Quantitative EEG, Event-Related Potentials and Neurotherapy
Transcript of Quantitative EEG, Event-Related Potentials and Neurotherapy
Quantitative EEG, Event-Related Potentials and Neurotherapy
Juri D. Kropotov
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•IL - iSJIIbj. AMSTERDAM • BOSTON • HEIDELBERG • LONDON • NEW YORK • OXFORD
Г 1 c r 7 . г г о т , PARIS • SAN DIEGO • SAN FRANCISCO • SINGAPORE • SYDNEY • TOKYO H L o t i V l I i K . , . „ . cn\ •
Academic Press is an imprint ot Elsevier
Contents
Preface
Acknowledgmen t s
Introduction: Basic Concepts qfQEEG and Neurotherapy I. Glossary xxxii
II. The Place of EEG in Neuroscience and Medicine xxxiv A. Goals of Neuroscience xxxiv B. Goals of Psychiatry and Neurology xxxv C. Phenotype and Genotype xxxvi D. MEG as a Complementary Method to EEG xxxvii E. M R I xxxvii E PET xxxix
G. Functional MRI xxxix H. Polarographie Recording of Brain Oxygen xl
III. From Neuronal Spikes Through Local Field Potentials to Scalp EEG xli A. Impulse Activity of Neurons xli B. Profiles of Neuronal Reactions xliii C. Local Field Potentials xliii D. Association of Local Field Potentials with Scalp EEG xlv E. Modern Renaissance of EEG xlvii
IV. Endophenotypes and Individual Differences xlvii A. Biological Markers of Disease xlvii B. Association with Functioning of Brain Systems xlvii C. Inverted U-Law xlix D. Pavlov's, Eysenk's and Current Theories of Personality
Differentiation 1
V. Pharmaco-QEEG liii A. Goals liii B. Limitations liii С New Horizons liv
viii Contents
VI. Prerequisites for Neurotherapy liv A. Neurofeedback liv B. Brain—Computer interface lvii C. Transcranial Direct Current Stimulation lvii D. TMS, DBS, and Other Stimulation Procedures lviii
PART I
EEG Rhythms
1 Slow, Infra-Slow Potentials, and Delta Rhythms I. Origin of Scalp Potentials 11
A. Intracortical Organization 11 B. Membrane Potentials 14 C. Synaptic Transmission 16 D. Pyramidal Cells as Elemental Electrical Dipoles 17
II. Infra-Slow Oscillations 19 A. Spontaneous Activity 19 B. Preparatory Activities 21
III. Slow Waves of Deep Sleep 22 A. Up and Down States 22 B. Transcranial Induction of Slow Waves 23
IV. Delta Oscillations 23 A. Delta Rhythm of Sleep 25 B. Low Threshold Burst Mode of Thalamic Neurons 27 С Pathological Delta Rhythms 27
V Summary 28
2 Alpha Rhythms I. Types of Alpha Rhythms 29
A. Mu-Rhythms 30 B. Occipital Alpha Rhythms 32 С Parietal Alpha Rhythm 35
II. Neuronal Mechanisms 36 A. Association with Cortical Deactivation 36 B. Thalamo-Cortical Circuits 38 C. Sleep Spindles 40 D. Alpha Rhythms ofWakefulness 42 E. High Threshold Burst Mode of Thalamic Neurons 43
Contents ix
III. Responses to Tasks 46 A. Event-Related Desynchronization of Mu-Rhythms to Motor Actions 46
B. E R D of Occipital Rhythms to Visual Stimuli 49
IV. Functional Meaning 50 A. Alpha Rhythms as Idling EEG Activity 50
B. Lateral Inhibition in Activation of Alpha Rhythms 50
V. Abnormality of Alpha Rhythms 52 A. Complete Absence of Alpha Rhythms 52
B. Alpha Rhythms in Unusual Sites 52
C. Alpha Asymmetry 55
VI. Summary 57
Beta Rhythms
in.
IV
V
VI.
