Visualization of the Spatiotemporal Propagation of Interictal Spikes in Temporal Lobe Epilepsy: A MEG Pilot Study.

Magnetoencephalography (MEG) is clinically used to localize interictal spikes in discrete brain areas of epilepsy patients through the equivalent current dipole (ECD) method, but does not account for the temporal dynamics of spike activity. Recent studies found that interictal spike propagation beyond the temporal lobe may be associated with worse postsurgical outcomes, but studies using whole-brain data such as in MEG remain limited. In this pilot study, we developed a tool that visualizes the spatiotemporal dynamics of interictal MEG spikes normalized to spike-free sleep activity to assess their onset and propagation patterns in patients with temporal lobe epilepsy (TLE).

Child Neurology: Functional Evaluation of the Dominant Hemisphere Using Magnetoencephalography Prior to Hemispherectomy.

Rasmussen encephalitis is a devastating progressive inflammatory disorder that leads to debilitating neurologic deficits and intractable epilepsy. Surgical treatment of the dominant hemisphere has been attempted with hesitation, given the lack of effective diagnostic tools to determine the potential functional deficits from disconnection procedures.

Deficiency in Re-Orienting of Attention in Adults with Attention-Deficit Hyperactivity Disorder.

To characterize potential brain indexes of attention deficit hyperactivity disorder (ADHD) in adults. In an effort to develop objective, laboratory-based tests that can help to establish ADHD diagnosis, the brain indexes of distractibility was investigated in a group of adults. We used event-related brain potentials (ERPs) and performance measures in a forced-choice visual task.

Delayed brain development of Rolandic epilepsy profiled by deep learning-based neuroanatomic imaging.

Objectives: Although Rolandic epilepsy (RE) has been regarded as a brain developmental disorder, neuroimaging studies have not yet ascertained whether RE has brain developmental delay. This study employed deep learning-based neuroanatomic biomarker to measure the changed feature of "brain age" in RE.

Methods: The study constructed a 3D-CNN brain age prediction model through 1155 cases of typically developing children's morphometric brain MRI from open-source datasets and further applied to a local dataset of 167 RE patients and 107 typically developing children.

Cortico-striato-thalamo-cerebellar networks of structural covariance underlying different epilepsy syndromes associated with generalized tonic-clonic seizures.

Generalized tonic-clonic seizures (GTCS) are the severest and most remarkable clinical expressions of human epilepsy. Cortical, subcortical, and cerebellar structures, organized with different network patterns, underlying the pathophysiological substrates of genetic associated epilepsy with GTCS (GE-GTCS) and focal epilepsy associated with focal to bilateral tonic-clonic seizure (FE-FBTS). Structural covariance analysis can delineate the features of epilepsy network related with long-term effects from seizure.

Auditory-vocal control system is object for predictive processing within seconds time range.

Predictive processing across hierarchically organized time scales is one of the fundamental principles of neural computations in the cerebral cortex. We hypothesize that relatively complex aggregation of auditory and vocal brain systems that use auditory feedback for reflexive control of vocalizations can be an object for predictive processing. We used repetitive patterns of perturbations in auditory feedback during vocalizations to elicit implicit expectations that were violated by surprising direction of perturbations in one of the experimental conditions.

Insomnia in shift work disorder relates to occupational and neurophysiological impairment.

Study Objectives: To determine whether occupational and neurophysiological decrements within shift work disorder (SWD) are differentially related to its two diagnostic symptoms, insomnia and excessive sleepiness.

Methods: Thirty-four permanent night workers participated in an overnight lab protocol including a multiple sleep latency test (MSLT) and an event-related brain potential (ERP) task testing auditory target detection (P3a and P3b). At 16:00, each subject completed an Endicott Work Productivity Scale (EWPS), two Insomnia Severity Indices (ISI-Day, ISI-Night), and an Epworth Sleepiness Scale (ESS).

Length polymorphism in the Period 3 gene is associated with sleepiness and maladaptive circadian phase in night-shift workers.

