Movement-related potentials associated with bilateral simultaneous and unilateral movements recorded from human supplementary motor area

Shall I Move My Right or My Left Hand?

Abstract Event-related desynchronization/synchronization (ERD/ERS) at alpha (10Hz), beta (20Hz), and gamma (40Hz) bands and movement-related potentials (MRPs) were investigated in right-handed subjects who were “free” to decide the side of unilateral finger movements (“fixed” side as a control). As a novelty, this “multi-modal” EEG analysis was combined with the evaluation of involuntary mirror movements, taken as an index of “bimanual competition.” A main issue was whether the decision regarding the hand to be moved (“free” movements) could modulate ERD/ERS or MRPs overlying sensorimotor cortical areas typically involved in bimanual tasks. Compared to “fixed” movements, “free” movements induced the following effects: (1) more involuntary mirror movements discarded from EEG analysis; (2) stronger vertex MRPs (right motor acts); (3) a positive correlation between these potentials and the number of involuntary mirror movements; (4) gamma ERS over central areas; and (5) preponderance of postmovement beta ERS over left central area (dominant hemisphere). These results suggest that ERD/ERS and MRPs provide complementary information on the cortical processes belonging to a lateralized motor act. In this context, the results on vertex MRPs would indicate a key role of supplementary/cingulate motor areas not only for bimanual coordination but also for the control of “bimanual competition” and involuntary mirror movements.

Activation of pre-supplementary motor area (SMA) and SMA proper during unimanual and bimanual complex sequences: an analysis using functional magnetic resonance imaging

Several functional imaging studies have shown that the extent of activation and percentage change in cerebral blood flow in the supplementary motor area (SMA) during a bimanual mirror performance of a simple repetitive movement are almost identical to those during a unimanual movement. The aim of this study was to investigate whether this finding was also applicable to a more complex movement. Eight right-handed, healthy volunteers performed unimanually (with their right and left hands) and bimanually (in a mirror fashion) thumb-finger opposition in a nonconsecutive order (index-middle-index-ring-index-little-index-middle ... fingers). The SMA proper was more activated during the bimanual movement than the unimanual movement with either hand. This is in accordance with the hypothesis that bimanual movement, even in a mirror fashion, is more difficult than unimanual movement when the task is complex but not when the task is simple. Pre-SMA was inconsistently activated. The results suggest that the SMA proper plays an active role in executive processing during bimanual mirror performance of complex movements.

Increased synchronization of cortical oscillatory activities between human supplementary motor and primary sensorimotor areas during voluntary movements

In human, both primary and nonprimary motor areas are involved in the control of voluntary movements. However, the dynamics of functional coupling among different motor areas has not been fully clarified yet. Because it has been proposed that the functional coupling among cortical areas might be achieved by the synchronization of oscillatory activity, we investigated the electrocorticographic coherence between the supplementary motor and primary sensorimotor areas (SMA and S1-M1) by means of event-related partial coherence analysis in 11 intractable epilepsy patients. We found premovement increase of coherence between the SMA proper and S1-M1 at the frequency of 0-33 Hz and between the pre-SMA and S1-M1 at 0-18 Hz. Coherence between the SMA proper and M1 started to increase 0.9 sec before the movement onset and peaked 0.3 sec after the movement. There was no systematic difference within the SMA (SMA proper vs pre-SMA) or within the S1-M1, in terms of the time course as well as the peak value of coherence. The phase spectra revealed near-zero phase difference in 57% (20 of 35) of region pairs analyzed, and the remaining pairs showed inconsistent results. This increase of synchronization between multiple motor areas in the preparation and execution of voluntary movements may reflect the multiregional functional interactions in human motor behavior.

