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Q-Pro
Human Brain Institute
Russia-Switzerland-USA
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CONTENTS
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1. Personal and clinical
data – Questionnaire
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2
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2. Description of the
procedure of EEG recording and analysis.
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3
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3. Automated spike detection
- search for signs of epileptic discharges
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4
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4. Eyes Open – background
EEG rhythms and activities
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5
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5. Eyes Closed - background
EEG rhythms and activities
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11
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6. GO/NOGO task –EEG
rhythms and activities
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16
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7. Behavioral data and
cognitive Event Related Potentials (ERPs) in GO/NOGO
task
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18
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8. Event Related De/Synchronization
- ERD/ERS
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21
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9. Conclusion
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23
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10. Recommendations for therapy
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24
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Appendix 1. Methodological
principles for QEEG/ERP assessment.
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26
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Appendix 2. Artifact correction
by means of spatial filtration.
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32
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Appendix 2. Glossary
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34
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1. Personal and clinical data
–Questionnaire[1].
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Questions
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Descriptive answers
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Yes
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Category
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Name
(family name, given name)
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XXXXXXX
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General information
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Date
of birth (Day.Month.Year)
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xx.xx.xxxx
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Gender
(M-male, F-female)
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M
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Handed
(L- left, R – right)
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R
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Diagnosis
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ADHD,
Dyslexia, Dyspraxia
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Reason
of having QEEG assessment
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Protocols
for neurotherapy treatment
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Medication
taken now.[2].
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No
medication or drugs are taken now.
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Source
of referral
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Birth
trauma and/or hypoxia
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Pre- and post-natal history
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Started
to talk too late
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Head
trauma (with loss of consciousness)
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Poor
grades in school, poor performance at work
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Often
having headaches and/or migraines.
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General Brain Regulation
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Feel
weak and passive during daytime
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Sleep-related
difficulties
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+
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Abuse alcohol
or drugs.
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Perceptual
difficulties (paresis, dyslexia, Wernike aphasia,
neglect…)
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+
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Sensory system
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Autistic
spectrum behavior
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Motor-related
difficulties (akenesia, bradokinesia, tremor, rigidity,
Broca aphasia…)
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Motor system
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Attention-related
difficulties
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+
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Executive system
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Impulsiveness
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Difficulties
in correcting behavior
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Psychosis
(hallucinations, delusions…)
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Occupied
by mostly positive thoughts, manic
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Affective system
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Occupied
by mostly negative emotions, depressed
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Anxious
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Poor
memory for recent events
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+
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Memory system
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Other
forms of memory deficit
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2. Description
of the procedure of EEG recording and analysis.
EEG
was recorded by means of the Mitsar (Mitsar, Ltd.) amplifier[3]
from 19 electrodes (Fp1, Fp2, F7, F3, Fz, F4, F8, T3, C3,
Cz, C4, T4, T5, P3, Pz, P4, T6, O1, O2 sites in the International
10-20 system) with 250 Hz sampling rate in 0.3 – 70 Hz frequency
range in the following conditions: 1) eyes opened (EO)
– at least 3 minutes, 2) eyes closed (EC) – at least 3 minutes,
and 3) a modification of GO/NOO task (20 minutes).
The task consisted
of 400 trials presenting to a subject every 3 seconds.
In the task we selected four categories of stimuli: 1) 20
different images of animals –referred to later as A,
2) 20 different images of plants - P, 3) 20 different
images of humans presented together with an artificial sound
- HS[4]. Trials consisted of presentation
of a par of stimuli with interstimulus interval of 1.1 sec.
Four categories of trials were selected: A-A, A-P,
P-P, and P-HS. The trials were grouped into
four sessions with one hundred trials each. In each session
a unique set of five A stimuli, five P and
five HS stimuli was selected. Each session consisted
of a pseudo-random presentation of 100 pairs of stimuli
with equal probability for each category and each stimulus.

The
data were stored on the hard disk in the linked ears reference
montage and processed offline by means of WinEEG software.
The software is based on the 30 years experience obtained
in the laboratory at the Institute of the Human Brain of
Russian Academy of Sciences (director Prof. Dr. Juri Kropotov).
Absolute
and relative magnitude spectra and coherences in all conditions
computed and compared with the corresponding parameters
from the Human Brain Institute (HBI) normative database.
The normative database includes data of 1000 healthy people
of 7-89 years old age. EEG was recorded in Chur, Switzerland
(under supervision of Dr. Andreas Mueller) in the Institute
of the Human Brain, St. Petersburg, Russia (under supervision
of Prof., Dr. Juri Kropotov).
Patient’s
event related potentials are subjected to spatial filtration.
The spatial filters are computed on the basis of Independent
Component Analysis preformed with the whole set of ERPs
in healthy individuals. The extracted components are further
compared with the mean values averaged over the corresponding
age group. Each component corresponds to a specific psychological
operation.
3.
Automated spike detection.
The
method automated spike detection is based on temporal
parameters of spikes as well on spatial location of the
corresponding spike dipole[5]. The amplitude-temporal parameters have defined
on the basis of comparison spike detection by the program
and by experienced experts on the data base of more than
300 EEG recordings in epileptic patients. There are three
characteristics that define a spike or a sharp wave in EEG.
They are paroxysmal in character, with a high degree of
sharpness and a short duration. These parameters are presented
in Fig[6].