Types of Beta Rhythms A. Rolandic Beta Rhythms
B. Desynchronization/Synchronization Pattern to Motor Actions
C. Frontal Beta Rhythms
D. Desynchronization/Synchronization Pattern to
Cognitive Tasks
Neuronal Mechanisms A. Association with Cortical Activation
B. Sensitivity to GABA Agonists
C. Inhibition in Cortical Circuits
Gamma Activity A. Temporal Binding
Functional Meaning A. Beta Rhythms as Postactivation Traces
B. Reset of Information Processing
Abnormal Beta Rhythms A. Need for Normative Databases
B. Cortical Irritability
Summary
59 60
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Frontal Midline Theta Rhythm
I. Characteristics 77 A. Spatial Distribution 77
B. Personality Traits of People Generating the Rhythm 79
II. Neuronal Mechanisms 81 A. Association with Cortical Activation 81
B. Association with Hippocampal Theta Rhythms 82
C. Limbic System of Hippocampal Theta Rhythms 82
D. Classic Model of Hippocampal Theta Rhythms Generation 83
E. Involvement in Memory Operations 84
F. Theta Quantum 85
G. Hippocampus as a Map of Episodes 86
H. Theta Rhythm and Memory Consolidation 86
x Contents
III. Responses to Tasks 88 A. Increasing with Memory Load 88
B. Two Types of Theta Responses 88
C. Appearance in Hypnosis 91
IV. Functional Meaning 91 A. Associating Two Types of Human Theta Responses with
Two Types of Theta in Animals 91
V. Abnormal Theta Rhythms 93 A. Frontal Midline Theta Subtype of A D H D 93
B. Theta Rhythms in Non-frontal Areas 93
VI. Summary 95
5 Paroxysmal Events
I. Spikes 96 A. Spatial-Temporal Characteristics 97
B. Automated Spike Detection 98
C. Intracranially Recorded Spikes 99
II. Neuronal Mechanisms 100 A. A Lack of Inhibition 100
B. Neurofeedback 101
C. Epileptology 102
III. Summary 102
6 QEEG Endophenotypes
I. Test-Retest Reliability 103 II. Reflection of Functioning Brain Systems 105
III. Heritability 105 IV Summary 108
7 QEEG During Sleep
I. Anatomical Basis 109 A. Sleep and Wakefulness Promoting Nuclei 109
II. EEG Correlates of Sleep 110 A. R E M and N R E M Sleep 110
B. Stages of N R E M Sleep 111
III. Functional Meaning of Sleep 112 A. Memory Consolidation 112
B. Immune System 112
C. Psychiatric Disorders 113
IV. Bispectral Index 113 A. Association with Anesthetic Depth 113
V Summary 115
Contents xi
8 Methods of Analysis of Background EEG I.
II. III. IV V
VI. VII.
VIII.
IX. X.
XI. XII.
XIII. XIV. XV.
XVI.
XVII.
XVIII. XIX.
XX.
XXI.
Anatomical Locations Brodmann's Areas 10—20 International System of Electrode Placement Electrodes Amplifiers EEG Digitizing Montages A. Linked Ears Reference B. Common Average Montage C. Local Average Montage
Fourier Analysis A. Spectra B. Spectra Dynamics and Averaged Spectra C. Relative Spectra
EEG Mapping Filtering A. Low and Highpass Filters B. FIR and IIR Filters
Bispectrum Coherence A. Physiological Meaning B. Representations of Deviations from Normality
Event-related Desynchronization Wavelet Transformation Blind Source Separation and ICA A. Mathematical Formulation B. Spatial Filters for Decomposing Independent Components С Independent Component Analysis Versus Principle
Component Analysis
Artifact Correction by Spatial Filtration A. Eye Movements B. Correcting Eye Movement Artifacts
Other Types of Artifacts A. Muscle Artifact B. ECG Artifact C. Cardio-Ballistic Artifact
Forward Solution and Dipole Approximation LOPvETA A. Ambiguity of Inverse Problem B. Matrix for Solution of the Inverse Problem C. Minimizing the Functional D. s-LORETA — Zero Localization Error
Bold fMRI A. Transform Model of fMRI response
Cordance
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129 129 129 130
131 131 131 132
133 135 136 136 137
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142 142 143
143 143 143 145
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152 153
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xii Contents
XXII. Normal Distributions and Deviation from Normality 154 A. Normative Database 154 B. Normal and Log-Normal Distributions 155
C. Z-Scores 155
XXIII. Currently Available Databases 156 A. NxLink 156 B. Neuroguide 157 С SKIL 157 D Neurorep 158 E. Novatech LORETA Database 158 F. B R C Database 159 G. HBI Database 159
9 Practice
in.