Linear inverse source estimate of combined EEG and MEG data related to voluntary movements

A method for the modeling of human movement-related cortical activity from combined electroencephalography (EEG) and magnetoencephalography (MEG) data is proposed. This method includes a subject's multi-compartment head model (scalp, skull, dura mater, cortex) constructed from magnetic resonance images, multi-dipole source model, and a regularized linear inverse source estimate based on boundary element mathematics. Linear inverse source estimates of cortical activity were regularized by taking into account the covariance of background EG and MEG sensor noise. EEG (121 sensors) and MEG (43 sensors) data were recorded in separate sessions whereas normal subjects executed voluntary right one-digit movements. Linear inverse source solution of EEG, MEG, and EEG-MEG data were quantitatively evaluated by using three performance indexes. The first two indexes (Dipole Localization Error [DLE] and Spatial Dispersion [SDis]) were used to compute the localization power for the source solutions obtained. Such indexes were based on the information provided by the column of the resolution matrix (i.e., impulse response). Ideal DLE values tend to zero (the source current was correctly retrieved by the procedure). In contrast, high DLE values suggest severe mislocalization in the source reconstruction. A high value of SDis at a source space point mean that such a source will be retrieved by a large area with the linear inverse source estimation. The remaining performance index assessed the quality of the source solution based on the information provided by the rows of the resolution matrix R, i.e., resolution kernels. The i-th resolution kernels of the matrix R describe how the estimation of the i-th source is distorted by the concomitant activity of all other sources. A statistically significant lower dipole localization error was observed and lower spatial dispersion in source solutions produced by combined EEG-MEG data than from EEG and MEG data considered separately (P < 0.05). These effects were not due to an increased number of sensors in the combined EEG-MEG solutions. They result from the independence of source information conveyed by the multimodal measurements. From a physiological point of view, the linear inverse source solution of EEG-MEG data suggested a contralaterally preponderant bilateral activation of primary sensorimotor cortex from the preparation to the execution of the movement. This activation was associated with that of the supplementary motor area. The activation of bilateral primary sensorimotor cortical areas was greater during the processing of afferent information related to the ongoing movement than in the preparation for the motor act. In conclusion, the linear inverse source estimate of combined MEG and EEG data improves the estimate of movement-related cortical activity.

Button-pressing affects P300 amplitude and scalp topography

BACKGROUND

Scant and equivocal research exists examining the effects of button-pressing on P300. Button-pressing may decrease P300 latency and amplitude. The melding of motor potentials and P300 may also confound studies of P300 topography, such as studies of temporal scalp-area asymmetries in schizophrenia.

METHOD

P300 was measured on button-press and silent-count tasks in control subjects. An estimate of motor activity was constructed from a simple reaction time task, with reaction times matched to the button-press task. The motor estimate was subtracted from the button-press P300 to assess Kok's (1988) additive model. Lastly, lateral P300 from schizophrenia patients was compared with each condition's P300.

RESULTS

P300 was smaller and its topography different in the button-pressing task relative to silent-counting. The motor-correction procedure generated a P300 with normal topography. Comparison of the button-press P300 in controls to the silent-count P300 in schizophrenia patients reduced a significant lateral asymmetry to trend level. This asymmetry was significant after the correction procedure.

CONCLUSIONS

Button-pressing generates smaller P300 than silent-counting. Also, P300 topography in button-pressing tasks is confounded by motor potentials. The distortion can be corrected with a motor potential estimate. Motor potentials can occlude differences in P300 topography between groups.

Reorganisation of the sensorimotor cortex after early focal brain lesion: a functional MRI study in monozygotic twins

Sensorimotor cortical reorganization after early brain lesions was studied by means of fMRI in two pairs of monozygotic twins, in each of which one member had a focal brain injury. This offered a unique opportunity to reduce the wide intersubject variability of the controls often found in similar studies. Activation images were acquired during a motor task (sequential opposition finger movements) and a sensory task (passive brushing of palm and fingers). During the tasks with the recovered hand, constant findings in the lesioned subjects were the activation of the undamaged areas adjacent to lesion site and the activation of the ipsilateral sensorimotor cortex. Bilateral activation of the primary sensorimotor cortex was never observed in the healthy co-twin controls.

