Neuroleptic-like electroencephalographic changes in schizophrenics through biofeedback

Nine schizophrenic patients participated in a study which explored whether EEG feedback techniques could effect changes in the EEG similar to those associated with neuroleptic-induced improvement. During five sessions, each patient was presented feedback signals which continuously refected the discrepancy between characteristics of the patient's EEG power spectral profile and spectral profile characteristics associated by past research with neuroleptic induced clinical improvement. Significant within-session changes were observed for two of three EEG power spectrum bands of interest. No significant session-to-session EEG changes were observed. The results suggest that the EEG of schizophrenics can be temporarily altered, using feedback techniques, in a way that mimics the EEG changes that have been shown to occur with neuroleptic induced clinical improvement.The authors are indebted to Turan M. Itil, John W. Fredrickson, Michael Madwed, and Irene B. Francis. Senior authorship is shared equally.     

Modulation of attention in healthy children using a course of EEG-feedback sessions

We studied changes in the power spectra of EEG in the course of sessions of feedback by EEG characteristics (neurofeedback sessions) and estimated the effects of neurofeedback on psychological and EEG correlates of voluntary attention. Indices of the latter were estimated using Bourdon’s test (a correcture test) and Schulte’s tables. Twenty-nine reasonably healthy 10-to 13-year-old children took part in the study; they were divided into two groups, an experimental group (n = 12) and a control group (n = 15). The results obtained support the statement on noticeable changes in the functional state of the brain both immediately in the course of a neurofeedback session and after a course of such trainings. Changes in the ratios of the spectral powers of the beta₁ vs theta rhythms and the low-frequency beta vs theta rhythms were found in EEG recorded from the sensorimotor zone of the right hemisphere (C4). The observed changes in the spectral characteristics of EEG induced by the course of neurofeedback sessions were accompanied by the improvement of a few indices of voluntary attention. Neirofiziologiya/Neurophysiology, Vol. 38, Nos. 5/6, pp. 458–465, September–December, 2006.     

EEG correlates and possible predictors of the efficacy of the treatment of endogenous depression

Analysis of EEG spectral power values and quantitative clinical scores of depressive conditions has been carried out in the dynamics of the treatment of 40 patients with endogenous depression, with the main goal to study the neurophysiological correlates and to search for possible predictors of therapeutic outcome. The reduction of depressive symptoms by the end of the treatment course was associated with EEG signs of improvement of the brain’s functional state. Significant correlations have been revealed between the EEG narrow-band spectral power values and clinical scores. As well, significant correlations have been revealed between some initial (before the beginning of the treatment) EEG parameters and quantitative clinical scores at the initial stage of remission. The values of EEG β₁ and β₂ spectral power appeared to be predictors, while initially larger values of EEG spectral power were associated with the high manifestation of residual depressive symptoms after the treatment. The results support the basic views on the brain’s mechanisms of various aspects of depressive disorders and reveal the possible neurophysiological predictors of the efficacy of the treatment of endogenous depression.     

Narrow-band changes in the spectral composition of the EEG under the influence of an agonist and antagonist of the cholinergic neuromediator system]

The EEG effects of intake of the mean therapeutic single dose of cholinomimetic amiridin (20 mg) or cholinolytic amizyl (2 mg) were studied in 7 healthy subjects. After the intake of the drugs with agonistic and antagonistic action, significant opposite changes in the EEG spectral density were observed in the frequency ranges of 0.6-6.7, 7.7-11.4, and 24.8-29.7 Hz. Amizyl produced an enhancement of the spectral density of the delta-, theta- and beta 2 activity and reduction of the alpha-rhythm power, while under the action of amiridin the spectral density of these rhythms changed in opposite directions. The oppositely directed changes in the alpha range were most pronounced. The peak frequency of amiridin-induced shift was equal to 9.8-10 Hz, and the same value of the spectral change induced by amizyl was 10.8-11.4 Hz. It is suggested that the spectral power density of the alpha-rhythm is an EEG index of the level of cholinergic activation.     