The
relative residual energy for dipole approximation of the
detected spike is chosen less than 0.2.
For
this client the automatic spike detection was performed
on EEG in the common average montage for both eyes open
and eyes closed conditions. In total 266 spikes were detected
and averaged. The waveform, topography and dipole approximation
of the averaged spikes are presented below.
Note that spiky alpha activity is generated in the left occipital area.


4.
Eyes Open – background EEG rhythms and activities (page1)
Two
fragments of EEG recorded in Eyes Opened (EO) condition
in a reference-free montage - “weighted average according
to Lemos” are presented below. This montage will be further
referred to as the data base montage.
Scale:
50 mcV/cm, speed – 30mm/sec, time constant – 0.3 sec, low
frequency filter – 30 Hz. Vertical and horizontal eye movement
artifact correction was done by means of Independent Component
Analysis (ICA) (see Appendix 2)

4.
Eyes Open – background EEG rhythms and activities (page
2)
Spectra
(EEG power vs. EEG frequency) in Eyes Open condition
for all 19 electrodes in the database
montage are presented below. The spectra are computed as
follows[7]:
1) The interval in EO condition is divided into equal parts
(epochs). The length of an epoch is 4 s. Overlapping of
the epochs is set to 50% so that the first 50% of each epoch
overlaps the final 50% of the next epoch. 2) To suppress
energy infiltration through boundaries of epochs maxima,
each epoch is filtered by the Hanning time window. 3) The
power spectra(periodogram) are computed by means of "fast
Fourier transformation" (FFT) algorithm. 4) Finally
the averaged (over time of recording) spectra are calculated
for each EEG channel separately.EEG rhythms are expressed
in form of spectra peaks. In this client the following
rhythms can be separated (topographies and frequencies are
depicted at the bottom).
Comparison
EEG spectra in eyes open condition with the normative database.
The
comparison was made for absolute and relative magnitudes
on EEG spectrums.
Relative
amplitude was computed as a ratio of the EEG amplitude in
the corresponding frequency to the EEG amplitude averaged
over 3-30 Hz[8] range.
The
bins with statistically significant (t-test) differences
are marked by bars at the bottom of each curve. The smallest
ones correspond to p<0.05 (z-score >2), the largest
ones - to p<0.001 (z-score>2.6), the medium ones –
to p<0.01 (z-score>3). Topographies of significant
deviations from normality are presented at the bottom.
Note: excess of the left temporal-occipital alpha activity
both for absolute and relative values.
Absolute
magnitude.

Relative
magnitude.

4.
Eyes Open – background EEG rhythms and activities (page
4)
The map of theta/beta
ratio (Theta=4-8 Hz. Beta – 13-21 Hz) is presented below
(at the left).
For
comparison, at the right the corresponding map for a group
of healthy subjects is presented.
Theta beta ratio
is called “inattention index” because it negatively correlates
with age and positively correlates with errors in continuous
performance tasks (such as TOVA – Test for variances of
attention or IVA ). In ADHD patients this index is elevated
in comparison to norms[9].
Note NO significant increase of this index at Cz in this patient in comparison
to norms.

4.
Eyes Open – background EEG rhythms and activities
(page 5)
Asymmetry
maps of power spectra in eyes open conditions for 1 Hz bands.
Note that an asymmetry
higher than 50% may be a sign of abnormality[10].

4.
Eyes Open – background EEG rhythms and activities (page
6)
Diagrams
of excessive (in red) or reduced (in blue) coherence in
sagital (top) and coronal (bottom) planes.
Note reduction of coherence in alpha band in frontal areas in coronal planes
and between central-parietal areas in sagital planes.

5. Eyes Closed – background EEG rhythms and activities
(page1)
Two
fragments of EEG recorded in Eyes Closed (EC) condition
in the data base montage.
Scale:
50 mcV/sm, speed – 30mm/sec, time constant – 0.3 sec, low
frequency filter – 30 Hz. Vertical and horizontal eye movement
artifact correction was done by means of Independent Component
Analysis (ICA) (see Appendix 2)


5.
Eyes Closed – background EEG rhythms and activities (page
2)
Spectra
(EEG power vs. EEG frequency) in Eyes Closed condition
for all 19 electrodes in the database montage are presented
below. EEG rhythms are expressed in forms of peaks on spectra.
In
this client the following rhythms can be separated (topographies
and frequencies are depicted at the bottom).

5.
Eyes Closed – background EEG rhythms and activities (page
3)
Difference
spectra Eyes closed – Eyes open.
The
results of subtraction spectrograms in Eyes Open condition
from those in Eyes Closed condition are presented below.
Note
that opening eyes produces an increase of alpha activity
at 9.3 Hz at the occipital areas. This rhythm dominates
on the spectra[11]
and is named the dominant alpha rhythm.

Comparison
EEG spectra in eyes closed condition with the normative
database.
The
comparison was made for absolute and relative amplitudes
on EEG spectrums.
Relative
amplitude was computed as a ratio of the EEG amplitude in
the corresponding frequency
Absolute
magnitude.

Relative
magnitude.

5.
Eyes Closed – background EEG rhythms and activities
(page 5)
Asymmetry
maps of power spectra in eyes closed conditions for 1 Hz
bands.
Note that an asymmetry
higher than 50% may be a sign of abnormality[12].

