scholarly journals Scalp high-frequency oscillation rates are higher in younger children

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Dorottya Cserpan ◽  
Ece Boran ◽  
Santo Pietro Lo Biundo ◽  
Richard Rosch ◽  
Johannes Sarnthein ◽  
...  

Abstract High-frequency oscillations in scalp EEG are promising non-invasive biomarkers of epileptogenicity. However, it is unclear how high-frequency oscillations are impacted by age in the paediatric population. We prospectively recorded whole-night scalp EEG in 30 children and adolescents with focal or generalized epilepsy. We used an automated and clinically validated high-frequency oscillation detector to determine ripple rates (80–250 Hz) in bipolar channels. Children < 7 years had higher high-frequency oscillation rates (P = 0.021) when compared with older children. The median test−retest reliability of high-frequency oscillation rates reached 100% (iqr 50) for a data interval duration of 10 min. Scalp high-frequency oscillation frequency decreased with age (r = −0.558, P = 0.002), whereas scalp high-frequency oscillation duration and amplitude were unaffected. The signal-to-noise ratio improved with age (r = 0.37, P = 0.048), and the background ripple band activity decreased with age (r = −0.463, P = 0.011). We characterize the relationship of scalp high-frequency oscillation features and age in paediatric patients. EEG intervals of ≥10 min duration are required for reliable measurements of high-frequency oscillation rates. This study is a further step towards establishing scalp high-frequency oscillations as a valid epileptogenicity biomarker in this vulnerable age group.

2016 ◽  
Vol 10 ◽  
pp. 318-325 ◽  
Author(s):  
Sergey Burnos ◽  
Tommaso Fedele ◽  
Olivier Schmid ◽  
Niklaus Krayenbühl ◽  
Johannes Sarnthein

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Peter Höller ◽  
Eugen Trinka ◽  
Yvonne Höller

High-frequency oscillations (HFOs) in the electroencephalogram (EEG) are thought to be a promising marker for epileptogenicity. A number of automated detection algorithms have been developed for reliable analysis of invasively recorded HFOs. However, invasive recordings are not widely applicable since they bear risks and costs, and the harm of the surgical intervention of implantation needs to be weighted against the informational benefits of the invasive examination. In contrast, scalp EEG is widely available at low costs and does not bear any risks. However, the detection of HFOs on the scalp represents a challenge that was taken on so far mostly via visual detection. Visual detection of HFOs is, in turn, highly time-consuming and subjective. In this review, we discuss that automated detection algorithms for detection of HFOs on the scalp are highly warranted because the available algorithms were all developed for invasively recorded EEG and do not perform satisfactorily in scalp EEG because of the low signal-to-noise ratio and numerous artefacts as well as physiological activity that obscures the tiny phenomena in the high-frequency range.


1985 ◽  
Vol 69 (3) ◽  
pp. 349-359 ◽  
Author(s):  
R. J. D. George ◽  
R. J. D. Winter ◽  
S. J. Flockton ◽  
D. M. Geddes

1. Oscillation of the air within the lungs at high frequency is associated with an increased clearance of CO2. Because of the high frequency and low volume of these oscillations, spontaneous breathing is unhindered and the technique has potential value as a supplement to ventilation. 2. High-frequency oscillations were superimposed upon tidal breathing by using a loudspeaker attached to a mouthpiece (oral high-frequency oscillation, OHFO) or by external chest wall compression (ECWC). We set out (a) to compare the changes in ventilation and breathlessness by using OHFO and ECWC in normal subjects with those in patients with chronic airflow obstruction (CAO), and (b) to relate the pattern of saving to the resonant frequencies of the respiratory system as a whole (fOT, 5–10 Hz in normal subjects, 16–26 Hz in CAO) and those of the ribcage(foc,70 Hz). 3. OHFO reduced minute ventilation (VE) by up to 46% in normal subjects (P < 0.01) and 29% in CAO (P < 0.01) without any rise in CO2. ECWC reduced VE by 27% in normal subjects (P < 0.01) and 16% in CAO (P < 0.01) without a rise in CO2. 4. High-frequency oscillation by either method relieved breathlessness in those with CAO and was comfortable and well tolerated. 5. In normal subjects for was discrete and varied little with respiration. Maximum savings occurred around for (5–10 Hz). 6. In CAO, there was no obvious single resonant frequency and flow and pressure signals were intermittently in phase over a band of about 10 Hz. Thus the reductions in minute ventilation were only loosely related to for (13–26 Hz). Neither group reduced VE at foc (65–75 Hz). 7. OHFO has considerable potential in the management of patients with CAO, where it may be of value as an assistance to breathing and in the relief of breathlessness. ECWC, although effective in principle, is impractical by our methods and awaits the development of an acceptable delivery system.


2020 ◽  
Vol 37 (2) ◽  
pp. 191-194
Author(s):  
Tomohiko Murai ◽  
Takefumi Hitomi ◽  
Masao Matsuhashi ◽  
Riki Matsumoto ◽  
Yuki Kawamura ◽  
...  

Author(s):  
Kuan-Lin Lai ◽  
Kwong-Kum Liao ◽  
Jong-Ling Fuh ◽  
Shuu-Jiun Wang

Objective:An abnormal central nervous system excitability level was found in patients with migraine. Whether it is hyper- or hypo-excitable is still debated. This study aimed to compare the somatosensory high-frequency oscillations (HFOs), which reflected subcortical excitability (early phase) and intracortical inhibition (late phase), between patients with migraine and control subjects.Methods:HFOs were recorded from C3'-Fz, using a 500-1000 Hz frequency filter after stimulation at right median nerves at the wrists, and divided into early and late phases based on the N20 peak. Fifty-nine untreated patients (n=24 during ictal period; n=35, interictal) and 22 controls finished the study.Results:In early HFOs, patients both during ictal and interictal periods had higher maximal amplitudes (p =0.039) and area-under-curve (p =0.029) than those of the controls. Regarding the late HFOs, there were no significant differences among these groups.Conclusion:Our study suggests a hyper-excitable state in the subcortical regions in patients with migraine both during interictal and ictal periods.


PEDIATRICS ◽  
2001 ◽  
Vol 108 (1) ◽  
pp. 212-214
Author(s):  
J. P. Shenai; ◽  
P. Rimensberger; ◽  
U. Thome ◽  
F. Pohlandt; ◽  
P. Rimensberger

IEEE Access ◽  
2021 ◽  
pp. 1-1
Author(s):  
Mohammad Habibullah ◽  
Nadarajah Mithulananthan ◽  
Krischonme Bhumkittipich ◽  
Mohammad Amin

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