Bereitschaftspotential in depressed and non-depressed patients with Parkinson's disease

Impaired initiation and slowed execution of movements are two of the principal characteristics of Parkinson's disease (PD). A similar pattern of movement impairments (psychomotor retardation) can be seen frequently in patients with idiopathic depression. In addition, affective disorders have been frequently reported in patients with different basal ganglia disorders. The aim of this study was to determine whether there are some particularities in the cerebral electrical activity during the preparation and execution of voluntary internally paced movements (i.e., Bereitschaftspotential, BP) in depressed PD patients, which can distinguish them from non-depressed PD patients, as well as from healthy controls. The BPs were recorded in 16 patients with idiopathic PD, eight of whom were depressed (PD-D), and eight of whom were not (PD-ND). Additional recordings were taken from a group of eight age- and sex-matched healthy subjects. Depression was classified using the Research Diagnostic Criteria and the two PD groups were matched for age, disease severity, and disease duration. The amplitudes and slopes of the BPs from PD patients were generally smaller than in controls, but there was no specific pattern of BP changes that distinguished depressed from non-depressed PD patients. In addition, there was no particular association between measures of depression severity and BP parameters. The data suggest that presence of depression in PD might not have any additional deteriorating influence on already impaired preparation for self-paced spontaneous movements.

Different activation of presupplementary motor area, supplementary motor area proper, and primary sensorimotor area, depending on the movement repetition rate in humans

In order to clarify the functional role of the supplementary motor area (SMA) and its rostral part (pre-SMA) in relation to the rate of repetitive finger movements, we recorded movement-related cortical potentials (MRCPs) directly from the surface of the mesial frontal lobe by using subdural electrode grids implanted in four patients with intractable partial epilepsy. Two subregions in the SMA were identified based on the anatomical location and the different response to cortical stimulation. In three of the four subjects, we also recorded MRCPs from the surface of the lateral convexity covering the primary sensorimotor areas (SI-MI), which were defined by cortical stimulation and SEP recording. The subjects extended the middle finger or opposed the thumb against other fingers of the same hand at a self-paced rate of 0.2 Hz (slow) and 2 Hz (rapid), each in separate sessions. As a result, pre-and postmovement potentials were clearly seen at the SI-MI in both slow- and rapid-rate movements. By contrast, in the SMA, especially in the pre-SMA, premovement potentials were not seen and postmovement potentials were seldom seen in the rapid rate movement. In the slow-rate condition, pre- and postmovement potentials were clearly seen in both the pre-SMA and the SMA proper. In conclusion, the SMA, especially the pre-SMA, is less activated electrophysiologically in the rapid-rate movements, while the SI-MI remains active regardless of the movement rate.

Dissociation of motor preparation from memory and attentional processes using movement-related cortical potentials

The EEG activity preceding self-paced voluntary movements (movement-related cortical potential, MRCP) is smaller if subjects make the same movement each time (regular task) compared with when different movements are made each time (random task). To test whether extra activity in the random task is due to increased motor preparation needed to switch between different movements, or to memory/attentional processes needed to select movements randomly, we compared regular and random movements with an additional alternating task. This alternating task required subjects to make different movements each time as in the random task, but since the task was very simple, the memory/attentional load was similar to that in the regular task. The MRCP was equally large over motor areas in both random and alternating tasks, suggesting that the extra activity over sensorimotor areas reflected processes involved in motor preparation rather than memory/attention. We speculate that, in the regular task, some part of the instructions for the previous movement remains intact, reducing the amount of preparation needed for the next repetition. Thus the MRCP is smaller than in the alternating and random tasks. Although the MRCPs in alternating and random tasks were similar over the motor areas, the random task had more activity than the alternating task in contralateral frontal areas. This part of the MRCP may therefore be related to memory/attentional processes required to randomize the sequence of movements. We conclude that the MRCP contains dissociable components related to motor preparation and memory/attention.

Electrocorticogram-electromyogram coherence during isometric contraction of hand muscle in human

OBJECTIVE

To clarify how the primary sensorimotor and supplementary motor areas are involved in the generation of the rhythmicity of electromyogram (EMG) activity during continuous muscle contraction.

METHOD

We analyzed the coherence between subdurally recorded cortical electroencephalograms (EEG) and EMGs of the contralateral wrist extensor muscle during continuous isometric contraction in 8 patients with medically intractable epilepsy.

RESULTS

In all subjects, a significant coherence between the primary motor area (M1) and EMG was observed at the peak frequency of 15+/-3 Hz (means+/-SD). In the primary somatosensory area (S1) of 7 subjects and the supplementary motor area proper (SMA proper) of 4 subjects, significant coherence with EMG was observed at 12+/-5 and 15+/-4 Hz, respectively. The time lags revealed by cross-correlogram were 10+/-3, 7+/-1 and 22+/-8 ms in the M1, S1 and SMA proper, respectively, with the EMG lagging in all areas.

