EEG effects of ECT: implications for rTMS.

Electroconvulsive therapy (ECT) involves the use of electrical stimulation to elicit a series of generalized tonic-clonic seizures for therapeutic purposes and is the most effective treatment known for major depression. These treatments have significant neurophysiologic effects, many of which are manifest in the electroencephalogram (EEG). The relationship between EEG data and the response to ECT has been studied since the 1940s, but for many years no consistent correlates were found.

Karhunen-Loeve local characterization of spatiotemporal chaos in a reaction-diffusion system.

By computing the Karhunen-Loeve decomposition (KLD) correlation length xi(KLD) of a reaction-diffusion system in the extensive chaos regime, we show that it is a sensitive measure of spatial dynamical inhomogeneities. It reveals substantial spatial nonuniformity of the dynamics at the boundaries and can also detect slow spatial variations in system parameters. The intensive length xi(KLD) can be easily computed from small local subsystems and is found to have a similar parametric dependence as the two-point correlation length computed over the full system size.

Stationarity and redundancy of multichannel EEG data recorded during generalized tonic-clonic seizures.

To improve our understanding of the physiology of generalized tonic-clonic (GTC) seizures, we have investigated the stationarity and redundancy of 21-electrode EEG data recorded from ten patients during GTC seizures elicited by electroconvulsive therapy (ECT). Stationarity was examined by calculating probability density functions (pdfs) and power spectra over small equal-length non-overlapping time windows and then by studying, visually and quantitatively, the evolution of these quantities over the duration of the seizures. Our analysis shows that some seizures had no demonstrable stationarity, that most seizures had time intervals of at least a few seconds that were statistically stationary by several criteria, and that, in some seizures, there were leads which were delayed in manifesting the statistical changes associated with seizure onset evident in other leads.