10 EEG Basics Flashcards

1
Q

Biomarker definition and application

A
  • measurable indicator of biological conditions
  • in medicine, it usually indicates presence or severity
    Application
  • Diagnosis
  • Monitoring and Prognosis (evaluate disease stage and treatment efficacy)
  • biomedical research and drug development
  • controlling signals to reduce symptoms via BCI learning (biofeedback and fMRI-neurofeedback)
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2
Q

Signal Acquisition process

A
  • subject
  • sensors
  • analog processing
  • analog/digital conversion
  • computer
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3
Q

Biosignal definition and categorization

A
  • features represented mathematically as functions of one or more independent variables carrying some information
  • different origins possible (mechanic, chemical, acoustic, electric), but will be transformed into electrical signal at the end

Categorization:
- dynamic (modifies fast with internal or external changes, e.g. Heart Rate Variability) vs. quasi-static (nearly stable signals that do not change fast, e.g. Body temperature)
- permanent (e.g. EEG) vs induced (e.g. ERP) signals

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4
Q

Respiration biosignal and changes in body

A

Inhalation
- ribs pulled up and out by intercostal muscles
- diaphragm contracts and moves down
- bigger lung (landing point of curve)

Exhalation
- ribs move in and down
- diaphragm relaxes and bulges up
- lung decrease to normal size (peak of curve)

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5
Q

Electrooculography (EOG)

A
  • corneal-retinal potential: eye is a dipole with cornea positively and retina negatively charged
  • electrodes around eye pick up changes in potential charges according to direction of cornea
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6
Q

Electrocardiography (ECG)

A
  • P-wave: depolarization of atria
  • QRS complex: depolarization of ventricles (while atrial repolarization
  • T-wave: repolarization of ventricles
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7
Q

Electromyography (EMG)

A
  • surface vs invasive EMG
  • signal strength mainly dependent on amount of muscle contraction, but other influences too (proximity of electrode to muscle, proximity of muscle to skin, interfering tissue (e.g. fat tissue))
  • recording action potentials in muscle motor unit (motor unit recruitment, actioin potential recording)
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8
Q

Ionic basis of action potential

A

at rest, neurons are charged negatively (-40 to -90 mV)
- Voltage-gated Na+ [sodium] channels closed
- Voltage-gated K+ [potassium] channels closed
depolarization, e.g. via synaptic input
- voltage-gated Na+ channels open, leading to Na+-influx, that itself is depolarizing
- at threshold, process is unstoppably self-reinforcing with membrane permeability Na+&raquo_space; K+ (towards NA+ equilibrium) and transient positivity (“overshoot”)
repolarization
- Na+-channels self-inactivate and voltage-gated K+-channels open allowing K+ out of the cell and membrane potential decreases (“undershoot”)
hyperpolarization / refractory phase
- Na+-channels transition from inactivated to closed
- some K+ channels still open so the membrane potential overshoots the resting state and becomes more negative

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9
Q

Motor unit

A

the cell body and dendrites of a motor neuron, the multiple branches of its axon, and the muscle fibers that innervates it

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10
Q

3 levels of neuronal signal measurement (EEG)

A
  • Single neurons (EPSP/IPSP) by microelectrodes inserted into or near neuron
  • neural modules (local field potentials) by macroelectrodes into gray matter
  • large systemic level (EEG electrical potentials) by scalp electrodes
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11
Q

Problems of signal transmission from the brain to scalp

A
  • Only small portion of current passes skull and returns along scalp
  • dipolar activities of different brain regions appear widespread over the
    scalp and generate complex overlap in EEG
  • ⅔ of cortex lie in fissures and lead to widely distributed topographies on the scalp (showing not radially orientation activation)
    > radial neurons are the best to transmit signals
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12
Q

EEG, QEEG, Neurofeedback

A
  • Electroencephalogram (EEG) is brain-related electrical potentials recorded from scalp
  • Electroencephalography is set of methods of measurment and analysis of EEG
  • quantitative EEG (QEEG) is collection of quantitative methods designed to process EEG signals (spectral and wavelet analysis of EEG)
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13
Q

EEG vs fMRI

A

EEG:
- high temporal resolution => good tool to study the dynamic functions
- poor spatial resolution => poor identification of underlying neural sources

fMRI:
- good spatial resolution (about 2–3 mm)
- lower temporal resolution

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14
Q

EEG frequency bands

A
  • Gamma (> 36 Hz): Problem solving, concentration
  • Beta (12-36 Hz): Active mind, busy
  • Alpha (8-12 Hz): Restful, reflective
  • Theta (4-8 Hz): Drowsiness
  • Delta (0.5-4 Hz): Sleep, dreaming
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15
Q

EEG features (frequency, amplitude, phase)

A
  • frequency: number of oscillations per time unit
  • amplitude: strength of the pattern (microvolts)
  • phase: time difference between two corresponding points on two signals in units of time, temporal difference between two separate signals
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16
Q

Superimposed EEG signals

A
  • output signal is made out of 2 or more sinusoidal signals with different frequencies
17
Q