CONCLUSION

These findings suggest that the rhythmic activity in the SMA proper, as well as in the S1 and M1, is related to the generation of the rhythmicity of EMG activity.

Neuromagnetic localization of CMV generators using incomplete and full-head biomagnetometer

Contingent magnetic variation (CMV) data were recorded in three healthy male subjects using a 2 x 37 biomagnetometer system. The experiment was repeated for one of the subjects using a 151 whole-head biomagnetometer; the same auditory GO/NOGO choice reaction time paradigm as in the first experiment was used, extended to include repetitions of identical runs and additional control conditions. Magnetic field tomography was applied to the averaged data of each subject, for each run and condition (e.g., GO/NOGO). An independent estimate of the current density in the brain was obtained every few milliseconds. The slow components were emphasized by integrating the square of the current density vector, pixel by pixel, revealing in each subject activity in the auditory cortex, sensorimotor cortex, inferior prefrontal area, and posterior inferior parietal area. The intersubject variability was large, but looking across subjects the auditory and sensorimotor cortex (which were best covered by the two probes) were consistently identified in each subject as contributing to the generation of the early and late slow CMV components. These findings were confirmed by the whole-head single-subject experiment, in which slow activity was also identified in the supplementary motor area (SMA) and posterior cingulate cortex (PCC), areas very likely missed in the first experiment because of the limited view of the twin system. The PCC and particularly the SMA activations were substantially reduced when identical runs were repeated.

Human movement-related potentials vs desynchronization of EEG alpha rhythm: a high-resolution EEG study

Movement-related potentials (MRPs) and event-related desynchronization (ERD) of alpha rhythm were investigated with an advanced high-resolution electroencephalographic technology (128 channels, surface Laplacian estimate, realistic head modeling). The working hypothesis was that MRPs and alpha ERD reflect different aspects of sensorimotor cortical processes. Both MRPs and alpha ERD modeled the responses of primary sensorimotor (M1-S1), supplementary motor (SMA), and posterior parietal (PP, area 5) areas during the preparation and execution of unilateral finger movements. Maximum responses were modeled in the contralateral M1-S1 during both preparation and execution of the movement. The SMA and PP responses were modeled mainly from the MRPs and alpha ERD, respectively. The modeled ipsilateral M1-S1 responses were larger and stronger in the alpha ERD than MRPs. These results may suggest that alpha ERD reflects changes in the background oscillatory activity in wide cortical sensorimotor areas, whereas MRPs represent mainly increased, task-specific responses of SMA and contralateral M1-S1.

Automatic activation in the human primary motor cortex synchronized with movement preparation

The human primary motor cortex during a unilateral finger reactive movement to visual stimuli was examined by magnetoencephalography (MEG) measurement. The brain activity related to movement execution (the motor activity contralateral to the movement side) was estimated based on movement onset conditions and reaction times. The movement onset conditions were: (1) a simple reaction time task with a visual stimulus, (2) a Go/NoGo task with different colored stimuli and (3) a Go/NoGo task with different position stimuli. Dipole source estimation was done, and the time course of the motor activity was calculated. The results showed that not only the visual response but also the contralateral motor activity was evoked by the stimulus in all cases, and even when the NoGo stimulus was given. The motor activity in the primary motor cortex was conjectured to consist of two dominant components: the first component for the movement preparation and the second component for the movement execution. Because the first component happened with a constant delay time from the stimulus even in the NoGo case, the first component, coming through a fast pathway for signals from visual stimulus processing to the motor cortex without any intervening cognitive processing, was conjectured to make the motor cortex prepare for the forthcoming movement onset automatically regardless of the stimulus instruction.

