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1.
Cell ; 152(4): 691-702, 2013 Feb 14.
Article in English | MEDLINE | ID: mdl-23415220

ABSTRACT

An adaptive variant of the human Ectodysplasin receptor, EDARV370A, is one of the strongest candidates of recent positive selection from genome-wide scans. We have modeled EDAR370A in mice and characterized its phenotype and evolutionary origins in humans. Our computational analysis suggests the allele arose in central China approximately 30,000 years ago. Although EDAR370A has been associated with increased scalp hair thickness and changed tooth morphology in humans, its direct biological significance and potential adaptive role remain unclear. We generated a knockin mouse model and find that, as in humans, hair thickness is increased in EDAR370A mice. We identify new biological targets affected by the mutation, including mammary and eccrine glands. Building on these results, we find that EDAR370A is associated with an increased number of active eccrine glands in the Han Chinese. This interdisciplinary approach yields unique insight into the generation of adaptive variation among modern humans.


Subject(s)
Biological Evolution , Edar Receptor/genetics , Exocrine Glands/physiology , Hair/physiology , Mice , Models, Animal , Adolescent , Adult , Amino Acid Sequence , Animals , Evolution, Molecular , Gene Knock-In Techniques , Genetic Pleiotropy , Haplotypes , Humans , Mice, Inbred C57BL , Middle Aged , Molecular Sequence Data , Polymorphism, Single Nucleotide , Scalp/physiology , Sequence Alignment , Young Adult
2.
Proc Natl Acad Sci U S A ; 119(43): e2214638119, 2022 10 25.
Article in English | MEDLINE | ID: mdl-36256817

ABSTRACT

Much of human behavior is governed by common processes that unfold over varying timescales. Standard event-related potential analysis assumes fixed-duration responses relative to experimental events. However, recent single-unit recordings in animals have revealed neural activity scales to span different durations during behaviors demanding flexible timing. Here, we employed a general linear modeling approach using a combination of fixed-duration and variable-duration regressors to unmix fixed-time and scaled-time components in human magneto-/electroencephalography (M/EEG) data. We use this to reveal consistent temporal scaling of human scalp-recorded potentials across four independent electroencephalogram (EEG) datasets, including interval perception, production, prediction, and value-based decision making. Between-trial variation in the temporally scaled response predicts between-trial variation in subject reaction times, demonstrating the relevance of this temporally scaled signal for temporal variation in behavior. Our results provide a general approach for studying flexibly timed behavior in the human brain.


Subject(s)
Electroencephalography , Scalp , Humans , Animals , Scalp/physiology , Electroencephalography/methods , Evoked Potentials/physiology , Reaction Time/physiology , Brain Mapping
3.
Hum Brain Mapp ; 45(1): e26540, 2024 Jan.
Article in English | MEDLINE | ID: mdl-38069570

ABSTRACT

Independent component analysis (ICA) is widely used today for scalp-recorded EEG analysis. One of the limitations of ICA-based analysis is polarity indeterminacy. It is not easy to find detailed documentations that explains engineering solutions of how the polarity indeterminacy is addressed in a given implementation. We investigated how it is implemented in the case of EEGLAB and also the relation between the outcome of the polarity determination and classification of independent components (ICs) in terms of the estimated nature of the sources (brain, muscle, eye, etc.) using an open database of n = 212 EEG dataset of resting state recordings. We found that (1) about 91% of ICs showed positive-dominant IC scalp topographies; (2) positive-dominant ICs were more associated with brain-originated signals; (3) positive-dominant ICs showed more radial (peaked at 10-30 degrees deviations from the radial axis) dipolar projection pattern with less residual variance from fitting the equivalent current dipole. In conclusion, using the EEGLAB's default ICA algorithm, one out of 10 ICs results in flipping its polarity to negative, which is associated with non-radial dipole orientation with higher residual variance. Thus, we determined EEGLAB biases toward positive polarity in decomposing high-quality brain ICs.


