Essential constraints for detecting deep sources in EEG - application to orthostatic tremor

The hypotheses that orthostatic tremor is generated by a central oscillator is been tested in this paper. In order to understand the mechanisms of the central network its sources need to be found. The cortical sources of both the basic and first “harmonic” frequency of orthostatic tremor are addressed in this paper. The Dynamic Imaging of Coherent Sources (DICS) was used to find the coherent sources in the brain. The three essential constraints for detecting deep sources in the brain using EEG data were tested by three model simulations. The optimal number of electrodes, length of the data and the signal to noise ratio required for error-free localization was tested. In all the orthostatic tremor patients the corticomuscular coherence was also present in the basic and the first harmonic frequency of the tremor. The basic frequency constituted a network of primary leg area, supplementary motor area, primary motor cortex, two pre-motor sources, diencephalon and cerebellum. The first harmonic frequency was in the region of primary leg area, supplementary motor area, primary motor cortex, diencephalon and cerebellum. Thus the generation of these two oscillations involves the same network structure and indicates the oscillation at double the tremor frequency is a harmonic of the basic tremor frequency. The orthostatic tremor could have the central oscillator in the brain

Dynamic imaging of coherent sources reveals different network connectivity underlying the generation and perpetuation of epileptic seizures

The concept of focal epilepsies includes a seizure origin in brain regions with hyper synchronous activity (epileptogenic zone and seizure onset zone) and a complex epileptic network of different brain areas involved in the generation, propagation, and modulation of seizures. The purpose of this work was to study functional and effective connectivity between regions involved in networks of epileptic seizures. The beginning and middle part of focal seizures from ictal surface EEG data were analyzed using dynamic imaging of coherent sources (DICS), an inverse solution in the frequency domain which describes neuronal networks and coherences of oscillatory brain activities. The information flow (effective connectivity) between coherent sources was investigated using the renormalized partial directed coherence (RPDC) method. In 8/11 patients, the first and second source of epileptic activity as found by DICS were concordant with the operative resection site; these patients became seizure free after epilepsy surgery. In the remaining 3 patients, the results of DICS / RPDC calculations and the resection site were discordant; these patients had a poorer post-operative outcome. The first sources as found by DICS were located predominantly in cortical structures; subsequent sources included some subcortical structures: thalamus, Nucl. Subthalamicus and cerebellum. DICS seems to be a powerful tool to define the seizure onset zone and the epileptic networks involved. Seizure generation seems to be related to the propagation of epileptic activity from the primary source in the seizure onset zone, and maintenance of seizures is attributed to the perpetuation of epileptic activity between nodes in the epileptic network. Despite of these promising results, this proof of principle study needs further confirmation prior to the use of the described methods in the clinical praxis

The central oscillatory network of essential tremor

The responsible pathological mechanisms of essential tremor are not yet clear. In order to understand the mechanisms of the central network its sources need to be found. The cortical sources of both the basic and first “harmonic” frequency of essential tremor are addressed in this paper. The power and coherence were estimated using the multitaper method for EEG and EMG data from 6 essential tremor patients. The Dynamic Imaging of Coherent Sources (DICS) was used to find the coherent sources in the brain. Before hand this method was validated for the application of finding multiple sources for the same oscillation in the brain by using two model simulations which indicated the accuracy of the method. In all the essential tremor patients the corticomuscular coherence was also present in the basic and the first harmonic frequency of the tremor. The source for the basic frequency and the first harmonic frequency was in the region of primary sensory motor cortex, prefrontal and in the diencephalon on the contralateral side for all the patients. Thus the generation of these two oscillations involves the same cortical areas and indicates the oscillation at double the tremor frequency is a harmonic of the basic tremor frequency

Discrimination of Parkinsonian tremor from essential tremor by implementation of a wavelet-based soft-decision technique on EMG and accelerometer signals