6. GO/NOGO task –EEG rhythms and activities (page 1)
Spectra
(EEG power vs. EEG frequency) in GO/NOGO task condition
for all 19 electrodes in the database montage are presented
below. EEG rhythms are expressed in forms of peaks on spectra.
In this client the following rhythms can be identified:
6. GO/NOGO task –EEG rhythms and activities (page 2)
Comparison
EEG spectra in GO/NOGO task condition with the normative
database.
The
comparison was made for absolute and relative magnitudes
on EEG spectrums.
Absolute
magnitude.

Relative
magnitude.

- Behavioral data
and cognitive Event Related Potentials (ERPs) in a GO/NOGO
task
(page
1).
Behavioral
data (omission and commission errors, reaction times and
variances) are presented below.
Note: too many omission errors.

- Behavioral data
and cognitive Event Related Potentials (ERPs) in GO/NOGO
task
(page 2).
ERPs in the GONOGO
task computed for GO, NOGO stimuli and ERP differences (NOGO-GO).
GO stimuli – green, NOGO stimuli (animal-plant) – red,
NOGO-GO – blue. Bars under ERPs represent levels of statistical
significance of deviation from the pre-stimulus interval
(small bar – p<0.05, medium – p<0.01, big – p<0.001).
Note: below the head maps show the ERPs topographies taken at the maximums of
each ERPs and ERPs differences.

- Behavioral
data and cognitive Event Related Potentials (ERPs) in
GO/NOGO task
(page 3).
ICA
analysis of ERPs in GO/NOGO task – comparison with the normative
data base.
Table
of Normal Components.
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Name
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Functional
meaning
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Location
of maximum
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Peak
latency in ms
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Normal
range in ms
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Amplitude in μV
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Normal range in μV
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P1 component
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Index
of information processing in the visual system
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O1,
O2
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130)
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124-148
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24.1
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3.1-17.2
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P2H component
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Index
of information processing in the auditory system
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Fz
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210
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194-216
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16.6
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6.2-14.3
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P3GO component
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Index
of engagement operation
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Pz
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320
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309-357
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7.3
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5.0-11.5
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P2NOGO component
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Index
of comparison operation
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T5,
T6
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260
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223-299
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5.2
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2.2
-12.7
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P3NOGO component
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Index
of monitoring operation
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Fz
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380
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367-400
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2.5
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1.4-3.1
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The
client’s components (green) in comparison to the normative
components (red) and difference components (Client – Norm)
are presented below.
Note strong deviations
in sensory visual information processing component.

8.
Event Related De/Synchronization - ERD/ERS (pages 1 and
2).
The
results of wavelet analysis for GO/NOGO task are presented
below.
The wavelet analysis
provides the Power-Time-Frequency representations of EEG
responses to GO and NOGO trials separately.
X-axis – time
(Zero corresponds to the first stimulus onset). Y-axis
– EEG frequency (from 4 to 40 Hz). Color reflects increase
(red) or decrease (blue) of EEG power in the corresponding
frequency band.
The
main components in this client are:
For
GO+NOGO stimuli:

9. Conclusion:
I. Spontaneous
EEG abnormality.
Spectrograms
of spontaneous EEG in all conditions (Eyes Open, Eyes Closed,
GO/NOGO task) persistently show an abnormality manifested
in:
1)
increase of occipital alpha.
2)
Spiky morphology in the occipital areas.

II. ERPs abnormalities.
ERPs
in GONOGO task show strong deviations from normality in
sensory-related (not executive) components indicating the
hyper-sensitivity of the ventral visual pathway.
III. Event-related
desynchronization (ERD) abnormalities.
ERD
in GO/NOGO task show strong alpha desynchronization at the
occipital areas.
IV. Brain dysfunction
associated with EEG abnormality.
These
QEEG abnormalities are associated with the occipital lobe
dysregulation.
This dysregulation
is manifested in idling of the occipital area and delay
of the sensory component in this area. This pattern is
seen in a dyslexic group.
10. Recommendations
for therapy.
a)
Neurofeedback protocol.
Recommendations
are made on the basis of the bulldozer principle of neurofeedback
and on the client’s complaints.
In
the case of memory problems the protocol might be as follows:
Inhibiting (training DOWN) alpha activity at the left occipital
(O1). The map of deviations from normality at
9 Hz in EEG power in Eyes Open condition in this client
is presented below.
As you can see from
the map electrodes position may be: O1,
Pz bipolar. A spectrogram and an EEG fragment
in EO condition in this client in bipolar montage (O1, Pz) are presented below.
On
the basis of spectrogram the neurofeedback suppression band
for this client is chosen as:
Alpha =8.5-10 Hz.