Subject(s)
Brain , Electroencephalography , Humans , Electroencephalography/methods , Brain/diagnostic imaging , Brain/physiology , Brain Mapping/methods , Algorithms , Scalp/physiology , Signal Processing, Computer-Assisted , Artifacts
4.
Exp Brain Res ; 242(9): 2083-2091, 2024 Sep.
Article in English | MEDLINE | ID: mdl-38963560

ABSTRACT

Transcranial electrical stimulation (tES) often targets the EEG-guided C3/C4 area that may not accurately represent M1 for hand muscles. This study aimed to determine if the neuroanatomy-based scalp acupuncture-guided site (AC) was a more effective spot than the C3 site for neuromodulation. Fifteen healthy subjects received one 20-minute session of high-definition transcranial alternating current stimulation (HD-tACS) intervention (20 Hz at 2 mA) at the AC or C3 sites randomly with a 1-week washout period. Subjects performed ball-squeezing exercises with the dominant hand during the HD-tACS intervention. The AC site was indiscernible from the finger flexor hotspot detected by TMS. At the baseline, the MEP amplitude from finger flexors was greater with less variability at the AC site than at the C3 site. HD-tACS intervention at the AC site significantly increased the MEP amplitude. However, no significant changes were observed after tACS was applied to the C3 site. Our results provide evidence that HD-tACS at the AC site produces better neuromodulation effects on the flexor digitorum superficialis (FDS) muscle compared to the C3 site. The AC localization approach can be used for future tES studies.


Subject(s)
Evoked Potentials, Motor , Hand , Scalp , Transcranial Direct Current Stimulation , Humans , Male , Female , Transcranial Direct Current Stimulation/methods , Adult , Hand/physiology , Scalp/physiology , Young Adult , Evoked Potentials, Motor/physiology , Muscle, Skeletal/physiology , Electromyography , Motor Cortex/physiology , Electroencephalography/methods
5.
Sensors (Basel) ; 24(14)2024 Jul 18.
Article in English | MEDLINE | ID: mdl-39066076

ABSTRACT

Electroencephalography (EEG) wearable devices are particularly suitable for monitoring a subject's engagement while performing daily cognitive tasks. EEG information provided by wearable devices varies with the location of the electrodes, the suitable location of which can be obtained using standard multi-channel EEG recorders. Cognitive engagement can be assessed during working memory (WM) tasks, testing the mental ability to process information over a short period of time. WM could be impaired in patients with epilepsy. This study aims to evaluate the cognitive engagement of nine patients with epilepsy, coming from a public dataset by Boran et al., during a verbal WM task and to identify the most suitable location of the electrodes for this purpose. Cognitive engagement was evaluated by computing 37 engagement indexes based on the ratio of two or more EEG rhythms assessed by their spectral power. Results show that involvement index trends follow changes in cognitive engagement elicited by the WM task, and, overall, most changes appear most pronounced in the frontal regions, as observed in healthy subjects. Therefore, involvement indexes can reflect cognitive status changes, and frontal regions seem to be the ones to focus on when designing a wearable mental involvement monitoring EEG system, both in physiological and epileptic conditions.


Subject(s)
Electroencephalography , Epilepsy , Memory, Short-Term , Humans , Memory, Short-Term/physiology , Epilepsy/physiopathology , Electroencephalography/methods , Male , Female , Adult , Scalp/physiology , Cognition/physiology , Wearable Electronic Devices , Electrodes , Middle Aged , Young Adult
6.
Dev Dyn ; 251(7): 1107-1122, 2022 07.
Article in English | MEDLINE | ID: mdl-34997665

ABSTRACT

BACKGROUND: How developing brains mechanically interact with the surrounding embryonic scalp layers (ie, epidermal and mesenchymal) in the preosteogenic head remains unknown. Between embryonic day (E) 11 and E13 in mice, before ossification starts in the skull vault, the angle between the pons and the medulla decreases, raising the possibility that when the elastic scalp is directly pushed outward by the growing brain and thus stretched, it recoils inward in response, thereby confining and folding the brain. RESULTS: Stress-release tests showed that the E11-13 scalp recoiled and that the in vivo prestretch prerequisite for this recoil was physically dependent on the brain (pressurization at 77-93 Pa) and on actomyosin and elastin within the scalp. In scalp-removed heads, brainstem folding was reduced, and the spreading of ink from the lateral ventricle to the spinal cord that occurred in scalp-intact embryos (with >5 µL injection) was lost, suggesting roles of the embryonic scalp in brain morphogenesis and cerebrospinal fluid homeostasis. Under nonstretched conditions, scalp cell proliferation declined, while the restretching of the shrunken scalp rescued scalp cell proliferation. CONCLUSIONS: In the embryonic mouse head before ossification, a stretcher-compressor relationship elastically develops between the brain and the scalp, underlying their mechanically interdependent development.