The objective of the current study was to determine if night-shift workers carrying the five-repeat variant of the Period 3 gene show elevated levels of nocturnal sleepiness and earlier circadian phase compared with homozygotes for the four-repeat allele. Twenty-four permanent night-shift workers were randomly selected from a larger study. Participants took part in an observational laboratory protocol including an overnight multiple sleep latency test and half-hourly saliva collection for calculation of dim-light melatonin onset.

Effects of armodafinil on simulated driving and alertness in shift work disorder.

Study Objectives: Forty-one percent of shift workers report dozing while driving. This study tested whether armodafinil improves driving simulator performance in subjects with shift work disorder (SWD). A primary outcome was performance late in the shift when workers are typically driving home.

Differential sleep, sleepiness, and neurophysiology in the insomnia phenotypes of shift work disorder.

Study Objectives: To characterize and compare insomnia symptoms within two common phenotypes of Shift Work Disorder.

Design: Observational laboratory and field study.

Setting: Hospital sleep center.

Physiological correlates of insomnia.

Insomnia is a prevalent sleep disorder that is typically comorbid with medical, psychiatric, and other sleep disorders. Yet, it is a disorder with its own course and morbidity that can persist if untreated. This chapter describes the physiological correlates of insomnia expressed during sleep and during the daytime.

Sleep loss, circadian mismatch, and abnormalities in reorienting of attention in night workers with shift work disorder.

Study Objectives: Permanent night-shift workers may develop shift-work disorder (SWD). In the current study, we evaluated neurophysiological and behavioral indices of distractibility across times prior to the night shift (T1), during night hours (T2), and after acute sleep deprivation (T3) in permanent hospital night workers with and without SWD.

Methods: Ten asymptomatic night workers (NW) and 18 NW with SWD participated in a 25-h sleep deprivation study.

Sleep extension normalizes ERP of waking auditory sensory gating in healthy habitually short sleeping individuals.

Chronic sleep loss has been associated with increased daytime sleepiness, as well as impairments in memory and attentional processes. In the present study, we evaluated the neuronal changes of a pre-attentive process of wake auditory sensory gating, measured by brain event-related potential (ERP)--P50 in eight normal sleepers (NS) (habitual total sleep time (TST) 7 h 32 m) vs. eight chronic short sleeping individuals (SS) (habitual TST ≤6 h).

Connectivity analysis of novelty process in habitual short sleepers.

Neurophysiological processes underlying auditory memory and attention are impaired in habitually short sleepers. The aim of this study was to use dynamic causal modeling (DCM) to study the mechanisms of these impairments in short sleepers. Eight normal sleepers (total sleep time (TST)=7-8h) and nine habitual short sleepers (TST ≤ 6 h) participated.

Circadian phase, sleepiness, and light exposure assessment in night workers with and without shift work disorder.

Most night workers are unable to adjust their circadian rhythms to the atypical hours of sleep and wake. Between 10% and 30% of shiftworkers report symptoms of excessive sleepiness and/or insomnia consistent with a diagnosis of shift work disorder (SWD). Difficulties in attaining appropriate shifts in circadian phase, in response to night work, may explain why some individuals develop SWD.

Habitual short sleep impacts frontal switch mechanism in attention to novelty.

Study Objectives: Reduced time in bed relative to biological sleep need is common. The impact of habitual short sleep on auditory attention has not been studied to date. In the current study, we utilized novelty oddball tasks to evaluate the effect of habitual short sleep on brain function underlying attention control processes measured by the mismatch negativity (MMN, index of pre-attentive stage), P3a (attention-dependent), and P3b (memory-dependent) event related brain potentials (ERPs).

An assessment of MEG coherence imaging in the study of temporal lobe epilepsy.

Purpose: This study examines whether magnetoencephalographic (MEG) coherence imaging is more sensitive than the standard single equivalent dipole (ECD) model in lateralizing the site of epileptogenicity in patients with drug-resistant temporal lobe epilepsy (TLE).