Appendix 1. Methodological
principles for QEEG/ERP assessment.
Principle
1.
EEG oscillations
and event related potentials reflect different qualities
of brain electrophysiology.
They are obtained
by different computational algorithms: EEG oscillations
are assessed by means of Fourier and wavelet transformations.
ERPs are assessed by averaging techniques and independent
component analysis.
Principle
2.
Different
oscillating patterns of the background EEG (such as theta,
alpha and beta rhythms) reflect distinct processes of modulation
of information processing in neuronal networks.
In the healthy brain,
alpha rhythms are generated in cortico-thalamic reciprocally
connected networks and reflect idling states of sensory
systems. Beta rhythms are generated by the interplay between
excitatory and inhibitory neurons in local cortical networks
and serve as a reset following cortical activation. Frontal
midline theta rhythm is generated in septo-hyppocampal circuits
and is associated with encoding of episodic memory. Any
type of impairment in the corresponding mechanisms can lead
to excess or lack of a particular rhythm when compared with
a normative data.
Normal
rhythms of the human brain.
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Name
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Hz
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Location
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Mechanism of generation
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Function
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Dysfunction
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Posterior alpha rhythms
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8-12
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O1, O2,
Pz (in older people also T5, T6)
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Thalamo-cortical networks. Rebound
Ca++ spikes following inhibition in the
thalamo-cortical neurons.
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Reflects an idling state of the visual
system. Primary and secondary visual information
is shunted but the cortex is ready to promptly process
it.
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Excess of amplitudes (z>2) indicates
idling of the corresponding occipital, temporal or
parietal area. Deficit of amplitude indicates hyper-activation
of the area. A shift into a lower frequency also
indicates idling: the lower frequency, the more sever
is hypo-activation.
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Rolandic (Mu)-rhythm
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9-13
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C3, C4
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Similar to the one of posterior alpha rhythms.
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Reflects an idling state of the somato-sensory system..
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Excess of amplitudes (z>2) indicates
idling of the sensory-motor strip. Deficit of amplitude
indicates hyper-activation of the area.
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Beta rhythms
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13-30
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Mostly in frontal or central areas
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The interplay between excitatory and inhibitory neurons in cortical networks
in the state following strong activation.
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Is associated with resetting the information processing.
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Excess of amplitude usually (but not always) indicates hyper-activation of
the corresponding area.
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Frontal midline theta rhythm
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5- 8
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Fz. Generated in middle prefrontal and anterior cingulate
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Strong activation in the septo-hippocampal circuit induces a burst of theta
that gates the information flow in the hippocampus.
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Reflects the encoding (chunking) information into episodic memory trace.
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Excess in amplitude and especially in duration (more than 1-2 sec) indicates
a dysfunction of the limbic system.
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Principle
3.
ERPs
components are associated with different psychological operations.
For decomposing ERPs
or ERPs difference waves into separate components we use
independent component analysis on a set of ERPs or ERPs
difference waves computed for a large (about 1000) group
of healthy subjects. The extracted components are associated
with distinct psychological operations on the basis of correlation
with behavior and other imaging (such as PET, fMRI) techniques.
An example of grand
averaged ERPs computed for a group of healthy adult (older
than 20 years) subjects (N=796) is presented below. ERPs
were computed in a two stimulus task (see description above)
for two conditions: GO (depicted as green) and NOGO (depicted
as red).

ICA decomposition
was performed as described in (Makage et al., 1999) after
re-referencing to common average reference. In Fig. we
present the results of ICA analysis of the whole set of
ERPs computed for a group of healthy adult subjects for
GO and NOGO conditions. Six independent components were
separated. Each of the component has a unique 2D topography
(left), a unique s-LORETA generators (right), and unique
temporal pattern (middle, right). In the middle, left –
vertically stalking (from younger age -20 years old – to
older age up to 89 years old) thin-color-coded horizontal
bars representing a component at a single subject. Note
the latency (but not topography) of some of the components
increases with age.

It should be stressed
that different psychological tasks may be associated with
different components and, consequently, with different psychological
operations. The main of them are listed in the table below.
Main ERPs components:
|
ERP component
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Task
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Peak latency (ms)
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Location
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Generator
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Functional meaning
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Brain System
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MMN
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Auditory oddball task (passive or active)
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140
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Fz
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Temporal cortex (the largest part) and frontal cortex.
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Automatic comparison of an acoustic stimulus with the sensory trace.
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Sensory system
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P1 and N1
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Any task with stimulus presentation
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Around 100
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Modality specific
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In vicinity of primary sensory areas
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Information processing in sensory systems
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Sensory system
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P3b or engagement component
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Active oddball task in any modality
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Around 300
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Pz
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Widely distributed cortical areas
with higher activities in temporal parietal areas.
The basal ganglia and prefrontal areas are also involved.
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Engagement operation, i.e. activation of posterior anterior regions needed
for executing action.
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Executive system
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P2 comparison component
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Discrimination tasks (active selection from two or many choises
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240-300
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T5, T6 in visual modality
F7, F8 in auditory modality
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Association areas in visual and auditory modalities.
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Active comparison operation follows
automatic comparison operation. Needed for organization
of further actions.
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Sensory system
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P3 NOGO
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GO/NOGO task
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Around 400 ms
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Fz
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Anterior gurus cingulus and medial prefrontal cortex
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Monitoring operation, comparing the results of executed action with the plans
for actions..
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Executive system
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P3a
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Active or passive three stimulus oddball tasks
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Around 300 ms but less than P3b
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Fz
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Widely distributed prefrontal areas
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Attention shift. Activation of prefrontal
top-down circuits needed for controlling information
flow.
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Executive system
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Principle
3.
Brain is decomposed
into basic systems: sensory systems, affective system, executive
system and memory systems.
Each of the system
is characterized by specific rhythms and by ERPs specific
components. Distinct systems are controlled by distinct
neuro-modulators of the brainstem, and consequently, can
be treated by pharmacological interventions in these systems,
such as increasing (or decreasing) the level of neuromodulator
by giving to patients pre-coursors of mediators, blocking
the post-synaptic receptor, blocking the reuptake mechanism,
or and changing the cellular mechanisms of transmission.
Association between psychiatric/neurological diseases and
brain systems are presented in Table below.
|
Disease/System
|
Sensory
|
Affective
|
Memory
|
Executive
|
|
Dyslexia
|
______________
|
|
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Neglect
|
______________
|
|
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Depression
|
|
______________
|
|
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Anxiety
|
|
______________
|
|
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Alzheimer’s
|
|
|
______________
|
|
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Parkinson’s
|
|
|
|
______________
|
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Schizophrenia
|
|
|
|
______________
|
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OCD
|
|
|
|
______________
|
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ADHD
|
|
|
|
______________
|
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Addiction
|
|
______________
|
______________
|
______________
|
Principle
4.
Any of the brain
systems obeys to the inverted U law. The law claims that
responses of the system are largest if the activity of the
system stays within the normal range and are abnormally
smaller if the activity turns out to be below or higher
than the normal range of activation.