Subject(s)
Scalp , Stretchers , Animals , Brain , Mice , Scalp/physiology , Skull/physiology , Spinal Cord
7.
Neuroimage ; 223: 117344, 2020 12.
Article in English | MEDLINE | ID: mdl-32898677

ABSTRACT

To what extent electrocorticography (ECoG) and electroencephalography (scalp EEG) differ in their capability to locate sources of deep brain activity is far from evident. Compared to EEG, the spatial resolution and signal-to-noise ratio of ECoG is superior but its spatial coverage is more restricted, as is arguably the volume of tissue activity effectively measured from. Moreover, scalp EEG studies are providing evidence of locating activity from deep sources such as the hippocampus using high-density setups during quiet wakefulness. To address this question, we recorded a multimodal dataset from 4 patients with refractory epilepsy during quiet wakefulness. This data comprises simultaneous scalp, subdural and depth EEG electrode recordings. The latter was located in the hippocampus or insula and provided us with our "ground truth" for source localization of deep activity. We applied independent component analysis (ICA) for the purpose of separating the independent sources in theta, alpha and beta frequency band activity. In all patients subdural- and scalp EEG components were observed which had a significant zero-lag correlation with one or more contacts of the depth electrodes. Subsequent dipole modeling of the correlating components revealed dipole locations that were significantly closer to the depth electrodes compared to the dipole location of non-correlating components. These findings support the idea that components found in both recording modalities originate from neural activity in close proximity to the depth electrodes. Sources localized with subdural electrodes were ~70% closer to the depth electrode than sources localized with EEG with an absolute improvement of around ~2cm. In our opinion, this is not a considerable improvement in source localization accuracy given that, for clinical purposes, ECoG electrodes were implanted in close proximity to the depth electrodes. Furthermore, the ECoG grid attenuates the scalp EEG, due to the electrically isolating silastic sheets in which the ECoG electrodes are embedded. Our results on dipole modeling show that the deep source localization accuracy of scalp EEG is comparable to that of ECoG. SIGNIFICANCE STATEMENT: Deep and subcortical regions play an important role in brain function. However, as joint recordings at multiple spatial scales to study brain function in humans are still scarce, it is still unresolved to what extent ECoG and EEG differ in their capability to locate sources of deep brain activity. To the best of our knowledge, this is the first study presenting a dataset of simultaneously recorded EEG, ECoG and depth electrodes in the hippocampus or insula, with a focus on non-epileptiform activity (quiet wakefulness). Furthermore, we are the first study to provide experimental findings on the comparison of source localization of deep cortical structures between invasive and non-invasive brain activity measured from the cortical surface.


Subject(s)
Brain/physiology , Electrocorticography/methods , Electroencephalography/methods , Signal Processing, Computer-Assisted , Adult , Female , Humans , Male , Middle Aged , Scalp/physiology
8.
Neuroimage ; 223: 117298, 2020 12.
Article in English | MEDLINE | ID: mdl-32828924

ABSTRACT

Oscillatory electroencephalographic (EEG) activity is associated with the excitability of cortical regions. Visual feedback of EEG-oscillations may promote sensorimotor cortical activation, but its spatial specificity is not truly guaranteed due to signal interaction among interhemispheric brain regions. Guiding spatially specific activation is important for facilitating neural rehabilitation processes. Here, we tested whether users could explicitly guide sensorimotor cortical activity to the contralateral or ipsilateral hemisphere using a spatially bivariate EEG-based neurofeedback that monitors bi-hemispheric sensorimotor cortical activities for healthy participants. Two different motor imageries (shoulder and hand MIs) were selected to see how differences in intrinsic corticomuscular projection patterns might influence activity lateralization. We showed sensorimotor cortical activities during shoulder, but not hand MI, can be brought under ipsilateral control with guided EEG-based neurofeedback. These results are compatible with neuroanatomy; shoulder muscles are innervated bihemispherically, whereas hand muscles are mostly innervated contralaterally. We demonstrate the neuroanatomically-inspired approach enables us to investigate potent neural remodeling functions that underlie EEG-based neurofeedback via a BCI.


