:31例出现不同程度的EEG异常改变,异常率为77.5%,其中癫痫性为70%;脑瘤型为100%。绝大部分EEG检查是患者经治疗后作的。治疗前后均作了EEG检查的仅9例。治疗前,9例均有不同程度异常,治疗后7例有不同程度改善,2例恢复正常。结论:EEG对脑型血吸虫病的诊断及预后的评价有参考价值。     

Characteristics of disturbances of intercortical and cortical-subcortical integration in various clinical forms of neurotic depression

Cross-correlation, coherent, and factor analyses of the EEG were used to detect disturbances of spatial organization of brain bioelectric activity, with certain specific features determined by concomitant anxiety and asthenia syndromes in 20 patients with various clinical forms of neurotic depression. In the group of patients with dominance of the depressive syndrome without marked symptoms of asthenia or anxiety, opposite changes in the anterior areas of the right and left hemispheres were found; the interregional relationships of the EEG of anterior areas of the right hemisphere were decreased as compared to the norm, while the normal level of systemic interaction of bioelectric potentials of the cortex of the left hemisphere was increased. In patients with the depressive syndrome combined with increased anxiety, as well as in patients with distinct asthenic symptoms, a considerable decrease in the level of interregional interactions of bioelectric potentials in frontal regions of the cortex of both hemispheres was detected. This was accompanied by an increase, as compared to the norm, of the level of distant relationships of the EEG in posterotemporal, parietal, and occipital regions. The data indicate that, in the case of neurotic depression, irrespective of concomitant anxiety and asthenia syndromes, there is transient inhibition of the functional activity of frontal regions along with an increased rigidity of systemic interactions of the posterior regions of the cortex of both hemispheres. This suggests that neurotic depression is accompanied by dysfunction of intercortical and cortical-subcortical integration, which causes a disturbance of the systemic organization of ordered interactions of the activity of the anterior and posterior regions of both hemispheres, with certain specific features in patients of each group.     

Effects of modulated RF energy on the EEG of mammalian brains

The effects of modulated radio frequency fields on mammalian EEGs were investigated using acute and chronic irradiations at non-thermal level. The EEG signals were computer processed to obtain power spectra. Rabbits were exposed to the field for 2 h a day for 6 weeks at 1-10 MHz (15 Hz modulation) at the level of 0.5-1 kV/M. Silver electrodes placed on the skull surface were used for recording of the EEG. Usually they were removed immediately after initial recordings of the EEG and reinserted before the final and intermediate EEG recordings. With this arrangement, modulated RF fields produced a change in EEG patterns by enhancing the low frequency components and decreasing high frequency activities. On the other hand, acute irradiations did not produce noticeable changes in the EEG at the level of 0.5-1 kV/M (1-30 MHz, 60 Hz modulation) as long as the use of intracranial electrodes was avoided.     

Hyperactive individuals as young adults: current and longitudinal electroencephalographic evaluation and its relation to outcome.

In a 10-year follow-up study electroencephalograms (EEGs) of 31 hyperactive and 27 matched control subjects of mean ages 19.17 and 18.59 years respectively showed no significant differences in any of the features assessed. Sequential EEGs, available for only the hyperactive subjects, suggested that a much greater proportion were normal at the 10-year follow-up assessment than at the 5-year follow-up assessment and that the normalization tended to take place mainly in the second 5-year period. This supports the hypothesis that EEG abnormalities of hyperactive persons are those of an immature pattern that tends to normalize with age. Correlation between EEG findings at the 10-year follow-up assessment and global outcome measures was not significant. Initial and 5-year EEGs also failed to predict global outcome at the 10-year follow-up assessment.     

脑死亡与脑昏迷脑电信号的复杂度研究

脑死亡诊断是有关病人生死的重要问题.许多国家都把脑电平坦列为脑死亡诊断的基本条件,但研究发现并非所有的脑死亡患者均表现为脑电平坦,同时脑昏迷患者在部分情况下也会表现出脑电平坦的现象,从而有可能在临床中造成误判.C0复杂度判断指标能够利用脑电信号中的复杂度特性帮助临床诊断中对于脑死亡和脑昏迷状况的鉴别.运用C0复杂度算法对22位脑死亡和脑昏迷病例进行分析实验,可以发现脑死亡脑电信号的复杂度明显高于脑昏迷脑电信号的复杂度.实验表明C0复杂度可以用来有效地区分脑死亡和脑昏迷脑电信号,具有潜在的重要临床价值.     