Introduction A. Categories of EEG Processing B. EEG Data Formats C. Data Management
D. Editing and Compiling QEEG Reports
Ed-EEG Software A. Installation B. Folders for Data Processing
Exercises
161 162 162 164 164
165 165 165
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PART I I
Event-Related Potentials
1 0 Sensory Systems Anatomy A. Brodmann Areas and Thalamic Nuclei B. Topographical Organization C. Parallel Pathways D. Pulvinar Nucleus as Coordinator of Information Flow
Visual Information Flow A. O N and OFF Receptive Fields B. Spatial Filtration at Thalamic and Cortical Levels C. Ventral and Dorsal Streams D. Hierarchical Organization E. Computational Maps
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195 195 196 198 199 199
Contents xiii
F. Schemata 200 G. Face Recognition 200 H. Multiple ERPs Components 201
I. Cortical Topography 201 J. Enhancement of N170 ERPs Component in Response to Faces 202
III. Decomposition of Single Trial Evoked Potentials into Independent Components 203
IV. Decomposition of Averaged ERPS into Single Components 205 A. E R P Component as a Sequence of Excitatory—Inhibitory
Events (Model) 207
V. Auditory Information Flow 210 A. "What" and "Where" Streams 210 B. Cortical Tonotopy 211 C. Speech Processing 211
D. ICA of ERPs (HBI Database) 212
VI. Somato-Sensory Modality 214 A. Somato-Sensory and Insular Cortical Areas 214
VII. Change Detection 214 A. Functions of Change Detection 214 B. Mechanisms of Change Detection (Model) 215 С M M N in Oddball Paradigm 217 D. Intracranial Correlates of M M N 218 E. Change Detection in Two Stimulus Discrimination Tasks 221 F. Modality Specificity 222 G. Physical and Semantic Change Detection 224 H. Change Detection and Motor Suppression 224
VIII. Types of Sensory Systems 225 A. U-Shape Curve of the System Reactivity 225 B. Augmenting and Reducing Sensory Systems 227 C. Auditory P2 in Augmenters and Reducers 228
IX. Diagnostic Values of Sensory-related ERPS Components 228 A. M M N 228 B. Comparison Component 229
X. Summary 230
1 1 Attention Networks I. Psychology 221
A. Attention as Selection Operation 231 B. Sensory Selection Versus Motor Selection 232 C. Preparatory Sets 232 D. Processing Multiple Objects 233 E. Engagement, Disengagement and Shift Operations 235
F. Bot tom-Up and Top—Down Factors 235
II. Anatomy 236 A. Sensory Systems 236 B. Executive System 236
C o n t e n t s
III. Modulation of Sensory Information Flow 237 A. Mutual Inhibition in Animal Experiments 237
B. Involvement of Subcortical Structures 239
C. Attention-Related Negativities in Human ERPs 239
D. Parietal-Frontal Network in PET and M R I Studies 240
IV. Neuropsychology 241 A. Sensory Neglect and Right Parietal Lesions 241
B. Balint's Syndrome 241
V. Neuronal Networks 242 A. Recurrent Depolarization of Apical Dendrites 242
B. Attention and Arousal 243
C. Tonic and Phasic Reactions of Locus Coeruleus 244
D. Norepinephrine as Modulator of Attention 245
VI. Late Positive Components in ERPS 245 A. P3b Component 247
B. P3a Component 249
C. Diagnostic Values of P3a and P3b Components 252
VII. Summary 252
Executive System
I. Psychology 253 A. Need for Executive Control 253
B. Types of Executive Operations 253
C. Association with Selection of Actions 254