Fig.
The inverted U law.
(Top)
Schematic representation of the dependence of the overall
activity of a hypothetical neuronal network on the input
that drives this system. (Bottom) Schematic representation
of the dependence of the response of the system on its input.
The response is defined as a change in the activity of the
system as reaction to a small and elementary increase of
the input.
Note that increase of the input (for example, due to a stressful situation)
at two points of the system (depicted by black dots with
arrows) will lead to enhancing or deteriorating performance
depending on the initial state.
The overall activity
of the system can be assessed by spectral analysis of the
spontaneous EEG while system responses are associated with
the corresponding ERPs components. For example, abnormally
high amplitude of beta activity generated in the medial
prefrontal cortex indicates over-activation of this part
of the executive system while abnormally small P3 monitoring
component indicates a reduced response of this system in
situations that need monitoring of actions.
Principle
5.
Brain
disorders can be classified in associated with impairment
of brain systems and diagnosed according to deviations from
normality in the corresponding EEG spectral and ERP parameters.
Scientists tried
to classify brain disorders for centuries. Nowadays, there
are two parallel sets of diagnostic criteria. One is American
Psychiatric Association’s Diagnostic and Statistical Manual
of Mental Disorders (the latest edition is DSM-IV). The
other one is World Health Organization’s International Classification
of Disease (the latest version is ICD-10). Any classification
made on descriptive behavioral level is to some extent arbitrary.
The need for endophenotypes as objective indexes of disorders
could not be overestimated. Several components of QEEG
and ERPs have be suggested as probable candidates for endophenotypes.
Although more systematic research is required the first
results are very promising (see table below).
Table. Classification
of brain diseases and their endophenotypes.
|
Diagnostic category DSM-IV
|
Examples of Disorders
|
Brain System
|
EEG endophenotype
|
ERP endophenotype
|
|
Disorders usually first diagnosed in infancy, childhood, and adolescence
|
ADHD
Autism
Learning disorders
Conduct disorder
Dyslexia
|
Executive system
|
Increase of theta-beta ratio fronto-centrally
|
Decrease of P2 comparison
Decrease of P3 monitoring
|
|
Psychotic disorders
|
Schizophrenia
|
Executive system
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Increase of beta activity frontally?
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Decrease of P3b
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Mood disorders
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Major depression
Bipolar disorder
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Affective system
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Left>Right asymmetry in frontal alpha activity
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Elevated ERPs to negative stimuli
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Anxiety disorders
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OCD
Generalized anxiety disorder
Post-traumatic stress disorder
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Executive system
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Increase of beta activity centrally?
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Decrease of P3 monitoring
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Delirium, dementia, amnesia and other cognitive disorders
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Alzheimer’s disease
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Episodic Memory System
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Increase of theta activity fronto-centrally
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Decrease of monitoring components
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Substance-related disorders
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Heroin addiction
Alcoholism
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Interaction between Affective and Executive systems
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Partly similar to OCD
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Partly similar to OCD
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Principle
6.
tDCS and neurofeedback
provide electrophysiologically-based tools for activation
or suppression of cortical neuronal networks.
tDCS implies passive
injection of small amount of DC currents that depolarize
(anodal currents) and hyperpolarize (cathodal currents)
cortical pyramidal cells under the stimulation electrode.
Neurofeedback implies active involvement of the subject
in voluntarily changing the EEG parameters recorded from
a given electrode. Our recent studies have shown that the
combination of these two techniques might be the best way
of activating the brain.
Appendix 2. Artifact
correction by means of spatial filtration.
EEG
is contaminated by various artifacts. Eye movement artifacts
are the largest ones. They are generated by vertical and
horizontal eye movements. The main source of the artifacts
is the potential of the eyeball. The eyeball acts as an
electric dipole with the positive pole oriented anteriorly.
Eye blink results in reflexive upward vertical eye movement
that produces positive deflection at frontal areas with
maximum at Fp1, Fp2 electrodes. Eyes
closing is associated with similar artifact, while eyes
opening results in downward vertical eye movement and negative
deflection at Fp1, Fp2 electrodes.
Horizontal eye movements (also called saccades) produce
opposite changes of potentials at F7, F8
electrodes. This figure below represents a sequence of
horizontal eye movement (saccade) and eye blink.

Fig. Horizontal and
vertical eye movements artifacts.
Left – fragment of EEG
recorded in the task condition in a healthy subject of 17
years old. Note: horizontal eye movement (at the left of
recording) with a corresponding topography of potential
(negativity at F7 and positivity at F8), and eye blink (at
the right) with a corresponding topography (positivity at
Fp1, Fp2). Right = the model of the eye as an electric
dipole with the positive pole oriented anteriorly.
One
way of correcting eye movements is to record the oculogram
and to compute the proportion of ocular contamination in
each EEG channel. Then the EOG signals are scaled by the
estimated proportion and are subtracted from the original
EEG signals. Recently, a new method was suggested which
is based on ICA approach. The basic idea is the decomposition
of the EEG epoch into two components: the one that corresponds
to neuronal electric activity, the other one that corresponds
to artifacts. Each component consists of a waveform, describing
the time course of the modeled activity, and a topography
vector, describing how the waveform contributes to each
recorded signal. Artifact activity can be reconstructed
as a product of artifact topographies and waveforms.
Below
is an example of application of ICA method for artifact
correction.