Subject(s)
Brain Waves , Neurofeedback/methods , Sensorimotor Cortex/physiology , Adult , Brain-Computer Interfaces , Cross-Over Studies , Double-Blind Method , Feedback, Sensory , Hand , Humans , Male , Scalp/physiology , Shoulder , Young Adult
9.
Neuroimage ; 223: 117353, 2020 12.
Article in English | MEDLINE | ID: mdl-32919058

ABSTRACT

Skull conductivity has a substantial influence on EEG and combined EEG and MEG source analysis as well as on optimized transcranial electric stimulation. To overcome the use of standard literature values, we propose a non-invasive two-level calibration procedure to estimate skull conductivity individually in a group study with twenty healthy adults. Our procedure requires only an additional run of combined somatosensory evoked potential and field data, which can be easily integrated in EEG/MEG experiments. The calibration procedure uses the P20/N20 topographies and subject-specific realistic head models from MRI. We investigate the inter-subject variability of skull conductivity and relate it to skull thickness, age and gender of the subjects, to the individual scalp P20/N20 surface distance between the P20 potential peak and the N20 potential trough as well as to the individual source depth of the P20/N20 source. We found a considerable inter-subject variability for (calibrated) skull conductivity (8.44 ± 4.84 mS/m) and skull thickness (5.97 ± 1.19 mm) with a statistically significant correlation between them (rho = 0.52). Age showed a statistically significant negative correlation with skull conductivity (rho = -0.5). Furthermore, P20/N20 surface distance and source depth showed large inter-subject variability of 12.08 ± 3.21 cm and 15.45 ± 4.54 mm, respectively, but there was no significant correlation between them. We also found no significant differences among gender subgroups for the investigated measures. It is thus important to take the inter-subject variability of skull conductivity and thickness into account by means of using subject-specific calibrated realistic head modeling.


Subject(s)
Brain/physiology , Electric Conductivity , Electroencephalography , Electrophysiological Phenomena , Magnetoencephalography , Models, Neurological , Skull/physiology , Adolescent , Adult , Calibration , Evoked Potentials, Somatosensory , Female , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Scalp/physiology , Young Adult
10.
Neuroimage ; 222: 117249, 2020 11 15.
Article in English | MEDLINE | ID: mdl-32798684

ABSTRACT

A variety of neural substrates are implicated in the initiation, coordination, and stabilization of voluntary movements underpinned by adaptive contraction and relaxation of agonist and antagonist muscles. To achieve such flexible and purposeful control of the human body, brain systems exhibit extensive modulation during the transition from resting state to motor execution and to maintain proper joint impedance. However, the neural structures contributing to such sensorimotor control under unconstrained and naturalistic conditions are not fully characterized. To elucidate which brain regions are implicated in generating and coordinating voluntary movements, we employed a physiologically inspired, two-stage method to decode relaxation and three patterns of contraction in unilateral finger muscles (i.e., extension, flexion, and co-contraction) from high-density scalp electroencephalograms (EEG). The decoder consisted of two parts employed in series. The first discriminated between relaxation and contraction. If the EEG data were discriminated as contraction, the second stage then discriminated among the three contraction patterns. Despite the difficulty in dissociating detailed contraction patterns of muscles within a limb from scalp EEG signals, the decoder performance was higher than chance-level by 2-fold in the four-class classification. Moreover, weighted features in the trained decoders revealed EEG features differentially contributing to decoding performance. During the first stage, consistent with previous reports, weighted features were localized around sensorimotor cortex (SM1) contralateral to the activated fingers, while those during the second stage were localized around ipsilateral SM1. The loci of these weighted features suggested that the coordination of unilateral finger muscles induced different signaling patterns in ipsilateral SM1 contributing to motor control. Weighted EEG features enabled a deeper understanding of human sensorimotor processing as well as of a more naturalistic control of brain-computer interfaces.


Subject(s)
Fingers/physiology , Motor Cortex/physiology , Muscles/physiology , Scalp/physiology , Sensorimotor Cortex/physiology , Adult , Brain-Computer Interfaces , Electroencephalography/methods , Female , Humans , Male , Movement/physiology , Young Adult
11.
Exp Dermatol ; 29(3): 357-365, 2020 03.
Article in English | MEDLINE | ID: mdl-31991014

ABSTRACT

Besides their many other functions, hair shafts (HS) also are a repository for potentially noxious compounds. These are neutralized by their deposition within terminally differentiated, avital epithelial cells (trichocytes) that also facilitate the interaction of potential toxins with melanin, a toxin-adsorbent biopolymer. Trichocytes are completely extruded via HS shedding during exogen, an actively controlled process. This underappreciated functional property of the human hair follicle (HF) makes it a bona fide excretory (mini-) organ. Here, we ask whether the ca. 2 million HFs of the human integument operate in part as primitive, spatially dispersed kidney-like excretory organs. Despite the many obvious differences between kidneys and HFs, this provocative hypothesis is also supported by other underappreciated renal-follicular similarities such as anatomical parallels between Bowman's capsule and the anagen hair bulb, renal podocytes and HF winged cells ["Fuegelzellen"], and hypoxia-dependent production of erythropoietin and extensive prostaglandin synthesis by human scalp HFs-just as in the kidney. The proposed kidney-like excretory function of HFs may have constituted a major selection advantage of mammals during evolution and could be clinically relevant. We explain how the many open questions (eg, how are molecules destined to be excreted by hair shaft entrapment recognized, taken up and deposited into hair matrix cells?) can be tested experimentally. Finally, we explore how the therapeutic targeting of kidney-like excretory HF functions may usefully complement classical nephrological therapy (dialysis) and ask whether stimulation of intrafollicular erythropoietin synthesis might become exploitable for the benefit of patients with renal anaemia.