A wavelet-decomposition with soft-decision algorithm is used to estimate an approximate power-spectral density (PSD) of both accelerometer and surface EMG signals for the purpose of discrimination of Parkinson tremor from essential tremor. A soft-decision wavelet-based PSD estimation is used with 256 bands for a signal sampled at 800 Hz. The sum of the entropy of the PSD in band 6 (7.8125–9.375 Hz) and band 11 (15.625–17.1875 Hz) is used as a classification factor. The data has been recorded for diagnostic purposes in the Department of Neurology of the University of Kiel, Germany. Two sets of data are used. The training set, which consists of 21 essential-tremor (ET) subjects and 19 Parkinson-disease (PD) subjects, is used to obtain the threshold value of the classification factor differentiating between the two subjects. The test data set, which consists of 20 ET and 20 PD subjects, is used to test the technique and evaluate its performance. A “voting” between three results obtained from accelerometer signal and two EMG signals is applied to obtain the final discrimination. A total accuracy of discrimination of 85% is obtained

A neural network approach to distinguish Parkinsonian tremor from advanced essential tremor

A new technique for discrimination between Parkinsonian tremor and essential tremor is investigated in this paper. The method is based on spectral analysis of both accelerometer and surface EMG signals with neural networks. The discrimination system consists of two parts: feature extraction part and classification (distinguishing) part. The feature extraction part uses the method of approximate spectral density estimation of the data by implementing the wavelet-based soft decision technique. In the classification part, a machine learning approach is implemented using back-propagation supervised neural network. The data has been recorded for diagnostic purposes in the Department of Neurology of the University of Kiel, Germany. Two sets of data are used. The training set, which consists of 21 essential-tremor (ET) subjects and 19 Parkinson-disease (PD) subjects, is used to obtain the important features used for distinguishing between the two subjects. The test data set, which consists of 20 ET and 20 PD subjects, is used to test the technique and evaluate its performance

Dynamical correlation of non-stationary signals in time domain — a comparative study

In a thorough study, the multitaper (MTM) and the extended continuous wavelet-transform (CWT) coherence-analysis methods were compared in terms of there application in determining the dynamics from the electroencephalogram (EEG) and electromyogram (EMG) signals of patients with Parkinsonian tremor. The main aim of the study in a biological point of view is to analyze whether the basic tremor frequency and its “first harmonic” frequency of Parkinsonian tremor are really harmonically related or are in fact distinct processes. The extension of the CWT is achieved by using a Morlet wavelet as the analysis window with an adjustable relative bandwidth which gives the flexibility in setting a desired frequency resolution. In order to obtain a perspective view of the two methods, they were applied to two different model signals to determine their actual threshold in detecting short-lived changes in the analysis of non-stationary signals and to determine their noise thresholds by adding external noise to the signals to test the reduction in coherence to be not merely due to the random fluctuations in stochastic signals. Beyond applying an autoregressive 2nd-order and a coupled van der Pol model system, however, also true EEG and EMG data from five Parkinson patients were used. The results were compared in terms of the time and frequency resolutions of these two methods, and it was determined that the multitaper method was able to detect reduction in power and coherence as short as 1 s. The extended CWT analysis only revealed gaps that were longer than 3 s. The time gaps in the coherence indicate the loss of connection between the cortex and muscle during the respective time intervals. This more accurate analysis of the MTM was also seen in the dynamical EEG–EMG coherence at the tremor frequency and its “first harmonic” of Parkinsonian patients. In terms of our “biological” aim, this shows distinct prevalence of the corticomuscular coupling at those frequencies over time. Applying this method to biological data reveals important aspects about their dynamics, e.g., the distinct dynamics between basic frequency and “first harmonic” frequency over time in Parkinsonian tremor

Locating the STN-DBS electrodes and resolving their subsequent networks using coherent source analysis on EEG