Sources of movement-related cortical potentials derived from foot, finger, and mouth movements

Movement-related cortical potentials (MRCPs) register brain electrical activity before and during movement execution. In an attempt to delineate the components of MRCPs that reflect common sources to various movements and that are movement-specific, simple self-paced voluntary foot, finger, and mouth movements were studied. MRCPs were recorded in eight healthy volunteers with 30 electrodes placed on the scalp. Data were analyzed using Brain Electric Source Analysis software, and multiple equivalent dipole models were developed to separate spatial and temporal aspects of brain activity related to the execution of voluntary movements. Independent models were separately developed for the grand average data and for the individual subjects' data for each movement type. MRCPs derived from foot movements were accounted for using a 5-dipole model, finger movements using an 8-dipole model, and mouth movements with a 7-dipole model, yielding the grand average residual variances of 3%, 2%, and 6%, respectively. Based on individual models, intersubject variability of dipole locations was less than 10 mm (+/- SD). Overlaying the mean dipole coordinates onto the stereotaxic atlas provided proof that the sensorimotor cortical areas, supplementary motor area, and also cerebellum and thalamus were active in all three movements. Locations of the dipoles in the contralateral sensorimotor area clearly implied well-known medial to lateral somatotopic organization of foot, finger, and mouth movements. Temporal separation of the activity spread over different brain areas was demonstrated by evolution in the moments of dipole source potentials. The authors' models support the view of simultaneous activation of the primary motor cortex and supplementary motor area at the time of movement execution. Multiple equivalent dipole models developed in this study implied the activity originating in corresponding brain areas as previously detected by positron emission tomography or functional magnetic resonance imaging. However, MRCPs provided additional information regarding the temporal evolution of the brain activity related to the execution of voluntary movements. Thus, the concurrent use of MRCPs and other imaging techniques may provide complementary information not easily obtained by the other imaging techniques themselves.

Bilateral neuromagnetic activation of human primary sensorimotor cortex in preparation and execution of unilateral voluntary finger movements

Extracranial magnetoencephalographic activity was separately recorded (25 channels) from bilateral primary sensorimotor cortex (M1-S1) of normal right-handers during unilateral finger movements. Standard dipole analysis indicated only a contralateral M1-S1 source for first movement-evoked field (MEF1) peaking at about 115 ms after electromyographic onset. However, the subtraction of the magnetic field generated by this source from the recorded magnetic field disclosed a low-amplitude ipsilateral central-parietal MEF1 that was explained by an ipsilateral M1-S1 source.

Neuroimage of voluntary movement: topography of the Bereitschaftspotential, a 64-channel DC current source density study

The Bereitschaftspotential (BP) was recorded at 56 scalp positions when 17 healthy subjects performed brisk extensions of the right index finger. Aim of the study was to contribute to our understanding of the physiology underlying the BP and, in particular, to specify the situation at BP onset. For this purpose, the spatial pattern of the BP was analyzed in short time intervals (35 and/or 70 ms) starting 2.51 s before movement onset. For each time segment a spherical model of the BP was calculated by using spline interpolation. Then the spatial distribution of the electric potential at the scalp surface was transformed into a spatial distribution of current source densities (CSD map). Onset times of the BP and onset times of initial CSD-activity ranged between 2.23 and 1.81 s before movement onset. We selected a time window between 1.6 and 1.5 s before movement onset in order to analyze the spatial CSD pattern in each subject. In 10 subjects there was a significant current sink in the scalp area located over medial-wall motor areas (pre-SMA, SMA proper and anterior cingulate cortex: electrode positions C1, C2, FCz, Cz) in the absence of a significant current sink over the primary motor cortex (MI: electrode positions C3, CP3, and CP5). In three subjects significant current sinks were present at both sites and in another three subjects a current sink only over the lateral motor cortex was observed. In one subject no significant current sinks were measured. It is concluded that there is a large group of subjects (13/17) in whom BP at onset is associated with a current sink over medial-wall motor areas. At a later time interval (0.6 to 0.5 s before movement onset), significant current sinks were found in 13 subjects in medial and in 10 subjects in lateral recordings. These data were considered to be consistent with the hypothesis that, at least in a majority of subjects, medial-wall motor areas are activated earlier than lateral motor areas when organizing the initiation of a simple self-paced movement. Surface-recordings of the EEG do not allow further specification of cortical areas, which contribute to the current sinks. But in context with the current literature of the electrophysiology of nonhuman primates and of brain imaging in humans it is suggested that SMA and anterior cingulate cortex contribute to the current sink, the fronto-central midline, and that the primary motor cortex (MI) contributes to the current sink in the scalp area, which is located above MI and closely posterior to it.