Subject(s)
Hair Follicle/physiology , Kidney/metabolism , Anemia , Animals , Apoptosis , Bowman Capsule/physiology , Cell Differentiation , Erythropoietin , Hair/physiology , Hair Follicle/cytology , Humans , Hypoxia , Keratinocytes , Kidney/cytology , Melanins/metabolism , Mice , Models, Biological , Organ Culture Techniques , Oxygen/metabolism , Podocytes/cytology , Polymers , Scalp/physiology
12.
Exp Dermatol ; 29(3): 349-356, 2020 03.
Article in English | MEDLINE | ID: mdl-30033549

ABSTRACT

The purpose of this study was to develop a new, easily executed hair follicle regeneration system and assay, which could be further developed for clinical or cosmetic applications. Dissociated epidermal and dermal progenitor cells, isolated either from neonatal C57BL/6 mice or human foetal scalp tissues, were suspended in (10 µL) F12 medium and pipetted into a 1 or 2 mm-diameter punch biopsy wounds on the back skin of immunodeficient mice. At 3 weeks after transplantation, although pigmented mouse hairs could efficiently form at the injection sites with delivery of mouse cells, none hair formed on the host mouse skin at 3 months after delivery of human cells. Under the same conditions, human follicles could be regenerated when the human skin cells were delivered onto a 2 mm size punch created on a reconstituted human skin (hRSK), which previously generated on the back of an immunodeficient mouse, but the efficiency of hair formation was low. We demonstrated that both mouse and human regenerated follicles showed normal histology and differentiation markers; moreover, the cell chasing experiment confirmed that the regenerated hair follicles were formed from transplanted cells. Compared to other current hair reconstituted assays, the Punch Assay is relatively simple and generates normal hair follicles within a smaller wound. We suggest that the punch assay is a better in vivo assay of cell trichogenicity.


Subject(s)
Cell Culture Techniques/methods , Hair Follicle/physiology , Skin Physiological Phenomena , Skin/metabolism , Animals , Animals, Newborn , Cell Differentiation , Cell Transplantation , Dermis/cytology , Hair , Humans , Melanocytes/cytology , Mice , Mice, Inbred C57BL , Mice, Nude , Microscopy, Fluorescence , Regeneration , Scalp/physiology , Stem Cells/metabolism
13.
Exp Dermatol ; 29(3): 286-294, 2020 03.
Article in English | MEDLINE | ID: mdl-30974503

ABSTRACT

The skin surface microbiome and its role in skin diseases have received increasing attention over the past years. Beyond, there is evidence for a continuous exchange with the cutaneous immune system in healthy skin, where hair follicles (HFs) provide unique anatomical niches. Especially, scalp HFs form large tubular invaginations, which extend deeply into the skin and harbour a variety of microorganisms. The distinct immunology of HFs with enhanced immune cell trafficking in superficial compartments in juxtaposition to immune-privileged sites crucial for hair follicle cycling and regeneration makes this organ a highly susceptible structure. Depending on composition and penetration depth, microbiota may cause typical infections, but may also contribute to pro-inflammatory environment in chronic inflammatory scalp diseases. Involvement in hair cycle regulation and immune cell maturation has been postulated. Herein, we review recent insights in hair follicle microbiome, immunology and penetration research and discuss clinical implications for scalp health and disease.