II. Basal Ganglia as Dark Basements of the Brain 255 A. Anatomy 255
B. Direct Pathway 256
C. Intracranial Recordings in Patients 257
D. The Model of Action Selection 258
E. Dopamine as Modulator in the Basal Ganglia 260
F. Dysinhibition of Thalamic Neurons 261
G. Indirect and Hyperdirect Pathways 262
H. Output to the Brain Stem 262
I. Parallel Circuits 263
J. EEG in Basal Ganglia Dysfunction 266
III. Prefrontal Cortex and Executive Control 267 A. Anatomy 267
B. Complexity ofWiring 268
C. Representation of Complex Actions 269
D. Hyperfrontality 269
E. EEG Peculiarity 270
IV Engagement/Disengagement Operations 270 A. P3b Component as Index of Engagement Operation 270
B. Sensory Comparison 270
C. Motor Inhibition 271
D. Action Suppression 272
E. Intracranial Recordings 273
F. N200 Motor Inhibition Component 275
Contents xv
V. M o n i t o r i n g Opera t ion 276 A. P400 Monitoring Component in G O / N O G O Paradigm 276 B. Function of ACC 278 C. Akinetic Mutism 279 D. Concept of Monitoring 280
E. Error-Related Negativities 281
VI. Working Memory 283 A. Active Manipulation on Memory Trace 283 B. Reciprocal Anatomical Pathways 284 С Three "working Memory Systems 284 D. C N V as Correlate of Working Memory 284
VII. Dopamine as a Mediator of the Executive System 287 A. Cortical and Subcortical Distribution 287 B. Dopaminergic Systems 287 C. D l and D2 Dopamine Receptors 288 D. Functions of Dopaminergic Systems 288
VIII. Summary 290
Affective System I. Psychology 292
A. Emotions Versus Reasoning 292 B. Punishers and Rewards 293 C. Drives and Motivations 293
II. Anatomy 294 A. Limbic System 294 B. Papez Circuit 295 О Cortical and Subcortical Elements 295
III. Physiology 297 A. Orbito-frontal Cortex as a Map of Rewards and Punishers 297 B. Positive Affect, Negative Affect, and Monitoring 299 C. Asymmetry in Maps of Emotions? 301 D Amygdala 302 E. Medial and Anterior Nuclei of the Thalamus 303 F. Hypothalamus 303 G. Ventral Part of the Anterior Cingulate Cortex 304 H. Neuroimaging Patterns of Emotions 304
I. Frontal Midline Theta Rhythm and Emotions 305
IV Stages of Reactions of Affective System 305 A. Sensation 306 B. Emotional Reaction 307 C. Feeling Stage 307 D. Monitoring Stage 307
V Serotonin as Mediator of Affective System 307 A. Functioning and Dysfunctioning of
Serotoninergic System 308
VI. Summary 309
Contents
Memory Systems I. Psychology 310
A. Types of Memory 310
II. Declarative Memory 312 A. Anatomy 312 B. Encoding and Retrieval Operations 314 С Neuronal Model 315
III. Acetylcholine as Mediator of Declarative Memory 315 A. Septum as an Extension of Cholinergic Ascending System 315 B. Hippocampal Theta Rhythm and Long-Term Potentiation 317
IV. ERP Indexes of Episodic Memory 317 A. " O l d - N e w " Effect in Recalling Stage 317 B. "Remembered-Forgotten" Effect in Encoding Stage 318
V. Procedural Memory System 318 A. Action-Related Memory Versus Sensory-Related Memory 318 B. Anatomy of Procedural Memory 319 C. Basal Ganglia and Language 321 D. Gradual Memorization 321 E. E R P Correlates of Recalling from Procedural Memory 322
VI. Mediators of Procedural Memory 322 VII. Summary 322
Methods: Neuronal Networks and Event-Related Potentials
