Neurophysiological Assessment of Alzheimer's Disease Individuals by a Single Electroencephalographic Marker

Autor: Enrica Cavedo, Loreto Gesualdo, Roberta Lizio, Andrea Soricelli, Giulia Santi, Dario Arnaldi, Susanna Lopez, Görsev Yener, Raffaele Ferri, Claudio Del Percio, Ciro Mundi, Giovanni B. Frisoni, Claudio Babiloni, Nicola Marzano, Erol Başar, Flavio Nobili, Paolo Maria Rossini, Filippo Carducci, Salvatore De Rosa, Susanna Cordone, Margherita Mauri, Antonio Ivano Triggiani
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Male
Occipital Lobe/physiopathology
Turkey
Quantitative Eeg
Audiology
Electroencephalography
Brain mapping
Alpha rhythms
Alzheimer’s disease
delta rhythms
electroencephalography
low resolution brain electromagnetic tomography (LORETA)
neurophysiological assessment
ddc:616.89
Brain Mapping
medicine.diagnostic_test
General Neuroscience
Cognition
General Medicine
Alzheimer's disease
Middle Aged
Transcranial Magnetic Stimulation
Magnetic Resonance Imaging
Psychiatry and Mental Health
Geriatrics and Gerontology
Clinical Psychology
Psychiatry and Mental health
Italy
alpha rhythms
Female
Occipital Lobe
Psychology
Event-Related Desynchronization
Mild Cognitive Impairment
medicine.medical_specialty
Rest
Cognition Disorders/physiopathology
Vascular Dementia
EEG-fMRI
Brain Electromagnetic Tomography
Alzheimer Disease
medicine
Humans
Diagnostic-Criteria
Aged
Alzheimer Disease/physiopathology
Resting state fMRI
Parkinsons-Disease
Magnetic resonance imaging
medicine.disease
Cortical Sources
ROC Curve
Case-Control Studies
Occipital lobe
Cognition Disorders
Electrical-Activity
Neuroscience
Biomarkers
Zdroj: Journal of Alzheimer's Disease, Vol. 49, No 1 (2015) pp. 159-177
ISSN: 1387-2877
Popis: Here we presented a single electroencephalographic (EEG) marker for a neurophysiological assessment of Alzheimer’s disease (AD) patients already diagnosed by current guidelines. The ability of the EEG marker to classify 127 AD individuals and 121 matched cognitively intact normal elderly (Nold) individuals was tested. Furthermore, its relationship to AD patients’ cognitive status and structural brain integrity was examined. Low-resolution brain electromagnetic tomography (LORETA) freeware estimated cortical sources of resting state eyes-closed EEG rhythms. The EEG marker was defined as the ratio between the activity of parieto-occipital cortical sources of delta (2–4 Hz) and low-frequency alpha (8–10.5 Hz) rhythms. Results showed 77.2% of sensitivity in the recognition of the AD individuals; 65% of specificity in the recognition of the Nold individuals; and 0.75 of area under the receiver-operating characteristic curve. Compared to the AD subgroup with the EEG maker within one standard deviation of the Nold mean (EEG-), the AD subgroup with EEG+ showed lower global cognitive status, as revealed by Mini-Mental State Evaluation score, and more abnormal values of white-matter and cerebrospinal fluid normalized volumes, as revealed by structural magnetic resonance imaging. We posit that cognitive and functional status being equal, AD patients with EEG+ should receive special clinical attention due to a neurophysiological “frailty”. EEG+ label can be also used in clinical trials (i) to form homogeneous groups of AD patients diagnosed by current guidelines and (ii) as end-point to evaluate intervention effects.
Databáze: OpenAIRE