Subject(s)
Alopecia Areata/metabolism , Hair Follicle/metabolism , Microbiota , Scalp/immunology , Scalp/metabolism , Scalp/physiology , Alopecia , Animals , Dermatitis, Seborrheic/metabolism , Hair , Hair Follicle/immunology , Hair Follicle/physiology , Humans , Immune System , Inflammation , Keratinocytes/cytology , Mice , Psoriasis , Scalp/pathology , Skin/immunology , Skin/metabolism , Skin Diseases/metabolism
14.
Exp Dermatol ; 28(5): 517-527, 2019 05.
Article in English | MEDLINE | ID: mdl-30706973

ABSTRACT

Human recorded history is littered with attempts to improve the perceived appearance of scalp hair. Throughout history, treatments have included both biological and chemical interventions. Hair "quality" or "perceived appearance" is regulated by multiple biological intervention opportunities: adding more hairs by flipping follicles from telogen to anagen, or delaying anagen follicles transiting into catagen; altering hair "apparent amount" by modulating shaft diameter or shape; or, in principle, altering shaft physical properties changing its synthesis. By far the most common biological intervention strategy today is to increase the number of hairs, but to date this has proven difficult and has yielded minimal benefits. Chemical intervention primarily consists of active material surface deposition to improve shaft shine, fibre-fibre interactions and strength. Real, perceptible benefits will best be achieved by combining opportunity areas across the three primary sciences: biology, chemistry and physics. Shaft biogenesis begins with biology: proliferation in the germinative matrix, then crossing "Auber's Critical Line" and ceasing proliferation to synthesize shaft components. Biogenesis then shifts to oxidative chemistry, where previously synthesized components are organized and cross-linked into a shaft. We herein term the crossing point from biology to chemistry as "The Orwin Threshold." Historically, hair biology and chemistry have been conducted in different fields, with biological manipulation residing in biomedical communities and hair shaft chemistry and physics within the consumer care industry, with minimal cross-fertilization. Detailed understanding of hair shaft biogenesis should enable identification of factors necessary for optimum hair shaft production and new intervention opportunities.


Subject(s)
Hair Diseases/therapy , Hair/physiology , Animals , Cell Differentiation , Cell Proliferation , Hair/ultrastructure , Hair Follicle , Humans , Interdisciplinary Communication , Lipids , Microscopy, Electron, Scanning , Models, Biological , Phenotype , Scalp/physiology
15.
Epilepsia ; 60(12): 2428-2436, 2019 12.
Article in English | MEDLINE | ID: mdl-31691264

ABSTRACT

OBJECTIVE: To determine if routine electroencephalography (EEG) in seizure-naive infants with tuberous sclerosis complex (TSC) can predict epilepsy and subsequent neurocognitive outcomes. METHODS: Forty infants 7 months of age or younger and meeting the genetic or clinical diagnostic criteria for tuberous sclerosis were enrolled. Exclusion criteria included prior history of seizures or treatment with antiseizure medications. At each visit, seizure history and 1-hour awake and asleep video-EEG, standardized across all sites, were obtained until 2 years of age. Developmental assessments (Mullen and Vineland-II) were completed at 6, 12, and 24 months of age. RESULTS: Of 40 infants enrolled (mean age of 82.4 days), 32 completed the study. Two were lost to follow-up and six were treated with antiepileptic drugs (AEDs) due to electrographic seizures and/or interictal epileptiform discharges (IEDs) on their EEG studies prior to the onset of clinical seizures. Seventeen of the 32 remaining children developed epilepsy at a mean age of 7.5 months (standard deviation [SD] = 4.4). Generalized/focal slowing, hypsarrhythmia, and generalized/focal attenuation were not predictive for the development of clinical seizures. Presence of IEDs had a 77.3% positive predictive value and absence a 70% negative predictive value for developing seizures by 2 years of age. IEDs preceded clinical seizure onset by 3.6 months (mean). Developmental testing showed significant decline, only in infants with ongoing seizures, but not infants who never developed seizures or whose seizures came under control. SIGNIFICANCE: IEDs identify impending epilepsy in the majority (77%) of seizure-naive infants with TSC. The use of a 1-hour awake and asleep EEG can be used as a biomarker for ongoing epileptogenesis in most, but not all, infants with TSC. Persistent seizures, but not history of interictal epileptiform activity or history of well-controlled seizures, correlated with low scores on the Vineland and Mullen tests at 2 years of age.


Subject(s)
Action Potentials/physiology , Electroencephalography/trends , Epilepsy/diagnosis , Epilepsy/physiopathology , Tuberous Sclerosis/diagnosis , Tuberous Sclerosis/physiopathology , Cohort Studies , Electroencephalography/methods , Female , Follow-Up Studies , Humans , Infant , Longitudinal Studies , Male , Predictive Value of Tests , Prospective Studies , Scalp/physiology
16.
Epilepsia ; 60(12): 2477-2485, 2019 12.
Article in English | MEDLINE | ID: mdl-31755095