I. Information Processing in Neuronal Networks 325 A. Analytic Approach 325 B. Networks with Lateral Inhibition 326 C. Spatial Filtration in Neuronal Networks 327 D. Enhancing Higher Spatial Frequencies in Visual System 328 E. Canonical Cortical Circuit 330 F. Inhibition as Cause of High Frequency Oscillations 331 G. Synaptic Depression as Source of Low Frequency Oscillations 331 H. Canonical Cortical Module 332
I. Gabor Filtration in the Canonical Cortical Model 335 J. Texture Encoding by the Canonical Cortical Module 337
K. Hierarchical Organization 337 L. Feedforward and Feedback Connections 338 M. Reflection of Recurrent Connections in ERPs 339
II. Neurotransmitters and Neuromodulators 341 A. Fast Transmitters 341 B. Slow Modulators 342 C. Modulator Systems 343
III. Methods of Analyzing ERPS 345 A. Averaging Technique 345 B. Number ofTrials 347 C. Single Trial Representations of Independent Components 349
Contents xvii
D. Alpha Ringing 351
E. ICA Decomposition of Grand Average ERPs 351
IV. Pharmaco-ERP 356 V. Behavioral Paradigms 357
A. Classification of Paradigms 357
B. Sensory and Attention Systems 357
C. Executive Functions 362
D. Affective System 364
E. Episodic Memory 365
1 6 Practice: ERP analysis
I. Introduction 366 II. Designing Task 367
III. EdEEG Software 372 IV. Exercises 381
PART I I I
Disorders of the Brain Systems
17 Attention Deficit Hyperactivity Disorder
I. Description of Behavior 393 A. Executive Operations and E R P Components 393
B. Symptoms of A D H D in DSM-IV and ICD-10 393
II. Genetic and Environmental Factors 395 A. Complex Genetic Disorder 395
B. Environmental Risk Factors 396
C. Co-morbidity 396
III. Imaging Correlates 396 A. PET and M R I 396
B. QEEG 398
C. Theta Beta Ratio as Inattention Index 399
IV. ERP Correlates 400 A. Selective Attention 400
B. Working Memory 401
C. Engagement Operation 404
D. Response Inhibition 404
E. Monitoring Operation 406
Contents
V. Dopamine Hypothesis of ADHD 406 A. Increased Level of DAT 407
B. Noradrenalin Transporter 408
VI. Treatment 408 A. Psychostimulants 408
B. Neurofeedback 409
C. Beta Enhancement/Theta Suppression Protocol 411
D. Relative Beta Training Protocol 411
E. Normalization of Executive E R P Components 412
F. Transcranial Direct Current Stimulation 415
VII. Summary 418
Schizophrenia I. Description of Behavior 420
A. Involvement of Three Brain Systems 420
B. Dysfunction of Executive System 421
II. Genetics and Environmental Factors 421 A. Multiple Genes are Involved 421
B. Environmental Risk Factors 422
III. Imaging Correlates 422 A. Magnetic Resonance Imaging 422
B. Quantitative Electroencephalogram 423
C. Mismatch Negativity 423
D. Contingent Negative Variation 423
E. Engagement Operation 424
F. Monitoring Operation 425
IV Dopamine Hypothesis of Schizophrenia 426 A. Excess of Striatal Dopamine Receptors 426
B. Neural Net Model 426
V Treatment 428 A. Antipsychotic Agents 428
B. Electroconvulsive Therapy 428
C. Psychosurgery 429
D. Neurofeedback 430
VI. Summary 431
Addiction I. Description of Behavior 431
A. Symptoms 432
B. Substances of Abuse 433
C. Tolerance, Dependence, and Withdrawal 433
II. Imaging Correlates 434 A. PET and M R I 434
B. Increased Level of Dopamine in Nucleus Accumbens 434
Contents xix
