Frontal Lobe: Mental Functions and EEG

[Neurophysiological characteristics of juvenile schizophrenia patients examined at the very remote follow up stage]

OBJECTIVE

To determine neurophysiological characteristics of patients with long-term follow up (>20 years) and to find correlations between neurophysiological parameters and clinical features of schizophrenia.

MATERIAL AND METHODS

The patients were divided into three groups: with predomination of personality changes (group 1, n=17), with negative disorders (group 2, n=23) and with positive and negative disorders (group 3, n=40). A psychopathological method and electroencephalography with evoked potentials testing were used.

RESULTS AND CONCLUSION

In group 3, the statistically significant higher frequencies of theta-rhythm and lower of alpha-rhythm were found. Also, theta frequency correlated with PANSS positive scores. The significant intergroup differences by auditory oddball P300 were lacked. The findings are discussed in view of the hypothesis of theta-rhythm as a marker of hippocampal-prefrontal connectivity.

Cortical processing during smartphone text messaging

OBJECTIVE

The objective of this study was to report the EEG features of text messaging using smartphones.

METHODS

One hundred twenty-nine patients were prospectively evaluated during video-EEG monitoring (VEM) over 16months. A reproducible texting rhythm (TR) present during active text messaging with a smartphone was compared with passive and forced audio telephone use, thumb/finger movements, cognitive testing/calculation, scanning eye movements, and speech/language tasks in patients with and without epilepsy. Statistical significance was set at p<0.05.

RESULTS

Twenty-seven patients with a TR were identified from a cohort of 129 (93 female, mean age: 36; range: 18-71) unselected VEM patients. Fifty-three out of 129 patients had epileptic seizures (ES), 74/129 had nonepileptic seizures (NES), and 2/129 were dual-diagnosed. A reproducible TR was present in 27/129 (20.9%) specific to text messaging (p<0.0001) and present in 28% of patients with ES and 16% of patients with NES (p=NS). The TR was absent during independent tasks and audio cellular telephone use (p<0.0001). Age, gender, epilepsy type, MRI results, and EEG lateralization in patients with focal seizures were unrelated (p=NS).

CONCLUSIONS

Our results suggest that the TR on scalp EEG represents a novel technology-specific neurophysiological alteration of brain networks. We propose that cortical processing in the contemporary brain is uniquely activated by the use of PEDs.

SIGNIFICANCE

These findings have practical implications that could impact industry and research in nonverbal communication.

A 4 Hz oscillation adaptively synchronizes prefrontal, VTA, and hippocampal activities

Network oscillations support transient communication across brain structures. We show here, in rats, that task-related neuronal activity in the medial prefrontal cortex (PFC), the hippocampus, and the ventral tegmental area (VTA), regions critical for working memory, is coordinated by a 4 Hz oscillation. A prominent increase of power and coherence of the 4 Hz oscillation in the PFC and the VTA and its phase modulation of gamma power in both structures was present in the working memory part of the task. Subsets of both PFC and hippocampal neurons predicted the turn choices of the rat. The goal-predicting PFC pyramidal neurons were more strongly phase locked to both 4 Hz and hippocampal theta oscillations than nonpredicting cells. The 4 Hz and theta oscillations were phase coupled and jointly modulated both gamma waves and neuronal spikes in the PFC, the VTA, and the hippocampus. Thus, multiplexed timing mechanisms in the PFC-VTA-hippocampus axis may support processing of information, including working memory.

A spreadsheet application for processing long-term EEG recordings

This study develops a Windows application for processing huge tabular text files. The tool has been especially designed for handling EEG files. As a consequence, tables with more than 65,536 rows and 256 columns, which is a limitation found in Microsoft's Excel, can be loaded, visualized and processed with no more restrictions than the ones imposed by the memory of the operating system. Beyond tabular visualization, additional tools are available for chart customization and spreadsheet like cell processing commands. Additionally, commands are included for signal processing, cluster analysis and computationally taxing matrix algebra operations.

