ABSTRACT
Neurological brain injuries such as hypoxic ischaemic encephalopathy (HIE) and associated conditions such as seizures have been associated with poor developmental outcome in neonates. Our limited knowledge of the neurological and cerebrovascular processes underlying seizures limits their diagnosis and timely treatment. Diffuse optical tomography (DOT) provides haemodynamic information in the form of changes in concentration of de/oxygenated haemoglobin, which can improve our understanding of seizures and the relationship between neural and vascular processes. Using simultaneous EEG-DOT, we observed distinct haemodynamic changes which are temporally correlated with electrographic seizures. Here, we present DOT-EEG data from two neonates clinically diagnosed as HIE. Our results highlight the wealth of mutually-informative data that can be obtained using DOT-EEG techniques to understand neurovascular coupling in HIE neonates.
Subject(s)
Hypoxia-Ischemia, Brain/physiopathology , Brain , Electroencephalography , Female , Hemodynamics , Humans , Infant, Newborn , Male , Seizures/physiopathology , Tomography, OpticalABSTRACT
We have designed, built and successfully tested a prototype portable and wireless near-infrared spectroscopy system. It takes forward the well-established series of NIRO spectroscopy instruments made by Hamamatsu Photonics (Hamamatsu City, Japan). It uses an identical optical probe, and has a data acquisition rate of 10 Hz. It illuminates the tissue with laser diode sources at 3 wavelengths of 775, 810 and 850 nm, and detects the reflected light with 2 silicon photodiode detectors at 2 different separations, enabling spatially resolved spectroscopy to be performed. We have tested it with both in vitro and in vivo experiments to establish its basic functionality for use in studies of both brain and muscle.