Reappraisal of the effect of electrode property on recording slow potentials

Subdural electrodes made of stainless steel, which were believed to be unsuitable for recording slow potentials, can still record Bereitschaftspotential (BP) (Neshige, R., Lüders, H. and Shibasaki, H. Recording of movement-related potentials from scalp and cortex in man. Brain, 1988, 11: 719-736) and ictal DC shifts (Ikeda, A., Terada, K., Mikuni, N., Burgess, R.C., Comair, Y., Taki, W., Hamano, T., Kimura, J., Lüders, H.O. and Shibasaki, H. Subdural recording of ictal DC shifts in neocortical seizures in humans. Epilepsia, 1996b, 37: 662-674) sufficiently. In this study, therefore, the effects of different kinds of metals on slow potential recordings were reevaluated. First, slow electro-oculograms (EOGs) were recorded with 3 different levels of input impedance (200 M omega, 470 k omega and 10 k omega) of a DC amplifier by using surface electrodes made of silver (Ag), silver/silver chloride (Ag/AgCl) and stainless steel. Secondly, BP was recorded by using the above electrodes with a long time constant of 3 s and with a fixed input impedance of 100 M omega. As a result: (1) slow EOGs were equally recorded with the input impedance of 200 M omega and 470 k omega regardless of the kind of metals used, although stainless steel electrodes caused baseline fluctuation, (2) low input impedance of 10 k omega allowed only the Ag/AgCl electrode to record slow EOGs without any decay, and (3) electrodes made of stainless steel could record BP as efficiently as the other two types of electrode with high input impedance. In conclusion, electrodes with a large surface area contact such as cup electrodes and an amplifier with a large input impedance, electrodes made of Ag, and even of stainless steel, can record slow potentials reasonably well.

Dynamic functional coupling of high resolution EEG potentials related to unilateral internally triggered one-digit movements

Between-electrode cross-covariances of delta (0-3 Hz)- and theta (4-7 Hz)-filtered high resolution EEG potentials related to preparation, initiation. and execution of human unilateral internally triggered one-digit movements were computed to investigate statistical dynamic coupling between these potentials. Significant (P < 0.05, Bonferroni-corrected) cross-covariances were calculated between electrodes of lateral and median scalp regions. For both delta- and theta-bandpassed potentials, covariance modeling indicated a shifting functional coupling between contralateral and ipsilateral frontal-central-parietal scalp regions and between these two regions and the median frontal-central scalp region from the preparation to the execution of the movement (P < 0.05). A maximum inward functional coupling of the contralateral with the ipsilateral frontal-central-parietal scalp region was modeled during the preparation and initiation of the movement, and a maximum outward functional coupling during the movement execution. Furthermore, for theta-bandpassed potentials, rapidly oscillating inward and outward relationships were modeled between the contralateral frontal-central-parietal scalp region and the median frontal-central scalp region across the preparation, initiation, and execution of the movement. We speculate that these cross-covariance relationships might reflect an oscillating dynamic functional coupling of primary sensorimotor and supplementary motor areas during the planning, starting, and performance of unilateral movement. The involvement of these cortical areas is supported by the observation that averaged spatially enhanced delta- and theta-bandpassed potentials were computed from the scalp regions where task-related electrical activation of primary sensorimotor areas and supplementary motor area was roughly represented.

Improved realistic Laplacian estimate of highly-sampled EEG potentials by regularization techniques