ABSTRACT

OBJECTIVE: To evaluate the localization value and prognostic significance of subclinical seizures (SCSs) on scalp video-electroencephalography monitoring (VEEG) in comparison to clinical seizures (CSs) in patients who had epilepsy surgery. METHODS: We included 123 consecutive patients who had SCSs and CSs during scalp-VEEG evaluation. All patients had subsequent epilepsy surgery and at least 1-year follow-up. Concordance between SCSs and CSs was summarized into five categories: complete, partial, overlapping, no concordance, or indeterminate. Using the same scheme, we analyzed the relationship between resection and SCS/CS localizations. The concordance measures, along with demographic, electroclinical, and other presurgical evaluation data, were evaluated for their associations with postoperative seizure outcome. RESULTS: Sixty-nine patients (56.1%) had seizure-free outcome at 1-year follow-up. In 68 patients (55.3%), the localizations of SCSs and CSs were completely concordant. Multivariate logistic analysis showed that complete SCS/CS concordance was independently associated with seizure-free outcome at 1-year (P = .020) and 2-year follow-up (P = .040). In the temporal lobe epilepsy (TLE) seizure-free group, SCS localization was completely contained within the resection in 44.4% and CS localization was completely contained within the resection in 41.7%; in the extratemporal lobe epilepsy (ETLE) seizure-free group, SCS localization was completely contained within the resection in 54.5% and CS localization was completely contained within the resection in 57.6%. SIGNIFICANCE: Complete concordance between CS and SCS localization is a positive prognostic factor for 1-year and 2-year postoperative seizure-free outcome. Localization value of SCSs on scalp VEEG is similar to that of CSs for TLE and ETLE. Although SCSs cannot replace CSs, localization information from SCSs should not be ignored.


Subject(s)
Electroencephalography/methods , Epilepsies, Partial/diagnosis , Epilepsies, Partial/physiopathology , Preoperative Care/methods , Scalp , Video Recording/methods , Adolescent , Adult , Cohort Studies , Electroencephalography/instrumentation , Follow-Up Studies , Humans , Male , Preoperative Care/instrumentation , Retrospective Studies , Scalp/physiology , Young Adult
17.
Brain Topogr ; 32(5): 825-858, 2019 09.
Article in English | MEDLINE | ID: mdl-31054104

ABSTRACT

Electromagnetic source characterisation requires accurate volume conductor models representing head geometry and the electrical conductivity field. Head tissue conductivity is often assumed from previous literature, however, despite extensive research, measurements are inconsistent. A meta-analysis of reported human head electrical conductivity values was therefore conducted to determine significant variation and subsequent influential factors. Of 3121 identified publications spanning three databases, 56 papers were included in data extraction. Conductivity values were categorised according to tissue type, and recorded alongside methodology, measurement condition, current frequency, tissue temperature, participant pathology and age. We found variation in electrical conductivity of the whole-skull, the spongiform layer of the skull, isotropic, perpendicularly- and parallelly-oriented white matter (WM) and the brain-to-skull-conductivity ratio (BSCR) could be significantly attributed to a combination of differences in methodology and demographics. This large variation should be acknowledged, and care should be taken when creating volume conductor models, ideally constructing them on an individual basis, rather than assuming them from the literature. When personalised models are unavailable, it is suggested weighted average means from the current meta-analysis are used. Assigning conductivity as: 0.41 S/m for the scalp, 0.02 S/m for the whole skull, or when better modelled as a three-layer skull 0.048 S/m for the spongiform layer, 0.007 S/m for the inner compact and 0.005 S/m for the outer compact, as well as 1.71 S/m for the CSF, 0.47 S/m for the grey matter, 0.22 S/m for WM and 50.4 for the BSCR.


Subject(s)
Electric Conductivity , Head/physiology , Brain/physiology , Computer Simulation , Electroencephalography , Gray Matter/physiology , Humans , Scalp/physiology , Skull/physiology , White Matter/physiology
18.
Sensors (Basel) ; 19(19)2019 Oct 02.
Article in English | MEDLINE | ID: mdl-31581619

ABSTRACT

Mobile electroencephalogram (EEG)-sensing technologies have rapidly progressed and made the access of neuroelectrical brain activity outside the laboratory in everyday life more realistic. However, most existing EEG headsets exhibit a fixed design, whereby its immobile montage in terms of electrode density and coverage inevitably poses a great challenge with applicability and generalizability to the fundamental study and application of the brain-computer interface (BCI). In this study, a cost-efficient, custom EEG-electrode holder infrastructure was designed through the assembly of primary components, including the sensor-positioning ring, inter-ring bridge, and bridge shield. It allows a user to (re)assemble a compact holder grid to accommodate a desired number of electrodes only to the regions of interest of the brain and iteratively adapt it to a given head size for optimal electrode-scalp contact and signal quality. This study empirically demonstrated its easy-to-fabricate nature by a low-end fused deposition modeling (FDM) 3D printer and proved its practicability of capturing event-related potential (ERP) and steady-state visual-evoked potential (SSVEP) signatures over 15 subjects. This paper highlights the possibilities for a cost-efficient electrode-holder assembly infrastructure with replaceable montage, flexibly retrofitted in an unlimited fashion, for an individual for distinctive fundamental EEG studies and BCI applications.