Neurophysiological indices of CNS plasticity in the course of treatment of head trauma in adolescents

Using the methods of quantitative EEG analysis and cognitive evoked potentials, we investigated delayed consequences of head trauma (HT) after nootropic therapy with cerebrolysin. The study was performed in 30 12-to 19-year-old adolescents who had had severe HT with brain contusion one to five years prior to the study and manifested asthenic symptoms. During the study, they underwent treatment with 30 daily intramuscular injections of cerebrolysin at a dose of 0.1 ml/kg body weight. A positive effect on the functional state of the brain was found in 77% of patients. It was expressed as the appearance of the occipital α rhythm in the EEGs, an increase in the EEG spectral power, normalization of frequency parameters of the α rhythm, a decrease in the power spectrum of the low-frequency θ and δ EEG activity, and shortening of the P300 peak latency. These changes were associated with an improvement of the general clinical state and the psychometric indices of attention and memory in the patients.     

Adaptive method for EEG spectrum component decomposition

A new computerized method for EEG rhythms extraction is proposed as a development of the idea of adjustable boundaries of frequency components that was put forward in previous investigations. Principle component analysis of the correlation matrix of EEG spectra with subsequent rotation of factor solutions was used for decomposition of a spectrum into physically meaningful spectral components. The method was tested on EEG of 14 healthy subjects recorded in 17 functional waking states. Fourteen independent spectral components in the spectral range from 0 to 100 Hz were extracted and their frequency boundaries were consistent with the current knowledge on frequency components of EEG oscillations. Main advantage of the described method is the adjustable estimation of EEG frequency oscillators taking into account characteristic properties of individual EEGs. Possible area of application might be the correct evaluation of spectral power of the EEG rhythms, EEG coherence and other spectral characteristics in clinical and experimental research, studies of the frequency characteristics of the EEG rhythms in different human functional states, changes in frequency characteristics of the EEG rhythms during maturation and in mental pathology.     

Olanzapine-associated neuroleptic malignant syndrome: Is there an overlap with the serotonin syndrome?

BACKGROUND: The neuroleptic malignant syndrome is a rare but serious condition mainly associated with antipsychotic medication. There are controversies as to whether "classical" forms of neuroleptic malignant syndrome can occur in patients given atypical antipsychotics. The serotonin syndrome is caused by drug-induced excess of intrasynaptic 5-hydroxytryptamine. The possible relationship between neuroleptic malignant syndrome and serotonin syndrome is at present in the focus of scientific interest. METHODS: This retrospective phenomenological study aims to examine the seventeen reported olanzapine - induced neuroleptic malignant syndrome cases under the light of possible overlap between neuroleptic malignant syndrome and serotonin syndrome clinical features. RESULTS: The serotonin syndrome clinical features most often reported in cases initially diagnosed as neuroleptic malignant syndrome are: fever (82%), mental status changes (82%) and diaphoresis (47%). Three out of the ten classical serotonin syndrome clinical features were concurrently observed in eleven (65%) patients and four clinical features were observed in seven (41%) patients. CONCLUSION: The results of this study show that the clinical symptoms of olanzapine-induced neuroleptic malignant syndrome and serotonin syndrome are overlapping suggesting similarities in underlying pathophysiological mechanisms.     

Integrating role of voluntary postural control recovery during rehabilitation of patients with traumatic brain injury

Results of complex clinical, stabilographic and electroencephalographic (EEG) examination of 20 patients (28 +/- 6.9 years) suffered a severe traumatic brain injury (STBI) are presented. The examination was carried out in early terms after the STBI before and after a course of stabilographic training (ST) with a visual feedback as compared to a group of 18 healthy volunteers (26 +/- 5.8 years). The 4- to 6-week course of ST consisted of 8-15 sessions. Before the course, the patients experienced problems in different kinds of activity, maximum in the motor sphere. The EEG study revealed a decrease in the power and coherence of the alpha rhythm and an increase in the power of the slow spectral bands (delta). The ST restored not only the postural control of patients, but also reduced the defects in other spheres. The EEG study showed an increase in the alpha-rhythm power maximum in the occipital-parietal areas and a tendency to normalization of its regional specificity. In all examined patients, the interhemispheric coherence increased for different EEG-rhythms, especially of the alpha-band, in the central and parietal brain areas. The described EEG changes can be a marker of the integrating role of postural control and an important stage in restoration of integrative brain activity in early terms after the STBI accompanied by improvement of damaged functions.     