In this study we investigated the effects of lambda correction, generalized cross-validation (GCV), and Tikhonov regularization techniques on the realistic Laplacian (RL) estimate of highly-sampled (128 channels) simulated and actual EEG potential distributions. The simulated EEG potential distributions were mathematically generated over a 3-shell spherical head model (analytic potential distributions). Noise was added to the analytic potential distributions to mimic EEG noise. The magnitude of the noise was 20, 40 and 80% that of the analytic potential distributions. Performance of the regularization techniques was evaluated by computing the root mean square error (RMSE) between regularized RL estimates and analytic surface Laplacian solutions. The actual EEG data were human movement-related and short-latency somatosensory-evoked potentials. The RL of these potentials was estimated over a realistically-shaped, magnetic resonance-constructed model of the subject's scalp surface. The RL estimate of the simulated potential distributions was improved with all the regularization techniques. However, the lambda correction and Tikhonov regularization techniques provided more precise Laplacian solutions than the GCV computation (P < 0.05); they also improved better than the GCV computation the spatial detail of the movement-related and short-latency somatosensory-evoked potential distributions. For both simulated and actual EEG potential distributions the Tikhonov and lambda correction techniques provided nearly equal Laplacian solutions, but the former offered the advantage that no preliminary simulation was required to regularize the RL estimate of the actual EEG data.

Multiple fragment statistical analysis of post-spike effects in spike-triggered averages of rectified EMG

Spike-triggered averaging of EMG is a useful experimental technique for revealing functional connectivity from central neurons to motoneurons. Because EMG waveforms constitute time series, statistical analysis of spike-triggered averages is complicated. Empirical methods generally have been employed to detect the presence of post-spike effects (PSEs), since, as we argue in this report, it is not feasible to develop a rigorous yet sensitive statistical test that detects PSEs in a single grand average of rectified EMG. We have developed a method of multiple fragment statistical analysis (MFSA) of PSEs, based on dividing an experimental record into a large numbers of non-overlapping fragments. The calculations necessary to obtain accurate P-values using the multiple fragment method are simple and efficient, and therefore preliminary results can be obtained while recording. In this report, we present the rationale for MFSA, and give examples of its application. We found MFSA to have considerable utility in accurately testing the significance of small PSEs, and in detecting PSEs in shorter recordings. Statistical corrections that should be used when recording multiple channels simultaneously are discussed. MFSA could be implemented for statistical analysis of other waveforms averaged, such as evoked potentials, movement-related cortical potentials, or event-related desychronizations.

Responses of human primary sensorimotor and supplementary motor areas to internally triggered unilateral and simultaneous bilateral one-digit movements. A high-resolution EEG study

We modelled the responses of human primary sensorimotor areas and supplementary motor area to simple, self-initiated unilateral and simultaneous bilateral middle finger movements using a novel high-resolution electroencephalography technology. The results support the view that these cortical motor areas are involved in parallel and present similar activity in the preparation, initiation, and execution of the contralateral and bilateral movements. Furthermore, the left primary sensorimotor area (dominant hemisphere) appears to be activated more than the right primary sensorimotor area during the preparation and performance of the ipsilateral movements.

Role of the ipsilateral motor cortex in voluntary movement

The ipsilateral primary motor cortex (M1) plays a role in voluntary movement. In our studies, we used repetitive transcranial magnetic stimulation (rTMS) to study the effects of transient disruption of the ipsilateral M1 on the performance of finger sequences in right-handed normal subjects. Stimulation of the M1 ipsilateral to the movement induced timing errors in both simple and complex sequences performed with either hand, but with complex sequences, the effects were more pronounced with the left-sided stimulation. Recent studies in both animals and humans have confirmed the traditional view that ipsilateral projections from M1 to the upper limb are mainly directed to truncal and proximal muscles, with little evidence for direct connections to distal muscles. The ipsilateral motor pathway appears to be an important mechanism for functional recovery after focal brain injury during infancy, but its role in functional recovery for older children and adults has not yet been clearly demonstrated. There is increasing evidence from studies using different methodologies such as rTMS, functional imaging and movement-related cortical potentials, that M1 is involved in ipsilateral hand movements, with greater involvement in more complex tasks and the left hemisphere playing a greater role than the right.