Integrated Study of Topographical Functional Maps Based on an Auditory Comprehension Paradigm Using an Eigensystem Study and Spectrum Analysis

This study integrates a spectral analysis of key frequency bands (Alpha, Beta, Delta, and Theta) with an eigensystem-based study in order to validate brain functional mappings associated with the characterization effects of an Auditory/Comprehension paradigm. This numerical characterization supported by topographic functional maps brings added insight in the involvement of the Wernicke and Broca's brain areas to language comprehension. A thorough examination of EEG recordings through the eigensystem reveals that eigenvectors associated with the largest eigenvalues produce an interesting activity pattern located in the frontal area of the brain directly attributable to those characteristic behaviors found in the Alpha, Beta, Delta, and Theta frequency bands. An evaluation of spectral arrays is performed using topographic maps of the induced brain activities during both listening and answering phases. This evaluation is then augmented with quantifying measures using the eigensystem study while results are validated through integration of EEG activity and eigensystem modalities. Such a representation can provide insightful information on how different patients react during an auditory and response phases, and in the ability to detect the presence of potential neurological disorders by assessing similar/dissimilar behaviors with respects to all former patients already included in the database. The algorithm as developed in this study could be extended in its application to other brain functional mapping tasks given its simple but effective practical mathematical foundation.

The interplay of lorazepam-induced brain oscillations: microstructural electromagnetic study

OBJECTIVE

The effects on cortical rhythms of a single-dose (30 microg/kg) administration of the GABAA agonist lorazepam were examined in a randomized, double-blind, cross-over, placebo-controlled study with 8 healthy volunteers using simultaneous electroencephalography (EEG) and magnetoencephalography (MEG).

METHODS

The oscillations were assessed by means of adaptive classification of short-term spectral patterns.

RESULTS

Lorazepam (a) decreased the percentage of EEG/MEG segments with fast-theta, delta-alpha, fast-theta-alpha and alpha activity and increased percentage of EEG/MEG segments with delta, delta-slow-theta, delta-beta, slow-theta and polyrhythmic activity; (b) decreased diversity of EEG/MEG signals (in terms of spectral patterns) and increased the general instability of the signal; (c) increased stabilization periods of the spectral patterns (reduced brain information processing); (d) maintained larger maximum periods of temporal stabilization for delta, slow-theta, delta-slow-theta, delta-beta and polyrhythmic activity (in terms of spectral patterns); (e) did not increase power in the independent beta rhythm.

CONCLUSIONS

Lorazepam caused significant reorganization of the EEG/MEG microstructure. These results suggest also that adaptive classification analysis of single short-term spectral patterns may provide additional information to conventional spectral analyses.

Electrophysiology of the frontal lobe

The electrophysiology of the frontal lobe appears to be unimpressive when the view is limited to the routine EEG recording of a healthy waking adult. There is usually low voltage fast activity, which becomes more pronounced when recorded with depth leads. Three special EEG patterns of marginal to slightly abnormal character are discussed: a) rhythmical midfrontal 6-7/sec activity of juveniles, b) rhythmical midfrontal sharp 4-6/sec activity of infancy and early childhood with arousal from sleep, and c) frontal intermittent rhythmical delta activity (FIRDA) in waking adults with frontopolar maximum, possibly related to thought processes under abnormal conditions. With extension of the frequency range, ultraslow (DC-like) as well as fast beta (gamma, 40-80/sec) and ultrafast activity (80-1000/sec) are found particularly over the frontal lobes. Ultraslow baseline shifts are arousal-related and mixed with overlying ultrafast waves. Attention control and the "working memory" involve chiefly the dorsolateral prefrontal cortex, investigated with P300 responses and likely to show ultrafast spectra. Perception-related 40-80/sec gamma activity has been thought to be associated with the entrance into consciousness. Initiation and design of motor activity spreads from prefrontal to the frontomotor cortex, associated with powerful event-related potentials: contingent negative variation (CNV) and "Bereitschafts potential" ("readiness potential," RP). Neuroscientific research of the highest frontal lobe functions has become a very active domain of neuroimaging. With the use of the extended frequency range, EEG and also evoked potential studies could add further information with acquisition in real time. Ultrafast frequency ranges presented in computerized frequency analysis and mapping might show impressive correlates of highest frontal lobe functions.