III. Stages of Addiction 435 A. Expectation Stage 435 B. Consolidation Stage 436 C. Habituation/Sensitization Stage 436 D. Neural Net Model 437
IV. Treatment 438 A. Stereotactic Anterior Cinguiotomy in Heroin Addicts 438 B. Neurofeedback 439
V. Summary 440
Obsessive-Compulsive Disorder I. Description of Behavior 442
A. Symptoms 442
II. Genetics and Co-morbidity 443 A. Poor Heritability 443 B. Co-morbid Disorders 443
III. Imaging Correlates 443 A. PET.MRI 443 B. QEEG 445 С Monitoring Component of ERPs 445
IV. Mediators 446 V Treatment 446
A. Stereotactic Anterior Cinguiotomy 446 B. QEEG/ERPs Assessment in an O C D Patient 446 C. Neurofeedback 448
VI. Summary 449
Depression I. Description of Behavior 450
A. History 450 B. Symptoms 450 С Subtyping Depression 451 D. Heritability 451 E. Need for Objective Diagnostic System 452
II. Imaging Correlates 452 A. PET, M R I 452 B. QEEG Asymmetry 453 С ERP Asymmetry 454 D QEEG/ERPs Assessment in a Depressed Patient 454 E. QEEG Predictors of Response to Antidepressants 456
III. Neuronal Model 456 A. Monoamine Hypothesis of Depression 456 B. Brain Circuitry of Depressed Mood 457
IV Treatment 459 A. Cognitive Behavioral Therapy 459 B. ЕСТ and Psychosurgery 459
xx Contents
C. Antidepressants 460 D. TMS 461 E. Neurofeedback 461
V. Summary 462
2 2 Alzheimer's Disease I. Description of Behavior 463
A. Symptoms 463
II. Mediators 463 A. Association with Cholinergic/GABA Septal-Hippocampal Circuits 463 B. Cholinergic Hypothesis of Alzheimer's Disease 464
III. Neural Net Model 464 A. Theta Bursts in Healthy Brain 464 B. Increase of Spontaneous Theta Activity in Diseased Brain 464
IV. Imaging Correlates 465 A. QEEG 465 B. ERPs 466 С Principle Component Analysis of ERPs 466
V. Treatment 467 A. Acetylcholinesterase Inhibitors 467 B. Neurofeedback 467
VI. Summary 467
2 3 Methods of Neurotherapy Placebo 469 A. Placebo as Expectation of Results 469 B. Neuronal Basis of Placebo 470 C. Need for Double-Blind Placebo-Controlled Studies 471
Neurofeedback 472 A. History 472 B. Bulldozer Principle of Neurofeedback 475 C. Comparison with the Database 476 D. Defining Electrodes' Position 476 E. Defining Neurofeedback Parameter 478 F. Training Procedure 478
G. Computing Neurofeedback Parameters 480 H. Training Curve 482 I. Learning Curve 482 J. Techniques for Computing Neurofeedback Parameter 483
K. Types of Neurofeedback Protocols 485 L. Neurofeedback and Neurotherapy 487
M. Eastern Self-Regulation Techniques 487 N. Sham Effect 488 O. Minimizing Side Effects 488 P. Stability of Effect 489 Q. Limitations of Neurofeedback 489 R. Medical Versus Non-medical Application 490
Contents xxi
III.
IV.
V.
S. Types of Neurofeedback Т. BCI
Deep Brain Stimulation A. Psychosurgery B. Stereotactic Neurosurgery C. Deep Brain Stimulation as Reversible Destruction
Transcranial Magnetic Stimulation A. Physics ofTMS B. Diagnostic and Therapeutic Applications
Transcranial Direct Current Stimulation A. History B. Procedure C. Neurophysiological Mechanisms of Membrane Polarization D. Physiological Evidence E. Behavioral Effects F. Clinical Applications
491 494
495 495 495 496
496 496 498
498 498 499 500 501 503 503
Conclusion I. General Principles of EEG Assessment and Neurotherapy 506
II. Topics of Further Research 512
References 517
Index 531