Characteristics of the human EEG during cognitive-mnemenic activity under hypoxic conditions

The amplitude-frequency and spatiotemporal characteristics of the EEGs of subjects performing various cognitive-mnemenic activities under the conditions of graduated hypoxia were studied. The quickness and correctness of test performance were significantly decreased beginning from the sixth minute of hypoxia as compared to normoxic conditions. The amplitude and mean period of the dominant EEG activity in this functional state were higher than in the same tests performed under normoxic conditions and lower than in the case of hypoxia not accompanied by the performance of tests. The spatiotemporal characteristics of the EEG under hypoxic conditions displayed both the characteristics typical of hypoxia (a decrease in EEG cross-correlation within anterior cortical regions) and those typical of cognitive-mnemenic activity (an increase in the correlation between the EEGs of distant zones of anterior and posterior cortical regions). It is assumed that the “intermediate” EEG pattern observed in subjects performing cognitive-mnemenic tests under hypoxic conditions reflects opposite effects of hypoxia and intellectual effort on the functional activity of brain neurons.     

Analysis of the electroencephalographic activity associated with thalamic tumors

A physiologically based model of corticothalamic dynamics is used to investigate the electroencephalographic (EEG) activity associated with tumors of the thalamus. Tumor activity is modeled by introducing localized two-dimensional spatial non-uniformities into the model parameters, and calculating the resulting activity via the coupling of spatial eigenmodes. The model is able to reproduce various qualitative features typical of waking eyes-closed EEGs in the presence of a thalamic tumor, such as the appearance of abnormal peaks at theta ( approximately 3Hz) and spindle ( approximately 12Hz) frequencies, the attenuation of normal eyes-closed background rhythms, and the onset of epileptic activity, as well as the relatively normal EEGs often observed. The results indicate that the abnormal activity at theta and spindle frequencies arises when a small portion of the brain is forced into an over-inhibited state due to the tumor, in which there is an increase in the firing of (inhibitory) thalamic reticular neurons. The effect is heightened when there is a concurrent decrease in the firing of (excitatory) thalamic relay neurons, which are in any case inhibited by the reticular ones. This is likely due to a decrease in the responsiveness of the peritumoral region to cholinergic inputs from the brainstem, and a corresponding depolarization of thalamic reticular neurons, and hyperpolarization of thalamic relay neurons, similar to the mechanism active during slow-wave sleep. The results indicate that disruption of normal thalamic activity is essential to generate these spectral peaks. Furthermore, the present work indicates that high-voltage and epileptiform EEGs are caused by a tumor-induced local over-excitation of the thalamus, which propagates to the cortex. Experimental findings relating to local over-inhibition and over-excitation are discussed. It is also confirmed that increasing the size of the tumor leads to greater abnormalities in the observable EEG. The usefulness of EEG for localizing the tumor is investigated.     

Time-Dependent Statistical and Correlation Properties of Neural Signals during Handwriting

To elucidate the cortical control of handwriting, we examined time-dependent statistical and correlational properties of simultaneously recorded 64-channel electroencephalograms (EEGs) and electromyograms (EMGs) of intrinsic hand muscles. We introduced a statistical method, which offered advantages compared to conventional coherence methods. In contrast to coherence methods, which operate in the frequency domain, our method enabled us to study the functional association between different neural regions in the time domain. In our experiments, subjects performed about 400 stereotypical trials during which they wrote a single character. These trials provided time-dependent EMG and EEG data capturing different handwriting epochs. The set of trials was treated as a statistical ensemble, and time-dependent correlation functions between neural signals were computed by averaging over that ensemble. We found that trial-to-trial variability of both the EMGs and EEGs was well described by a log-normal distribution with time-dependent parameters, which was clearly distinguished from the normal (Gaussian) distribution. We found strong and long-lasting EMG/EMG correlations, whereas EEG/EEG correlations, which were also quite strong, were short-lived with a characteristic correlation durations on the order of 100 ms or less. Our computations of correlation functions were restricted to the spectral range (13–30 Hz) of EEG signals where we found the strongest effects related to handwriting. Although, all subjects involved in our experiments were right-hand writers, we observed a clear symmetry between left and right motor areas: inter-channel correlations were strong if both channels were located over the left or right hemispheres, and 2–3 times weaker if the EEG channels were located over different hemispheres. Although we observed synchronized changes in the mean energies of EEG and EMG signals, we found that EEG/EMG correlations were much weaker than EEG/EEG and EMG/EMG correlations. The absence of strong correlations between EMG and EEG signals indicates that (i) a large fraction of the EEG signal includes electrical activity unrelated to low-level motor variability; (ii) neural processing of cortically-derived signals by spinal circuitry may reduce the correlation between EEG and EMG signals.     