On the intercorrelation of some frequency and amplitude parameters of the human EEG and its functional significance. Communication. I: Multidimensional neurodynamic organization of functional states of the brain during intellectual, perceptive and motor activity in normal subjects

In 95 normal subjects, a separate evaluation of the amplitude and frequency parameters of EEG by period analysis made it possible to reveal, using factor analysis, four independent groups of parameters--the EEG factors, two of which being independent of the amplitude fluctuations. They were considered as integral EEG characteristics of qualitatively different neurophysiological processes. Decrease of Factor I values during mental activity (called 'general activation') reflected an intercorrelated desynchronization of the wave amplitudes in all the bands, a decrease of alpha-index (percentage presence in epoch) and regularity together with parallel increase of the indices and mean periods of delta- and theta-waves. This generalized reaction has shown 'non-specific' dependence upon novelty and difficulty of the tasks and stimuli with certain task-specific topographical distribution. An increase of values of regional Factor Ia in the anterior areas was caused by delta- and theta-amplitude synchronization, more pronounced during matching the rhymes (MR) than in mental multiplication (MM). An increase of Factor II values (related to increase of the index, frequency and regularity of beta-activity and called 'cortical excitation', CE) was more expressed during MR, whereas an increase of Factor III values (an increase of mean alpha-period and theta-index called 'active selective inhibition', ASI) was characteristic of MM, the latter reaction being evident in the right hemisphere. During analysis of external sound stimuli and rhythmical clenching of a fist, an increase of Factor III values was accompanied by decrease of Factor II values [corrected]; in the motor activity, such reciprocal reaction being localized in the central areas contralateral to the hand moved . Neuropsychological analysis suggests that CE correlates with associative and successively organized mental operations involving search for memory traces and ASI presumably relates to different aspects of mental selectivity such as simultaneous mental operations, voluntary attention and mental automation, the latter two cases being supported by parallel reduction of CE.

Anxiolytic effects of low-dose clomipramine in highly anxious healthy volunteers assessed by frontal midline theta activity

1. The appearance of Fm theta, the distinct EEG theta rhythm in the frontal midline area during performance of a mental task, reflects relief from anxiety in humans. 2. In the present study, the anxiolytic effects of low-dose clomipramine were examined by monitoring the Fm theta amount, the STAI scores and the plasma 5-HIAA concentration in 24 male university students with (Fm theta group, n = 12) and without (non-Fm theta group, n = 12) Fm theta. 3. Subjects were given placebo, 10 mg and 30 mg clomipramine in a double-blind crossover design. Blood samples were obtained, STAI scores were determined, and EEGs were recorded before and during the performance of an arithmetic addition task. The test was repeated twice: before and 3 hrs after drug administration. 4. In the non-Fm theta group, 10 mg clomipramine decreased the 5-HIAA concentration and state anxiety scores but increased the Fm theta amount, while 30 mg clomipramine slightly increased only the Fm theta amount. However, there were no differences in these items before and after clomipramine administration in the Fm theta group. 5. These results suggest that low doses of clomipramine such as 10 mg may exert anxiolytic effects during the acute phase of treatment in highly anxious humans.