Noisy Galvanic Vestibular Stimulation Modulates the Amplitude of EEG Synchrony Patterns

Noisy galvanic vestibular stimulation has been associated with numerous cognitive and behavioural effects, such as enhancement of visual memory in healthy individuals, improvement of visual deficits in stroke patients, as well as possibly improvement of motor function in Parkinson’s disease; yet, the mechanism of action is unclear. Since Parkinson’s and other neuropsychiatric diseases are characterized by maladaptive dynamics of brain rhythms, we investigated whether noisy galvanic vestibular stimulation was associated with measurable changes in EEG oscillatory rhythms within theta (4–7.5 Hz), low alpha (8–10 Hz), high alpha (10.5–12 Hz), beta (13–30 Hz) and gamma (31–50 Hz) bands. We recorded the EEG while simultaneously delivering noisy bilateral, bipolar stimulation at varying intensities of imperceptible currents – at 10, 26, 42, 58, 74 and 90% of sensory threshold – to ten neurologically healthy subjects. Using standard spectral analysis, we investigated the transient aftereffects of noisy stimulation on rhythms. Subsequently, using robust artifact rejection techniques and the Least Absolute Shrinkage Selection Operator regression and cross-validation, we assessed the combinations of channels and power spectral features within each EEG frequency band that were linearly related with stimulus intensity. We show that noisy galvanic vestibular stimulation predominantly leads to a mild suppression of gamma power in lateral regions immediately after stimulation, followed by delayed increase in beta and gamma power in frontal regions approximately 20–25 s after stimulation ceased. Ongoing changes in the power of each oscillatory band throughout frontal, central/parietal, occipital and bilateral electrodes predicted the intensity of galvanic vestibular stimulation in a stimulus-dependent manner, demonstrating linear effects of stimulation on brain rhythms. We propose that modulation of neural oscillations is a potential mechanism for the previously-described cognitive and motor effects of vestibular stimulation, and noisy galvanic vestibular stimulation may provide an additional non-invasive means for neuromodulation of functional brain networks.     

Changes in EEG Rhythms and Spike Activity of Brainstem Dopaminergic Neurons Induced by Neurofeedback Sessions in Cats

We examined the dynamics of the ratios of spectral power densities (SPDs) of the alpha vs theta rhythms (α/θ ratio). of EEG and of the spiking frequency of supposedly dopaminergic (DA) neurons of the ventral tegmentum in the course of neurofeedback sessions directed toward changes in the EEG characteristics. Trainings were performed using techniques analogous to that used in neurofeedback sessions in humans. The level of the noise acoustic signal presented to the animal decreased with increase in the α/θ ratio in the occipital leads. In the control realizations, there were no dependences between the intensity of the acoustic signal and modulation of the current EEG. It was found that the animals learned, in a conditioned-reflex mode, to correlate changes in the intensity of the sound signal and power of the EEG rhythms and to control the latter; a high sound intensity was probably considered a factor of discomfort. The α/θ ratio in the course of neurofeedback sessions changed due to some increase in the SPD of the alpha EEG component and a noticeable drop in the SPD of theta oscillations. In a parallel manner with such modifications, augmentation of the spike activity of DA neurons was observed. Probable mechanisms of the involvement of the cerebral DA system in the formation of the effects of neurofeedback sessions are discussed.     

EEG correlates for efficiency of the nonverbal creative performance (drawing)

This work was aimed at a search for EEG corellates of efficiency of nonverbal creative performance. Standardized Torrens technique which makes it possible to quantitatively assess creativity was used. The EEG records were performed before and during test performance, EEG parameters were compared to Torrens scores on three scales: flexibility, originality and efficiency. Absolute values of spatial synchronization, coherence and spectral power both in the baseline and during the performance were calculated. Changes in these parameters were traced during the transition from the state of quiet wakefulness to creative performance. The narrow-band analysis of coherence and spectral power allowed the number and orientation of processes associated with creativity scales to be assessed. The absence of substantial EEG changes during the test performance is indicative of the steady, nondynamical functional state of the brain.     