Subject(s)
Brain/physiology , Electroencephalography/methods , Evoked Potentials, Visual/physiology , Adult , Brain-Computer Interfaces , Electrodes , Evoked Potentials/physiology , Female , Humans , Male , Scalp/physiology , Young Adult
19.
Clin Anat ; 32(7): 903-913, 2019 Oct.
Article in English | MEDLINE | ID: mdl-31112307

ABSTRACT

Thiel embalming is a well-known method of anatomical fixation giving lifelike optical and haptic tissue properties. Beyond these characteristics, Thiel embalming may also be a promising method to provide lifelike tissues for validation purposes of human head biomechanics. Recent investigations using Thiel-embalmed human tissues of the upper and lower limb yielded contradicting biomechanical results on fixation-induced changes in the tissues' load-deformation behavior. It is to date unclear if Thiel embalming may have a softening or stiffening effect on human soft tissues or no global effect on biomechanics compared to the fresh state, with the latter being the most desirable outcome. The given study aimed at assessing the effects of Thiel embalming on the uniaxial tensile properties of human head soft tissues. Age-matched fresh and Thiel-embalmed dura mater, temporalis muscle, temporalis muscle fascia, and scalp samples were examined. Dura, fascia, and scalp samples showed significantly different elastic moduli compared to fresh tissues (all P < 0.01). The observed ultimate tensile strength supports the theory of an increased collagen crosslinking of the embalmed tissues when compared to the fresh state. Thiel-embalmed muscles failed any tensile testing approach as a result of the muscles dissolving due to the embalming. Furthermore, collagen integrity seems altered in scanning electron microscopy by the Thiel embalming, limiting their use for ultrastructural failure analyses. Thiel-embalmed soft tissues may consequently not serve to reflect the biomechanical properties of the human head. Consequently, the application of Thiel embalming should be limited to preliminary tests for biomechanical purposes. Clin. Anat. 32:903-913, 2019. © 2019 Wiley Periodicals, Inc.


Subject(s)
Dura Mater/anatomy & histology , Embalming/methods , Fascia/anatomy & histology , Scalp/anatomy & histology , Aged , Aged, 80 and over , Biomechanical Phenomena , Cadaver , Dura Mater/physiology , Fascia/physiology , Female , Humans , Male , Scalp/physiology
20.
Eur J Neurosci ; 48(7): 2466-2481, 2018 10.
Article in English | MEDLINE | ID: mdl-29363843

ABSTRACT

Long-range interactions between cortical areas are undoubtedly a key to the computational power of the brain. For healthy human subjects, the premier method for measuring brain activity on fast timescales is electroencephalography (EEG), and coherence between EEG signals is often used to assay functional connectivity between different brain regions. However, the nature of the underlying brain activity that is reflected in EEG coherence is currently the realm of speculation, because seldom have EEG signals been recorded simultaneously with intracranial recordings near cell bodies in multiple brain areas. Here, we take the early steps towards narrowing this gap in our understanding of EEG coherence by measuring local field potentials with microelectrode arrays in two brain areas (extrastriate visual area V4 and dorsolateral prefrontal cortex) simultaneously with EEG at the nearby scalp in rhesus macaque monkeys. Although we found inter-area coherence at both scales of measurement, we did not find that scalp-level coherence was reliably related to coherence between brain areas measured intracranially on a trial-to-trial basis, despite that scalp-level EEG was related to other important features of neural oscillations, such as trial-to-trial variability in overall amplitudes. This suggests that caution must be exercised when interpreting EEG coherence effects, and new theories devised about what aspects of neural activity long-range coherence in the EEG reflects.


Subject(s)
Brain Mapping , Brain/physiology , Electroencephalography , Scalp/physiology , Animals , Artifacts , Electroencephalography/methods , Haplorhini , Macaca mulatta , Microelectrodes , Nerve Net/physiology , Prefrontal Cortex/physiology
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