The deep brain stimulation (DBS) of the subthalamic nucleus (STN) is the most effective surgical therapy for Parkinson's disease (PD). The first aim of the study was to locate the STN-DBS electrode by applying source analysis on EEG. Secondly, to identify tremor related areas which are associated with the STN. The Dynamic imaging of coherent sources (DICS) was used to find the coherent sources in the brain. The capability of the source analysis to detect deep sources like STN in the brain using EEG data was tested with two model dipole simulations. The simulations were concentrated on two aspects, the angle of the dipole orientation and the disturbance of the cortical areas on locating subcortical regions. In all the DBS treated Parkinsonian tremor patients the power spectrum showed a clear peak at the stimulated frequency and followed by there harmonics. The DBS stimulated frequency constituted a network of primary sensory motor cortex, supplementary motor area, prefrontal cortex, diencephalon, cerebellum and brainstem. Thus the STN was located in the region of the diencephalon. The resolved network may give better understanding to the pathophysiology of the effected tremor network in PD patients with STN-DBS

Cortical correlates of the basic and first harmonic frequency of Parkinsonian tremor

Objective It has been hypothesized that the basic and first harmonic frequency of Parkinsonian tremor are somewhat independent oscillations the biological basis of which remains unclear. Methods We recorded 64-channel EEG in parallel with EMG of the forearm muscles most affected by rest tremor in 21 PD patients. EMG power spectrum, corticomuscular coherence spectra and EEG power spectra for each EEG electrode were calculated. The dynamics of the coherence and relative EMG and EEG power at the basic (tremor) frequency were calculated by a sliding, overlapping window analysis. Corticomuscular delays and direction of interaction were analysed by the maximizing coherence method for narrow band signals. Results The contralateral EEG electrodes with maximal coherence were different for the basic and first harmonic frequency. The dynamical coherence curves showed non-parallel time courses for the two frequencies. The mean EEG-EMG and EMG-EEG delays were all around 15–20 ms but significantly longer for the first harmonic than for the basic frequency. Conclusions Our data indicate different cortical representations and corticomuscular interaction of the basic and first harmonic frequencies of Parkinsonian tremor. Significance Separate central generators seem to contribute to the tremor via different pathways. Further studies on this complex tremor network are warranted

Cortical representation of different motor rhythms during bimanual movements

The cortical control of bimanual and unimanual movements involves complex facilitatory and inhibitory interhemispheric interactions. We analysed the part of the cortical network directly related to the motor output by corticomuscular (64 channel EEG–EMG) and cortico-cortical (EEG–EEG) coherence and delays at the frequency of a voluntarily maintained unimanual and bimanual rhythm and in the 15–30-Hz band during isometric contractions. Voluntary rhythms of each hand showed coherence with lateral cortical areas in both hemispheres and occasionally in the frontal midline region (60–80 % of the recordings and 10–30 %, respectively). They were always coherent between both hands, and this coherence was positively correlated with the interhemispheric coherence (p < 0.01). Unilateral movements were represented mainly in the contralateral cortex (60–80 vs. 10–30 % ipsilateral, p < 0.01). Ipsilateral coherence was more common in left-hand movements, paralleled by more left–right muscle coherence. Partial corticomuscular coherence most often disappeared (p < 0.05) when the contralateral cortex was the predictor, indicating a mainly indirect connection of ipsilateral/frontomesial representations with the muscle via contralateral cortex. Interhemispheric delays had a bimodal distribution (1–10 and 15–30 ms) indicating direct and subcortical routes. Corticomuscular delays (mainly 12–25 ms) indicated fast corticospinal projections and musculocortical feedback. The 15–30-Hz corticomuscular coherence during isometric contractions (60–70 % of recordings) was strictly contralaterally represented without any peripheral left–right coherence. Thus, bilateral cortical areas generate voluntary unimanual and bimanual rhythmic movements. Interhemispheric interactions as detected by EEG–EEG coherence contribute to bimanual synchronization. This is distinct from the unilateral cortical representation of the 15–30-Hz motor rhythm during isometric movements

Gait ataxia in essential tremor is differentially modulated by thalamic stimulation

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