Fig.
Artifact correction by spatial filtration.
Left – a fragment of raw
EEG with eye blinks, ICA topographies are presented below.
Right – the result of filtration of raw EEG by a spatial
filter based on the topography of vertical eyes movements.
Maps at the bottom show topographies of the first four independent
components: the largest component corresponds to vertical
eye movements and the smallest component – to horizontal
eye movements.
Appendix 3. Glossary.
10-20 International system of electrode placement.
The system was accepted internationally in 1959. The name
comes from the fact that any electrode is 10 or 20 percent
of some distances from another.
ADHD is the most common developmental disorder that
affects 8–12% of children worldwide and includes children
displaying developmentally inappropriate levels of inattention,
hyperactivity, and impulsivity that begin in childhood and
cause impairment to school performance, intellectual functioning,
social skills, driving, and occupational functioning.
Affective state – is a state that is formed by drives and motivations.
Alpha rhythms
–are rhythmic activities in EEG recorded from the
cortex of primary or secondary sensory areas during eyes
open or eyes closed rest conditions and suppressed in response
to activation of these areas. In EEG of healthy subjects
alpha rhythms are found in posterior regions (occipital
and parietal areas) and over the sensory motor strip (mu
or sensory-motor rhythms) within the frequency range from
8 to 13 Hz. Alpha frequencies change with age: younger
and older subjects have lower alpha frequencies.
Amplifier - a basic component of any EEG machine
(or electroencephalograph). It amplifies a week (30-100
mcV) EEG signal. 1 mcV=0.001 V
Attention is a cognitive mechanism that enables one to process a
given (selected) source of sensory information in more details
in comparison to unselected sources by means of limited
resources of the brain processor. Attention could be also
defined as a state of readiness to receive a certain stimulus
– i.e. a state for looking forward for some sensory event.
Attention must be separated from motor preparatory set as
a state of readiness to make a movement.
Barbiturates– pharmaceutical substances that bind
to so called “sedative-hypnotic” sites at GABAA
receptors and promote opening Cl- ion channels.
They belong to a class of GABA agonists. They are used
as a sleeping medication, for example, to induce anesthesia
before surgery as well as minor tranquilizers or antianxiety
medication.
Beta band is a band beyond 13Hz in EEG and MEG recordings.
Sometimes, beta band is divided into smaller categories:
low beta band (beta 1) from 13 to 21 Hz, high beta
band (beta 2) from 21 to 30 Hz, and gamma
frequency band for frequencies higher than 30 Hz.
Brodmann area is a region in the human cortex defined
on the basis of its organization observed in microscope
when a tissue is stained for nerve cells. Brodmann areas
were originally defined in 1909 by a German neurologist
Korbinian
Brodmann and referred to by numbers from 1 to 52.
Coherence is a measure of synchronization between
EEG recorded in different scalp locations. It reflects
a correlation between EEG power computed for these two locations
in the same frequency band.
Common average reference montage – a computational montage in
which electrodes’ potentials are measured in reference to
“common average” potential, i.e. a potential averaged over
all electrodes. Mathematically the montage is computed
by subtracting the common average potential from any single
electrode potential.
Common Mode Rejection (CMR) defines the ability
of a differential amplifier to be as close to the ideal
(the output is zero when V1=V2) as possible. It is expressed
as ratio of the output signal when V1=V2 (they are connected
to the same source) to the output signal when only one input
is non-zero. CMR is measured in dB.
Comparison operations – hypothetical operations
performed in sensory cortical areas with the goal of detecting
any deviation from the anticipatory schemata and adjusting
human behavior for those deviations. An example of such
operation in auditory modality is given by so called mismatch
negativity – a component of ERPs elicited in response to
a deviant acoustic stimulus presented at background of repetitive
standard stimulus.
DC potentials
– potentials recorded from the scalp by non-polarizable
electrodes (such as silver-silver chloride electrodes) in
the frequency range from 0.04 to 0.16 Hz. Applying
to a cortical tissue DC polarizes, i.e. changes membrane
potentials of cells.
Delta rhythm (cortical) – an EEG rhythm generated
by intracortical thalamic mechanisms. It dominates in the
EEG when the cortical area is disconnected from the corresponding
thalamic nucleus.
Delta rhythm (thalamic) – an EEG rhythm generated
in the thalamus and recorded from the scalp by interplay
of two ion currents in the thalamo-cortical neurons, i.e.
neurons of the thalamus that project to the corresponding
cortical area and receive back the excitation from this
area. One of the currents is a cation current activating
in the hyperpolarization state and returning the membrane
potential to a less polarized state. The second current
is a transient low threshold Ca++ current de-inactivating
during the hyper-polarization state and responsible for
generation of so called Ca++ spikes. On the
top of the depolarization phase of the Ca++ spikes
the neuron generates a burst of conventional K+-Na+
spikes that are transferred to the cortex and manifested
in a form of delta rhythm.
Differential amplifier amplifies the difference between two input potentials V1 and
V2.
Dorsal and ventral streams in the visual system
originate in segregated areas of the primary visual cortex
of the occipital lobe and target correspondingly temporal
and parietal cortical areas. The ventral stream is involved
in recognition of separate objects (mostly defined by shape
and color) while the dorsal stream is involved in encoding
spatial relationships between objects and in controlling
actions with those objects such as manipulating with them
and orienting towards them.
Effect size – a measure of a certain effect that
is defined as the difference between the means a measured