States of productive and reproductive imagination reflected in the local synchronization of alpha and theta EEG frequencies

Healthy subjects (n = 83) performed a task involving reproductive imagination (remembrances): they were asked to remember and to have an imaginary walk along a well-known road (a real walk, the reproductive imagination state, RIS). Then the subjects performed a task involving productive imagination: they were asked to imagine a city that does not actually exist and to have an imaginary walk through it (a fictitious walk, productive imagination state, PIS). The reference values were measured at rest with the eyes open (REO). Monopolar EEGs were recorded from 19 areas of the scalp surface (10–20 system). An increase in EEG power in the α₂ frequency range during RIS and even more pronounced increase during PIS as compared with REO were considered to reflect the internalization of attention. We also observed multidirectional dynamics of EEG power in the θ and α1 ranges during PIS and RIS as compared with REO, which suggests the dominance of free associative manipulation of visual images in PIS in contrast to RIS, where algorithmically ordered operations with visual images stored in the memory were dominant.     

The locked-in patient and the characteristics of the electrical activity of his brain

"Locked-in" state differs from the known states characterized by the motor activity blockade, preservation of conscience of speech contact, despite the fact that connection with outer world during this state is limited only by vertical movements of eyes and eyelids in response to speech signals. Three "locked-in" men were studied at different stages of development of this state. Spectral-coherent analysis of the EEG was conducted. The most typical for the developed state of the "locked-in" man is a uniform change of the intercentral EEG relations. In the motor areas of the cortex alpha-activity and its links are not formed (coherence in alpha-range is zero) while high and low frequencies are coherent. In the visual areas, in contrast, the alpha-rhythm is coherent. Distinct interhemispheric asymmetry of coherent connections appears. In the right hemisphere a decrease of coherence level is sharp and even, in the left one--in occipito-temporal parts the level remains close to norm, while in the frontal parts of the cortex it decreases.     

Relations of the EEG local and spatialtemporal spectral characteristics changes under hypoxia in humans

Spatial temporal and local EEG characteristics were studied in healthy subjects during inhalation of hypoxic oxygen-nitrogen gas mixture with 8 % content of oxygen. Analysis of spectra power density, coherence, phase shift, similarity of dominant frequencies in the EEGs of different derivations was performed separately for the EEG epochs with and without visually detected patterns of spatial synchrony of the EEG. Apart from this, a fact of dominance of the frequency in the EEG spectra of corresponding derivation was taken into account when estimating spectral parameters. Results of the study showed that, in general, under hypoxia, the EEG coherence in alpha- and delta-frequency range decreases as compared to the background level, in beta-range growth of this parameter is observed, in theta-range ambiguous changes occur: in the epochs with patterns of spatial synchrony--growth, in other epochs--lowering. Under hypoxia, also occurs growth of frontal and temporal EEGs' phase shift (corresponding to EEGs other derivations) in delta- and theta-range. In beta-range, on the contrary, average level of the phase shift decreases. It was revealed that taking into account the fact of dominance of frequency in the local EEG spectra is necessary for correct interpretation of the EEG spatial and temporal parameter analysis' results. A mathematical model of interaction between processes with different frequency characteristics is suggested, which explains some facts obtained in the study.     

Reduction of variability of EEG occipital,parietal, and central alpha rhythms by visual feedback stimulation

Two experiments, each with 24 normal right-handed adults, examined variability of the response of EEG alpha rhythms during repeated visual stimulations that were contingent on the occurrence of those rhythms. Within-trial variability of alpha durations and no-alpha (alpha blocking) durations were recorded from bipolar derivations along two bilateral posterior-anterior lines. Variability was significantly lower for: (1) the contingent EEG connected to the stimulus compared to the contralateral EEG, which was recorded simultaneously but was not connected to the stimulus; (2) occipitoparietal EEGs compared to parietocentral EEGs; (3) alpha durations compared to no-alpha durations. Differences in variability among the four EEG locations on the left or the right side were significant for contingent EEGs but not for contralateral nonconnected EEGs. The results were interpreted to be a demonstration that feedback EEG method can be applied to research on the functional topography of an EEG response to sensory stimuli in terms of the reduction of variability of the response that can be achieved with feedback.     