Modulation of EEG Rhythms and Changes in Spike Activity of Noradrenergic Neurons of the <Emphasis Type="Italic">Locus Coeruleus</Emphasis> Related to Feedback Sessions by EEG Characteristics

In chronic experiments on awake cats, we studied the dynamics of the spectral power density (SPD) of the α rhythm vs SPD of the θ rhythm ratio and also of the characteristics of impulse activity generated by supposedly noradrenergic (NA) neurons of the locus coeruleus in the course of feedback (FB) sessions by EEG characteristics (EEG-FB). Trainings were performed using a technique analogous to that in EEG-FB sessions for humans. The level of a sound noise signal presented to the animal decreased with increase in the α/θ SPD ratio in the occipital lead. Changes in the level of the sound signal did not depend on EEG modulation in the control series. The animals were trained to correlate changes in the loudness of the sound signal with the power of EEG rhythms and, in such a way, to control the latter. The α/θ SPD ratio in EEG-FB sessions changed mostly due to a significant increase in the α rhythm power. The frequency of the impulse activity of NA neurons increased in a parallel manner with such EEG modulation. Possible mechanisms of the involvement of the cerebral NA system in the formation of the effects of EEG-FB sessions are discussed.     

Changes in electrical brain activity in patients with panic disorders

Brain electrical activity was recorded in 38 patients with typical and in 42 patients with atypical panic disorders, also in 30 normal controls. Compared to controls, patients both with typical and with atypical panic disorders differed significantly in reduced spectral power of the EEG alpha band in the right hemisphere. Moreover, in patients with typical panic disorders, the spectral power of the EEG beta1 band was increased in the frontal, temporal, central, and parietal areas of the right hemisphere. In patients with atypical panic disorders, the spectral power of the theta band was increased in the temporal areas of the right hemisphere. The changes in the EEG activity in patients with typical panic disorders are supposed to reflect an increase in activity of non-specific systems of the mesencephalic reticular formation, and the EEG changes in patients with atypical panic attacks may be associated with increased activity of the temporolimbic brain structures.     

Neurophysiological and Psychophysiological Effects of Sulpiride in the Norm and in Patients with Opiate Addiction

We studied characteristics of the EEG activity and psychophysiological indices in healthy persons and patients with opiate addiction (in the states of abstinence and remission) before and after peroral introduction of 200 mg sulpiride. In the initial state, spectral characteristics of EEG in patients with opiate addiction differed from those in the control (in healthy tested subjects) by higher relative powers of low- and high-frequency components (delta and beta waves) and a considerable depression of the alpha rhythm. Treatment with sulpiride evoked changes in the spectral characteristics of EEG, which showed a significant intergroup specificity; intensification of alpha oscillations was a general effect in all groups. We conclude that the effects of sulpiride on the EEG activity comprised components typical of both neuroleptics and antidepressants; in the group of patients in the abstinence state, the pattern of effects of sulpiride was close in its profile to the effect of anxiolytics. Dynamics of the indices of psychophysiological testing after sulpiride treatment demonstrated that the drug exerts mostly positive regulating effects on the state of higher nervous functions in patients with opiate addiction.     

Induced cortical electrical activity during different time-spans between warning and target stimuli

A certain alpha-band EEG dynamics was revealed in healthy adults (n = 16) at the interval between a warning and a target stimulus in a simple visuospatial task (subjects were instructed to locate a specific letter in the table of letters). Two series of experiment--either with a 2-sec or a 9-sec inter-stimulus interval were conducted, each consisting of 60 trials. In both series, we observed an induced desynchronization of low alpha (8-10 Hz) at the first second after the warning stimulus and its desynchronization just before the target stimulus. In series with a 9-sec inter-stimulus interval at the 4-6 s of it we observed an alpha-band synchronization, especially distinct in high alpha (10.5-13 Hz). This synchronization gradually reduced towards the end of the inter-stimulus interval. We consider the above changes in alpha-band spectral power during the inter-stimulus interval to be induced by "inner impulsations" caused by an internal representation (set) of the stimuli time-sequence. Changes in the level of cognitive control during the inter-stimulus interval cause increases and decreases in fronto-thalamic system activity, which are manifested in changes of alpha-band spectral power. Analysis of theta-band dynamics suggests that cortico-hippocampal system doesn't participate in this process.     