parameter for the experimental and control groups, divided
by the standard deviation of the control group or both groups.
The effect size is a standardized measure and allows comparing
the effects found in different studies with different parameters.
Emotion – is a behavioral response (change in heart
rate, facial expression, speech) to a reward (positive emotion),
punishment (negative emotion) or images of those behavioral
situations. Emotion as a psychological entity can be divided
into two parts: emotional response and feeling.
Emotional feeling is a subjective experience of
the state produced by emotion-triggered stimuli. Examples
of emotions are joy and sadness, courage and fear, anger
and happiness, love and hate…The cortical center for mapping
emotions into separate activities is the orbito-frontal
cortex.
Emotional response is defined through somatosensory
(facial and body) responses as well as endocrine responses
to emotion-triggered stimuli - rewards and punishers.
Episodic memory is memory for specific events that are temporally dated; includes
the relationships between different events.
ERD/ERS – stands for event related desynchronization/desynchronization.
It is a parameter that measures the percentage of decrease/increase
of the EEG power in a given frequency band in a given time
interval in response to a given event.
Excitatory neurons – neurons that when spiking
generate a so called excitatory postsynaptic potential which
depolarizes (makes it less polarizable) the post-synaptic
membrane and consequently, drives the membraine potential
towards the threshold of action potential and increases
the probability of action potential discaharge. Glutamate
serves as a fast excitatory mediator in many cortical neurons.
Executive functions refer to operations of control
and monitoring of motor, sensory and cognitive actions in
goal directed behavior. These functions thus are mostly
attributed to frontal lobes however the basal ganglia and
some other subcortical structures are necessarily involved.
Explicit memory (i.e. conscious memory) is a memory
which is stored and retrieved consciously. This type of
memory can be acquired during one episode and declared by
the subject. It is often is called declarative memory.
High frequency filter – analog or digital filter
that suppresses lower frequencies in EEG signal and leave
the higher frequencies intact. The filter is characterized
by low cut in seconds.
Human frontal midline theta rhythm – in the adult
brain, spontaneous and task related short (around 1 sec
or less) bursts of rhythmic (from 5.5 to 8.5 Hz) activity
over the frontal leads with maximum at Fz. This is the
only theta rhythm in the human adult brain that could be
considered as normal. In the resting state it can be seen
on spectrograms in a form of a distinctive peak only in
10-40 percent of adult healthy population. This rhythm
synchronizes in respond to behaviorally important events
and is associated with operations such as recalling from
memory or encoding memory traces. The presence of this
rhythm in rest EEG is associated with personality traits
such as extraversion and neuroticism.
Implicit memory is an acquired skill or knowledge
that a subject can demonstrate without explicit awareness
of it. It is often is called non-declarative memory or
procedural memory.
Independent Component Analysis (ICA) is a method
of solving the blind source separation problem. In EEG
the problem can be formulated as finding independent cortical
generators of potentials recorded at the scalp. ICA was
first introduced in early 1980s and for EEG was applied
in 1995 for artifact correction. In general terms, ICA
is a special field of mathematics and for its implementation
use numerical algorithms. These algorithms are based on
optimization (finding minimum or maximum) of some objective
functions.
Infra-slow activity – this type of EEG activity
can be recorded only by special (so-called DC) amplifies
and includes oscillations with periods from few seconds
to few tens of seconds. The mechanism of their generation
is unknown but the association with slow metabolic processes
of the brain is hypothesized.
Inhibitory neurons - neurons that when spiking
generate a so called inhibitory postsynaptic potential which
hyper-polarizes (makes it more polarizable) the post-synaptic
membrane and consequently, drives the membraine potential
away from the threshold of action potential and decreases
the probability of action potential discaharge. Gamma-aminobutyric
acid (GABA) serves as a fast inhibitory mediator in many
cortical neurons.
Inverse problem is a problem of finding multiple
elemental dipoles in the cortex (sometimes named density
of neuronal generators) that approximate potentials recorded
by multiple scalp electrodes. Theoretically this problem
does not have a unique solution, i.e. a certain scalp distribution
can be achieved by infinite number of cortical distributions.
Lateral inhibition – is a type of connectivity in
neuronal networks in which neurons inhibit the surrounding
neurons and thus unable the spreading of activation in the
lateral direction. Lateral inhibition was first described
in retina of the eye in the 1950s . The function
of the lateral inhibition in the visual system is to emphasize
the highest gradients of luminosity in visual images (such
as Mach bands).
Limbic system – the term was coined by Paul Broca
to define under the same name a group of structures that
form a border around the brain stem. Limbic system plays
an important part in emotional reactions.
Local average reference montage – a computed montage in which
a local average potential is averaged over a small
number of electrodes in the vicinity of a target electrode
and is subtracted from the potential of the target electrode.
Pci=Pi-ΣwijPj, where Pi is a potential at electrode
Pi, measured in reference to some reference point (such
as linked ears), Pci – is a computed potential, wij – are
weights of summing potentials from local electrodes. There
are several types of local average montages (having different
names: Laplacian, Lemos, Hjorth) which differ from each
other by the value of wij. A general rule for these different