A high resolution EEG method based on the correction of the surface Laplacian estimate for the subject's variable scalp thickness

To improve the spatial resolution of human event-related potentials, we developed a new high resolution EEG method based on the improved estimate of the realistic surface Laplacian (SL). The novelty of this method consisted in the computation of the local scalp resistance that was assumed to be inversely proportional to the local scalp thickness measured from magnetic resonance images of the subject's head. The local scalp thickness was then multiplied by the SL estimate of the potential over a realistic magnetic resonance-constructed model of the subject's scalp surface. The new method was applied on human movement-related and somatosensory-evoked potentials, the SL estimate at a constant scalp thickness being used as a reference. The locally-predicted scalp thickness was significantly (P < 0.05) higher in the temporal areas (9.5 +/- 2.6 mm) than in the parieto-occipital (6.6 +/- 1.3 mm) and frontal (4.8 +/- 1.1 mm) areas. Compared to the SL estimate at constant scalp thickness, the improved SL estimate enhanced the spatial detail of both movement-related and somatosensory-evoked potentials.

Steady-state movement-related cortical potentials: a new approach to assessing cortical activity associated with fast repetitive finger movements

Traditionally, studies of movement-related cortical potentials have focused on the preparation of single self-paced movements performed slowly. We studied MRCPs elicited by metronome-paced, fast repetitive finger movements (2/s) with 28-channel (10 normal subjects) and 122-channel (two subjects) EEG. EMG-locked averaging of 500 ms time windows (300 ms before to 200 ms after each EMG onset) produced a distinct pattern of phasic MRCPs (steady-state MRCPs). The main components were a pre-movement peak (pre-MP), 57 ms before EMG onset, and a post-movement peak (post-MP), 93 ms after EMG onset. From timing information and topographic mapping results, we propose that the pre-MP is largely generated by a tangential source in the anterior bank of the central sulcus and reflects precentral motor processing, whereas the post-MP is generated in the posterior bank of the central sulcus and represents post-central feedback processing. Steady-state MRCPs require actual recording times of less than 10 min, and show excellent inter-session reproducibility. These characteristics may make them convenient for studying sensorimotor cortex activity experimentally and clinically.

New concepts of the supplementary motor area

The supplementary motor area, although traditionally defined as a single motor area, is now viewed as including at least three different areas that can be distinguished anatomically and physiologically. The differential use of these three areas for various motor behaviors has been the subject of recent studies that are beginning to provide novel concepts of the functional differentiation of each area.

Subdural recording of ictal DC shifts in neocortical seizures in humans

PURPOSE

Invasive ictal EEG recording is often necessary to delineate epileptogenic areas in patients with intractable partial epilepsy, but even intracranial ictal recordings often reveal ill-defined onset zones in neocortical epilepsy. We studied the physiologic significance of ictal direct current (DC) potentials recorded intracranially in human epilepsy.

METHODS

We made intracranial ictal EEG recordings in three patients with intractable partial seizures arising from frontal, lateral temporal, and parietal neocortical areas by using closely spaced subdural electrodes (platinum in two patients and stainless steel in one patient) with both standard (1.5 Hz) and open (0.016 Hz) low-frequency filter (LFF) settings.

RESULTS

The initial ictal pattern was localized to two to nine subdural electrodes and characterized by very low voltage and high-frequency rhythmic activity ("electrodecremental pattern"). A slow-rising negative potential (DC potential) was seen in a slightly more restricted area (two to six electrodes) and occurred 1-10 s before the initial ictal EEG discharges in two patients.

CONCLUSIONS

These results agree with those of previous studies of ictal DC shifts in animals and suggest that ictal DC shifts may be helpful in delineating the epileptogenic area more precisely in human epilepsy.

Subdural potentials at orbitofrontal and mesial prefrontal areas accompanying anticipation and decision making in humans: a comparison with Bereitschaftspotential

Field potentials associated with the execution of a warned choice Go/No-Go reaction task were recorded from prefrontal supplementary (SMA) and primary motor cortex (MI) by using subdural electrodes in 5 epileptic patients during presurgical evaluation. The choice was between a Go and a No-Go imperative stimulus (S2) in the S1-S2 paradigm. Orbitofrontal and mesial prefrontal areas generated a slow preceding potential before S2 (most likely late CNV), and bilateral mesial prefrontal areas generated a transient potential, most likely related to decision making, upon S2 in both Go and No-Go conditions. In self-paced, repetitive movement, the Bereitschaftspotential was seen only at SMA and MI, but not in the prefrontal area. The present result, therefore, suggests that in humans orbitofrontal and mesial frontal areas play an important role in preparation for cognition and in decision making, whereas SMA and MI do so in motor preparation.