Methods: An archival review of ECD MEG analyses of 30 presurgical patients with TLE was undertaken with data extracted subsequently for coherence analysis by a blinded reviewer for comparison of accuracy of lateralization. Postoperative outcome was assessed by Engel classification.

Shift work sleep disorder is associated with an attenuated brain response of sensory memory and an increased brain response to novelty: an ERP study.

Study Objective: To study the neurophysiological changes in attention and memory functions in shift work sleep disorder (SWSD), using event-related brain potentials (ERPs).

Participants: 9 healthy night workers (NW) (mean age = 40 y; SD +/- 8.9 y); 8 night workers meeting diagnostic criteria for SWSD (mean age = 37 y +/- 9.

Intracranial recording and source localization of auditory brain responses elicited at the 50 ms latency in three children aged from 3 to 16 years.

Maturational studies of the auditory-evoked brain response at the 50 ms latency provide an insight into why this response is aberrant in a number of psychiatric disorders that have developmental origin. Here, using intracranial recordings we found that neuronal activity of the primary contributors to this response can be localised at the lateral part of Heschl's gyrus already at the age of 3.5 years.

Cortical locations of maximal spindle activity: magnetoencephalography (MEG) study.

The aim of this study was to determine the main cortical regions related to maximal spindle activity of sleep stage 2 in healthy individual subjects during a brief morning nap using magnetoencephalography (MEG). Eight volunteers (mean age: 26.1 +/- 8.

Organization of sequential sounds in auditory memory.

A repeating five-tone pattern was presented at several stimulus rates (200, 400, 600, and 800 ms onset-to-onset) to determine at what temporal proximity the five-tone repeating unit would be represented in memory. The mismatch negativity component of event-related brain potentials was used to index how the sounds were organized in memory when participants had no task with the sounds. Only at the 200-ms onset-to-onset pace was the five-tone sequence unitized in memory.

Effects of auditory distraction on electrophysiological brain activity and performance in children aged 8-13 years.

Distractibility was investigated in three age groups of children (8-9, 10-11, and 12-13 years) with event-related brain potentials (ERPs) and performance measures in a forced-choice visual task. Distraction was reflected by increased reaction times (RTs) and decreased performance accuracy in the visual discrimination task following presentation of unexpected novel sounds. The amplitude of the late portion of the P3a elicited by novel sounds was largest for the youngest group and showed a centrally dominant scalp distribution and smallest for the oldest group with a frontal scalp distribution.

Processing abstract auditory features in the human auditory cortex.

Using electric and magnetic brain responses we tested whether violations of an abstract auditory regularity are processed in auditory cortex and whether abstract auditory regularities are retained for at least 10 s. The mismatch negativity (MMN) event-related potential and its magnetic counterpart (MMNm) were recorded to infrequent tone pairs of descending pitch (the second tone having a lower frequency than the first one) embedded in a sequence of tone pairs of ascending pitch, whereas the absolute frequency of both ascending and descending tone pairs varied on seven levels. Results showed that the dominant generators of the electromagnetic activity elicited by violations of the pitch-ascension rule lie within auditory cortex.

Electric brain responses indicate preattentive processing of abstract acoustic regularities in children.

This study investigated the preattentive processing of abstract acoustic regularities in children aged 8-14 years. Event-related brain potentials (ERPs) were elicited by frequent (standard) pairs ascending in pitch (the second tone having a higher frequency than the first tone) and by infrequent (deviant) pairs descending in pitch. In the easy condition, the second tone of the pair was always one step higher (standard) or lower (deviant) than the first tone, while in the hard condition, the second tone was randomly 1-10 steps higher or lower than the first tone.

Temporary and longer term retention of acoustic information.

Though many studies suggest that fine acoustic details fade from memory after 15 s or even less, everyday experience tells us that the voice of a person or a musical instrument can be recognized long after it was last heard. We wished to determine whether tones leave a lasting memory trace using an experimental model of implicit recognition and testing whether exact pitch information can be retrieved even after 30 s. Event-related brain potentials demonstrated the survival of an accurate representation of tone pitch in the auditory cortex.