type of the local average montage is that nearby electrodes
have the largest weighting factor, while remote electrodes
have the least (or zero) weighting.
Low frequency filter – analog or digital filter
that suppresses higher frequencies in EEG signal and leave
the lower frequencies intact. The filter is characterized
by high cut in Hz.
Memory consolidation – at neuronal level is a process
of developing irreversible changes in synaptic transmission.
At psychological level, memory consolidation is associated
with forming of long-term memory which decays very slowly
(comparable with a life span).
Monitoring as a newly developed concept defines a hypothetical
psychological operation that enables the brain to evaluate
the quality of action execution and alerts the executive
control mechanisms to allocate resources for compensating
the conflict between intended and executed actions.
Montage – is a rule according to which EEG potentials
are computed. The simplest rule (linked ears montage) is
measuring electrodes’ potentials in reference in two linked
electrodes located at left and right earlobes.
Motivation –
a need or desire or drive that directs the behavior by determining
its goals.
Negative reinforcer (or punisher) is a stimulus
that increases behavior pattern directed to avoid the punisher.
We don’t know whether a separate punisher system exists
in the brain or not.
Neglect is a neurological syndrome in which patients with brain lesions
show a marked deficit in the ability to attend to sensory
information presented in the contra-lesioned field.
Neurofeedback
is a technique of self-regulation by means of EEG-based
biofeedback. In this technique, some parameters of EEG
currently recorded from a subject’s scalp (such as an EEG
power in a given frequency band) are presented to the subject
through visual, auditory or tactile modality with the task
to voluntarily alter these parameters in a desired (leading
to a more efficient mode of brain functioning) direction.
Notch filter
is a very sharp filter that attenuates a certain frequency
in the signal. In EEG a notch filter at 50 (60) Hz is used
to filter out the noise from the electrical system in the
room.
Oppositional Defiant Disorder (ODD) - taking unsafe
risks, breaking laws, refusing to follow instructions or
directions.
Positive reinforcer (or reward) is a stimulus that
increases the frequency of a behavior pattern leading to
acquisition of reward.
Reaction of desynchronization – in the case of alpha rhythms “desynchronization” corresponds
to suppression of the corresponding alpha rhythm.
Referntial recording is a recording of EEG signal
when the second (reference) electrode is usually located
on the earlobs, mastoids or the tip of the nose, i.e. far
away from the neuronal source. This is in contrast to sequential
recording when two electrodes are located on the scalp near
EEG generators in the cortex.
Sampling rate – is the rate at which raw EEG signal
is sampled (quintified). According to Naiquist theorem
the sampling rate must be twice as much as the hihest possible
frequency of recorded EEG signal.
Semantic memory is a memory for factual information about the world, concepts and word
meaning.
Sensory modality refers to a sensory system that
processes a certain type of receptor information. The most
well studied sensory systems are: Visual System (seeing
form, color, depth, motion, spatial relationships of visual
objects), Auditory System (hearing and localizing
sounds), Somatic Sensory or Somatosensory System
(feeling touch, pain, thermal sensations, mechanical displacement
of muscles and joints),
Sensory systems include receptor organs and subcortical and cortical neuronal networks
that specifically respond to activation of the corresponding
receptors.
Specific learning disability (LD) - difficulty in mastering language, reading or
math.
Spectra are computed by means of fast Fourier transformation
that decomposes EEG signals into series of sinusoidal functions
with different frequencies, amplitudes and phases. Spectra
show how amplitude, power or phase of the simusoidal
harmonic depends on sinusoid’s frequency. Relative
spectra are obtained by divided a spectral parameter at
a certain frequency by the parameter averaged over the whole
frequency range or a part of it.
tDCS – transcranial direct current stimulation –
a new neurotherapy technique of application direct current
to the brain by means of electrodes placed on the head.
Because of polarizing effect on neuronal cells, tDCS in
the early years was called polarization technique
Thalamus – is
a subcortical brain structure that controls the flow of
sensory information to the posterior parts of the cortex
through sensory-related nuclei and regulates activity in
the prefrontal areas though a distinct set of nuclei.
Theta band in
EEG is a band from 4 to 8 Hz.
Tourette’s syndrome - having tics - uncontrolled
movements, like eye blinks, facial twitches, or vocal sounds.
Working memory – a process of storing the results of the executed
actions, a plan of prepared action and associated sensory
representation (called also attention) within the cortical-subcortical
loops. Working memory implies an active manipulation with
the temporary stored information in order to perform sensory-motor
and cognitive actions such as language, planning, decision
making, etc.
Note that the questions
above are not to make a medical diagnosis but to define
the brain systems that might be impaired in association
with the client’s complaints. Thus, the goals of this
Questionnaire are 1) focusing on specific problems of
the client, 2) selecting a specific test for assessment
and 3) eventually choosing the right protocol of neurotherapy
or the right medication. The answers must be done in
two forms: binary (Yes), and in words for full description.
[6] The parameters are taken from the paper Ktonas P.Y. Automated
spike and sharp wave (SSW) detection. In Methods of analysis
of brain electrical and Magnetic signals. EEG handbook
(revised series, Vol 1) A.S.Gevins and A.Remond (Eds).
1987, Elsevier Science Publishers B.V. 211-241 pp.)
[7]J.Bendat, A.Pirsol «Random data. Analysis and measurement procedure»,
John Wiley and Sons, NY 1986, 540p
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