A comparison of the spike train activity of the cortical neurons and of the spatial synchronization of the EEG

In chronic experiments EEG coherence and conjugation of impulse activity were compared of neurones of the visual and sensorimotor areas of rabbits neocortex simultaneously recorded with the same electrodes. Connection was revealed between the presence and properties of conjugated neurones activity and EEG coherence at various frequencies. At correlated neurones activity a greater EEG coherence was observed on frequencies of 3-4,5 Hz than at the independent activity. At the highest level of the EEG coherence the neurones discharged with less delay of one after the other in pairs, and in their synchronization a common source participated more often than at the lowest level of the EEG coherence.     

Classification of epileptic seizures using wavelet packet log energy and norm entropies with recurrent Elman neural network classifier

Electroencephalogram shortly termed as EEG is considered as the fundamental segment for the assessment of the neural activities in the brain. In cognitive neuroscience domain, EEG-based assessment method is found to be superior due to its non-invasive ability to detect deep brain structure while exhibiting superior spatial resolutions. Especially for studying the neurodynamic behavior of epileptic seizures, EEG recordings reflect the neuronal activity of the brain and thus provide required clinical diagnostic information for the neurologist. This specific proposed study makes use of wavelet packet based log and norm entropies with a recurrent Elman neural network (REN) for the automated detection of epileptic seizures. Three conditions, normal, pre-ictal and epileptic EEG recordings were considered for the proposed study. An adaptive Weiner filter was initially applied to remove the power line noise of 50 Hz from raw EEG recordings. Raw EEGs were segmented into 1 s patterns to ensure stationarity of the signal. Then wavelet packet using Haar wavelet with a five level decomposition was introduced and two entropies, log and norm were estimated and were applied to REN classifier to perform binary classification. The non-linear Wilcoxon statistical test was applied to observe the variation in the features under these conditions. The effect of log energy entropy (without wavelets) was also studied. It was found from the simulation results that the wavelet packet log entropy with REN classifier yielded a classification accuracy of 99.70 % for normal-pre-ictal, 99.70 % for normal-epileptic and 99.85 % for pre-ictal-epileptic.     

Changes in the functional parameters of the brain structures under the influence of enkephalin-like tetrapeptidamide

In complex neurophysiological and cytobiochemical study single injections of tetrapeptide amide (TPA) caused a short-term analgetic effect which manifested itself in the absence of motor reactions and EEG changes of cortical and subcortical brain structures after painful stimulation of extremities. This effect was accompanied by changes of some indices of transmitter (monoamine oxidase) and protein metabolism in the cerebral hemispheres at cellular and subcellular levels. In 30-40 min after a TPA injection, EEG suppression and absence of EPs to light flashes were observed in cortical and subcortical structures. Simultaneously motor disorders developed. The observed EEG changes had an undulatory character: on the second day EEGs were restored and on the third day--suppressed once again. This period of TPA action was accompanied by varied changes of the investigated types of metabolism. The question of the necessity of systemic approach to the study of TPA action is discussed, as such an approach allows to reveal complex neurophysiological and fine biochemical relations in the reactions of brain structures and in animal behaviour.     

Dynamics of the spectral-coherent characteristics of the human EEG in healthy subjects and brain pathology

EEGs of 15 healthy subjects and 30 patients in early period after surgical ablation of tumours with basal localization, were investigated by means of monitor "Neuro-1" which allows to obtain in continuous regime characteristics of EEG dynamics according to power spectra and reveal the characteristics of intercentral relations of electrical brain processes by coherence and phase shifts. In healthy subjects in the period of transition from wakefulness to drowsiness highly coherent beta-rhythm (16-18 Hz) was revealed, preceeding typical picture of drowsiness and sleep. Study of the patients shows that certain characteristics of coherence and phasic shifts have an important prognostic value. Conclusion is made that for estimation of the functional state of healthy subjects during transition from wakefulness to drowsiness and of patients in early postoperative period the data on spectra of coherence are most informative.     

Optimal structure of the connections of the electrical processes in the human cerebral cortex and its disorders in changes of state

In this paper the data are analyzed on the human EEG investigation. Significance is shown of parameters of correlative and spectral-coherent EEG functions for the estimation of the brain functional state of healthy people and patients with local cerebral lesions. In the norm, the parameter of the mean coherence is stable, its characteristics correspond to the optimum cortical tone, the most favourable for the performance of the cortical functions. In healthy people unstable, individual, different in different cortical areas changes of the spectrum details, coherence and phases reflect local processes, taking place at the optimum mean level of the coherence and form the cortical mosaic. These two sides of the intercentral relations of the electrical processes (optimum level of coherence and dynamic mosaic of connections of separate rhythms) reflect the most favourable conditions of the nervous processes development. In the brain pathology, different forms are noted of deviations from the system of intercentral relations and levels of coherence of cortical electrical processes.     