Adenosine deaminase polymorphism affects sleep EEG spectral power in a large epidemiological sample

Slow wave oscillations in the electroencephalogram (EEG) during sleep may reflect both sleep need and intensity, which are implied in homeostatic regulation. Adenosine is strongly implicated in sleep homeostasis, and a single nucleotide polymorphism in the adenosine deaminase gene (ADA G22A) has been associated with deeper and more efficient sleep. The present study verified the association between the ADA G22A polymorphism and changes in sleep EEG spectral power (from C3-A2, C4-A1, O1-A2, and O2-A1 derivations) in the Epidemiologic Sleep Study (EPISONO) sample from São Paulo, Brazil. Eight-hundred individuals were subjected to full-night polysomnography and ADA G22A genotyping. Spectral analysis of the EEG was carried out in all individuals using fast Fourier transformation of the signals from each EEG electrode. The genotype groups were compared in the whole sample and in a subsample of 120 individuals matched according to ADA genotype for age, gender, body mass index, caffeine intake status, presence of sleep disturbance, and sleep-disturbing medication. When compared with homozygous GG genotype carriers, A allele carriers showed higher delta spectral power in Stage 1 and Stages 3+4 of sleep, and increased theta spectral power in Stages 1, 2 and REM sleep. These changes were seen both in the whole sample and in the matched subset. The higher EEG spectral power indicates that the sleep of individuals carrying the A allele may be more intense. Therefore, this polymorphism may be an important source of variation in sleep homeostasis in humans, through modulation of specific components of the sleep EEG.     

Context-dependent EEG spectral characteristics during performance of tasks

Spatial and frequency EEG characteristics of two groups of healthy adult subjects were examined in two series of experiments, which differed in conditions of the second cognitive task in a trial. The first task was the same in the two series: subjects had to evaluate size relationship between two closely spaced circles. The second task successively presented in trials of the first series consisted in the recognition of words/pseudowords, and in the second series, subjects had to localize a target letter in a matrix. It was assumed that the cognitive performance in the first series predominantly involved the ventral visual system, whereas during task performance in the second series, predominant involvement of the ventral and dorsal visual systems alternated. Multichannel EEG fragments recorded prior to the presentation of the task pairs were analyzed. Analysis of variance of the EEG spectral power revealed the generalized significant effect of the factor of the second task in the pair for delta band and lower beta subband, the power being higher in the first series. Factor brain hemisphere had a significant effect for the alpha band in the occipital area, the spectral power being lower in the left hemisphere for both experimental series. The task x hemisphere interaction was significant in the temporal cortical areas for the EEG power in alpha2 band, i.e., the predominant involvement of the ventral visual system was associated with stronger asymmetry of alpha2 rhythm and lower spectral power in this band in the left temporal area. Thus, the character of the forthcoming cognitive activity was shown to be reflected in spatio-frequency characteristics of the preceding EEG.     

Dynamics of spectral characteristics of theta- and alpha-range EEG during negative emotional reactions]

Power characteristics of the EEG theta and alpha rhythms were studied in a human in neutral state and during a conditioned negative emotional reaction (Fp1, Fp2, F3, F4, C3, C4, P3, P4, O1, O2, F7, F8, T3, T4, T5, and T6 derivations). A significant increase in the relative spectral power in the narrow theta band of 7.4-8.1 Hz in the frontocentral and temporal brain regions was observed during the development of the negative emotional reaction. The alpha-rhythm dynamics during the negative reaction was substantially individual and could be expressed in either an increase, or decrease in relative spectral power of different alpha-frequencies. No pronounced changes in their dynamics could also be observed. In some subjects the spectral power of the medium-frequency alpha-rhythm significantly decreased, that of the high-frequency rhythm increased, and changes in the spectral power of the low-frequency alpha range varied.     

The adaptive classification of the dynamic spectral patterns in the human EEG]

The classification technique of single spectra based on a matrix of intercorrelation between these spectra and the fixed set of standard spectral patterns (SP) has been put forward. Including in the classification technique a special procedure for automatic adaptation of the standard SP to given EEG records makes it possible to reduce the number of unclassified single spectra to a minimum (6-10%), which we can ignore during comparative analysis of the EEG classification profiles. Using the universal set of standard SP makes it possible to compare the results of classification of different EEG records. The results of the analysis of classification profiles of human multichannel EEG during performance of the memory task on perception of visual images are described in the paper. It has been shown that both the total EEG reorganization associated with the alpha rhythm blockade during eyes opening and less noticeable EEG shifts accompanying changes in the stages of cognitive activity are underlain by a rather differentiated transformations of relative contributions of each type of the SP into the total power spectrum. It has been revealed that a relatively small part (15-20%) of the elementary EEG segments participates in the reorganization of the EEG classification profile.