Electrode placements in EEG 1

A
  • 10/20 system as a common arrangement for electrode placements
    (the 10 & 20 in the name: referring to the 10% and 20% of the vertical/horizontal measures of the scalp that we move front-back/right-left to find the location of electrodes)
  • Nasion (point at the root of the nose where the frontal and two nasal bones meet)
  • Inion (small protuberance on the external surface of the back of the skull near the neck)
18
Q

EEG artifacts

A

any component of EEG signal not directly produced by brain activity
Internal artifacts (biological):
- vertical eye movement (blink): in FP1/FP2 channels
- Lateral eye movements (eye-rolling): in F7/F8 channels
- subtle muscle activity (EMG): mostly in Frontal and Temporal
- gross body movements (e.g. tongue or head movements)
- heart beat : in all electrodes, with its max amplitude in the left-temporal electrode and CZ-PZ
- Wet skin (e.g. sweating)

External artifacts (technical):
- Defective electrodes
- Loose electrodes
- Electromagnetic interference
- Power sources (50 Hz and 60 Hz)

19
Q

Electrode placements in EEG 2

A

Odd numbers (1, 3, 5): electrodes on the left hemisphere
Even numbers (2, 4, 6): electrodes on right hemisphere
Z (Zero): electrodes in midline
FP: Frontal Pole
F: Frontal
C: Central
T: Temporal
P: Parietal
O: Occipital
A: Ears

20
Q

Healthy sleep stages 1 : Non-REM

A

N1
- Theta waves
- low muscle tone
- fragmentary and unsustained dreams
- thalamus & hippocampus uncoupled from cortex activity, while interaction between cortical areas preserved
N2
- spindles (11-16 Hz range)
- K-complexes
- thought-like dreams
- functional interactions between different cortical regions are lost
N3
- delta waves
- no cortico-cortical connections
- unclear whether dreaming occurs

21
Q

Healthy sleep stages 2 : REM

A
  • wake-like EEG, hippocampal theta rythm accompanied by cortical activation with fast gamma waves (>= 35HZ)
  • inhibition of muscle tone
  • saccadic eye movements (REMs)
  • long, bizarre, hallucinatory dreams
  • Tonic REM: muscle atonia, increase in alpha & beta oscillations, no eye movements
  • Phasic REM: muscle twitches, middle ear muscle activity, decreased alpha & beta osciallations, eye movements
22
Q

Polysomnography

A
  • a comprehensive test used to diagnose sleep disorders
  • measuring EEG, EMG, EOG, ECG, respiratory effort, oxygen saturation
23
Q

Sleep Disorders 1
Obstructive sleep apnea syndrome (OSAS)

A
  • walls of throat relax and narrow during sleep, interrupting normal breathing -> interrupted sleep

Symptoms:
- Loud snoring
- Noisy breathing
- repeated short periods where breathing is interrupted

Causes :
- overweight
- male
- over 40 years old

treatment:
- lifestyle changes
- continuous positive airway pressure (CPAP) device
- mandibular advancement device (MAD)

24
Q

Sleep Disorders 2
Narcolepsy-cataplexy syndrome

A
  • Chronic -> overwhelming drowsiness and sudden attacks of sleep
  • can be accompanied by sudden loss of muscle tone (cataplexy)

Symptoms:
- Excessive daytime sleepiness
- Sudden loss of muscle tone
- Sleep paralysis

Causes:
- Low hypocretin levels → autoimmune reaction? genetics?

treatment:
- stimulants
- antidepressants
- sodium oxybate

25
Q

Sleep Disorders 3
Insomnia

A
  • Regular problems sleeping

Symptoms:
- finding it hard to go to sleep
- Waking up several times during the night
- lying awake at night

Causes:
- Stress, anxiety, depression
- Noise
- Drugs (alcohol, caffeine, nicotine, cocaine and ecstasy)

treatment:
- changes in sleeping habits

26
Q

Sleep Disorder 4
Parasomina

A
  • abnormal movements, behaviors, emotions, perceptions, and dreams → can occur while falling asleep, between sleep stages, or during arousal from sleep

NREM parasomnias:
- Sleep terrors
- Sleepwalking (somnambulism)
- Confusional arousals
- Sleep-related eating disorder

REM parasomnias:
- Nightmare disorder
- Recurrent isolated sleep paralysis
- REM sleep behavior disorder

Causes include:
- Irregular sleep-wake schedules -> jet lag, shift work
- Other sleep disorders -> OSAS, narcolepsy

treatment:
- good sleep hygiene habits
- hypnosis, relaxation therapy, cognitive behavioral therapy (specific to NREM parasomnias
- clonazepam and melatonin (specific to REM parasomnias)

27
Q

Sleep Hygiene

A

As self-treatment for Insomnia:

Dos
- daily routine for sleep/awake
- relax 1 h before bed
- dark quite bedroom, comfortable bed
- regular exercise

Don’ts
- no TV/phone before bed
- no smoking/drinking 6 h before bed
- no big meal before bed
- no exercise 4 h before bed
- no nap during the day
- stick to your routines!