Differential effects of dopaminergic drugs on anxiety and arousal in healthy volunteers with high and low anxiety

1. The appearance of frontal midline theta activity (Fm theta), the distinct EEG theta rhythm in the frontal midline area during performance of a mental task, indicates relief from anxiety in humans. 2. The authors examined the effects of bromocriptine and sulpiride on anxiety and arousal in 24 male university students with (Fm theta group, n = 12) and without (non-Fm theta group, n = 12) Fm theta. Subjects were given placebo, 2.5 mg bromocriptine and 100 mg sulpiride in a double-blind crossover design. 3. Blood samples were obtained, STAI scores were determined, and EEGs were recorded before and during the performance of an arithmetic addition task. The test was repeated twice: before and 1 hr after drug administration. 4. Bromocriptine reduced the HVA concentration in both groups; sulpiride caused an increase in both groups. In the Fm theta group, bromocriptine did not alter the appearance time of Fm theta, the state anxiety score or the task performance; sulpiride increased the Fm theta amount and reduced the state anxiety but did not affect the task performance. In the non-Fm theta group, bromocriptine increased the Fm theta duration and reduced the state anxiety score but did not influence the task performance, while sulpiride reduced Fm theta and increased the state anxiety but had no effect on the task performance. 5. These results suggest that the sensitivity of presynaptic D2 receptors is higher in high-anxiety subjects compared with low-anxiety subjects, and that anxiolytic effects in high-anxiety humans and those in low-anxiety humans may be caused by decreased and increased DA activity, respectively. In addition, the stimulation of DA function may cause anxiogenic effects in high-anxiety individuals.

Differential effects of noradrenergic drugs on anxiety and arousal in healthy volunteers with high and low anxiety

1. The appearance of frontal midline theta activity (Fm theta), the distinct EEG theta rhythm in the frontal midline area during performance of a mental task, indicates relief from anxiety in humans. 2. The authors investigated the effects of clonidine and yohimbine on anxiety and arousal in 24 male university students with (Fm theta group, n = 12) and without (non-Fm theta group, n = 12) Fm theta. Subjects received placebo, 0.15 mg clonidine and 15 mg yohimbine in a double-blind crossover design. 3. Blood samples were obtained, state-trait anxiety inventory (STAI) scores were determined, and EEGs were recorded before and during the performance of an arithmetic addition task. The test was repeated twice: before and 1 hr after drug administration. 4. Clonidine reduced the 3-methoxy-4-hydroxyphenylglycol (MHPG) concentration in both groups; yohimbine caused an increase in both groups. In the Fm theta group, clonidine reduced the appearance time of Fm theta and the number of task performance but did not alter the state anxiety scores; yohimbine had no effects on Fm theta or the state anxiety but increased the task performance. In the non-Fm theta group, clonidine increased the Fm theta amount and reduced the state anxiety score but did not affect task performance, while yohimbine reduced Fm theta but increased the state anxiety, the task performance and the number of errors. 5. These results suggest that changes in noradrenaline (NA) activity affect both anxiety and arousal levels in high-anxiety humans, but predominantly affect only the arousal level in low-anxiety humans.

The electroencephalogram and mental activation

The mental activation (MA) is a simple test consisting of two questions and two commands given during the waking record. The responses are documented by + or - sign notations made by the technologist. In this manner, data were rapidly obtained from 1280 patients; there were 598 patients with EEG records within normal limits and 682 with various degrees of EEG abnormality. The MA serves the following purposes: a. to study the repercussions of the test on the EEG activity, b. to ascertain the optimal level of vigilance, c. to attempt a correlation of MA responses and the degree of EEG abnormality and d. to obtain brief information on the patient's mental state. The test is administered during conventional EEG recordings. It was found that alpha blocking or attenuation was the exception rather than the rule during the test. Diffuse and focal slowing also remained unchanged in the vast majority of the cases, whereas focal intermittent rhythmical delta activity (FIRDA) was blocked or reduced in most patients exhibiting this pattern. Epileptic conditions were also studied and it was found that, in a single observation, even the most difficult part of the test (item D: mental arithmetic) could be carried out during ictal-subclinical regional EEG activity.