Prestimulus EEG gamma frequencies during formation of a cognitive set to facial expression

Prestimulus EEG power spectra from different cortical areas in frequency band 1-60 Hz were studied at a stage of formation of the cognitive set to facial expression. Diversity of individual power spectra of baseline EEGs, especially in gamma frequency band 41-60 Hz makes averaging individual spectra impossible. The authors pioneered in finding that, in prestimulus periods, EEG frequencies 41-60 Hz were of higher information value than frequencies 1-20 and 21-40 Hz. The highest power of the gamma frequencies was revealed in the frontal areas of the right hemisphere in subjects with a plastic set. In the group with a rigid set, gamma frequencies of high power prevailed in the posterotemporal and occipital areas of the left hemisphere.     

Interregional cortical interactions at different stages of natural sleep and the hypnotic state: EEG evidence

The characteristic patterns of EEG spatial organization at different stages of natural sleep and the hypnotic state were studied in 26 volunteers aged 18–22 years. EEGs were recorded using 12 monopolar leads, and EEG cross-correlation coefficient matrices were calculated for consecutive epochs (4 and 8 s). Matrices averaged for each state were treated using factor analysis. The EEG correlation matrices were compared element by element for the states studied and the waking state. Relatively similar changes in the spatial structure of EEG correlations were observed at different stages of natural sleep, with the correlations tending to intensify, especially in the posterior temporal region of the right hemisphere. In the light and deep (somnambular) phases of hypnosis, the interaction between cortical zones that was characteristic of distant relationships of the EEGs of frontal regions, especially the posterior inferior frontal region of the right hemisphere, decreased. The systemic reorganization of the interregional EEG correlations during natural sleep was considerably more pronounced than in the hypnotic state. Notwithstanding, the highly orderly spatial organization of the cortical biopotential field that was typical of the waking state was retained at different stages of natural sleep and hypnosis. Thus, the coordination of the activities of distant nerve centers oriented to providing for a certain function or maintaining a certain functional state occurs against the background of a relatively invariant pattern of interregional integration at the level of the whole brain.Translated from Fiziologiya Cheloveka, Vol. 31, No. 2, 2005, pp. 34–48.Original Russian Text Copyright © 2005 by A. Shepovalnikov, Tsitseroshin, Rozhkov, Galperina, Zaitseva, R. Shepovalnikov.     

Role of the Visual Afferent Stream in Recovery of the Postural Control in Different Periods after Craniocerebral Injury

A comprehensive posturographic (PG), electroencephalographic, and clinical examination was performed during rehabilitation in 17 patients (mean age 27.5 ± 7.4 years) who had suffered a severe craniocerebral injury (SCCI). Of these, nine were examined soon after the SCCI and eight, in the period of remote consequences of the SCCI. The patients were compared to a control group of 18 healthy subjects (mean age 27.8 ± 12.2). The PG studies showed that, in the healthy subjects, the amplitude of sway of the common center of pressure (A_CCP) in the absence of the visual control was higher than with the eyes open. The A_CCP was higher in the sagittal than in the frontal plane and decreased during optokinetic stimulation. In the control group, rhythmic photostimulation produced a local increase in interhemispheric EEG coherence in symmetrical occipital and parietal cortical areas. In the patients examined early after the SCCI with the eyes open, the A_CCP was higher than in the healthy subjects, especially in the frontal plane. The A_CCP did not decrease in the Romberg posture and increased during optokinetic stimulation. In these patients, rhythmic photostimulation was accompanied by a generalized increase in mean interhemispheric EEG coherence as compared to the resting level. In the remote period after the SCCI, the PG and EEG responses to a decrease or an increase in the visual afferent stream proved to be inverted: the patients stood better with the eyes closed than with them open and photostimulation produced a decrease in EEG coherence in the occipitoparietal areas of the cortex. The results confirmed a greater efficiency of rehabilitation in the early period after the SCCI. Thus, specific PG and EEG reactions were observed in the SCCI patients at different stages of recovery. The generalized reactivity and “infantile” features of the EEG and PG rearrangements characteristic of the early period after the SCCI were considered to be a favorable prognostic sign for the recovery of the integrative brain activity and postural control of a patient. The inversion of the reactions in the remote period after the SCCI testified to limited possibilities of the recovery of the impaired functions and was indicative of a pathological type of compensatory rearrangements.__________Translated from Fiziologiya Cheloveka, Vol. 31, No. 4, 2005, pp. 5–13.Original Russian Text Copyright © 2005 by Zhavoronkova, Maksakova, Shchekut’ev.