Mismatch Negativity is associated with affective social behavior in microcephaly.

Some children with severe microcephaly related to Zika virus infection show affective social-like behavior, such as smiling and rejection to a stranger's lap. Our objective was to check the association between this behavior and the occurrence of Mismatch Response (MMR) in event-related potentials. Twenty eight microcephalic children, aged 1-3 years, were divided in Affect(+) and Affect(-) groups, according to either the presence or absence of affective social-like behavior, respectively, and underwent the OddBall paradigm with vowels as auditory stimuli. MMR was statistically estimated comparing MMR sample means between both groups. The Affect(+) group significantly differed from the Affect(-) group and, as opposed to the latter, showed MMR as Mismatch Negativity (MMN) in the left occipital, left and right posterior temporal, and (especially) the right and median parietal leads. The relationship observed between MMN and affective social-like behavior suggests that these children may have cognitive mechanisms capable of providing some social interaction, despite their profound neurological dysfunction. MMN diagnostic techniques seem to be promising for the triage of microcephalic subjects regarding cognitive functions and for choosing a strategy for some social adaptation.

Neurophysiological and behavioral correlates of alertness impairment and compensatory processes in ADHD evidenced by the Attention Network Test.

In Attention Deficit Hyperactivity disorder (ADHD), fMRI studies show asymmetric alterations: widespread hypoactivation in anterior cortical areas and hyperactivation in some posterior regions, and the latter is considered to be related to compensatory processes. In Posner's attentional networks, an important role is attributed to functional interhemispheric asymmetries. The psychophysiological Attention Network Test (ANT), which measures the efficiency of the alerting, orienting, and executive networks, seems particularly informative for ADHD. Potentials related to ANT stimuli (ANT-RPs) have revealed reduced cognitive potential P3 in ADHD. However, there are no studies associated with asymmetry of ANT-RPs. In the present study, conducted with 20 typically developing boys and 19 boys with ADHD, aged 11-13 years, the efficiency of the three Posner's networks regarding performance and amplitude asymmetries in ANT-RPs was evaluated according to the arithmetic difference of these parameters between different cue and target presentation conditions. The results were correlated to Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) scores. Regarding accuracy and intraindividual variation in reaction time, ADHD subjects showed lower efficiency of executive and alerting network, and this effect was correlated with DSM. Regarding alerting network, ANT-RPs in ADHD did not have the right-side amplitude prevalence in the temporal regions, which was observed in controls. In all ANT conditions, significantly higher asymmetries were observed in ADHD than in controls in the occipital regions 40-200 ms after target onset. Their amplitude in ADHD subjects was inversely proportional to DSM scores of inattentiveness and directly proportional to accuracy and efficiency of the executive network. The results suggest impaired alerting and executive networks in ADHD and compensatory occipital mechanisms.

Estimating biological accuracy of DSM for attention deficit/hyperactivity disorder based on multivariate analysis for small samples.

OBJECTIVE: To estimate whether the "Diagnostic and Statistical Manual of Mental Disorders" (DSM) is biologically accurate for the diagnosis of Attention Deficit/ Hyperactivity Disorder (ADHD) using a biological-based classifier built by a special method of multivariate analysis of a large dataset of a small sample (much more variables than subjects), holding neurophysiological, behavioral, and psychological variables. METHODS: Twenty typically developing boys and 19 boys diagnosed with ADHD, aged 10-13 years, were examined using the Attentional Network Test (ANT) with recordings of event-related potentials (ERPs). From 774 variables, a reduced number of latent variables (LVs) were extracted with a clustering of variables method (CLV), for further reclassification of subjects using the k-means method. This approach allowed a multivariate analysis to be applied to a significantly larger number of variables than the number of cases. RESULTS: From datasets including ERPs from the mid-frontal, mid-parietal, right frontal, and central scalp areas, we found 82% of agreement between DSM and biological-based classifications. The kappa index between DSM and behavioral/psychological/neurophysiological data was 0.75, which is regarded as a "substantial level of agreement". DISCUSSION: The CLV is a useful method for multivariate analysis of datasets with much less subjects than variables. In this study, a correlation is found between the biological-based classifier and the DSM outputs for the classification of subjects as either ADHD or not. This result suggests that DSM clinically describes a biological condition, supporting its validity for ADHD diagnostics.

Auditory brainstem function in microcephaly related to Zika virus infection.

OBJECTIVE: To study the effect of prenatal Zika virus (ZV) infection on brainstem function reflected in brainstem auditory evoked potentials (BAEPs). METHODS: In a cross-sectional study in 19 children (12 girls) with microcephaly related to ZV infection, aged between 12 and 62 weeks, the brainstem function was examined through BAEPs. The latencies of wave peaks I, III, and V of the left and right ears (n = 37) were standardized according to normative data, and compared between them by 2-tailed t test. The confounding variables (cephalic perimeter at the born and chronological age) were correlated with the normalized latencies using Pearson test. RESULTS: All patients showed, in general, clear waveforms, with latencies within 3 SDs of the normative values. However, statistically increased latencies of waves I and III (I > III, p = 0.031) were observed, relative to wave V (p < 0.001), the latter being closer to respective normative value. The latency of wave I was observed to increase with age (r = 0.45, p = 0.005). The waves, in turn, did not depend on cephalic perimeter. CONCLUSIONS: These results are consistent with the functional normality of the brainstem structure and its lack of correlation with microcephaly, suggesting that the disruption produced by the ZV infection does not act in the cell proliferation phase, but mostly in the processes of neuronal migration and differentiation in the telencephalon.

Visuospatial information processing load and the ratio between parietal cue and target P3 amplitudes in the Attentional Network Test.

In ERP studies of cognitive processes during attentional tasks, the cue signals containing information about the target can increase the amplitude of the parietal cue P3 in relation to the 'neutral' temporal cue, and reduce the subsequent target P3 when this information is valid, i.e. corresponds to the target's attributes. The present study compared the cue-to-target P3 ratios in neutral and visuospatial cueing, in order to estimate the contribution of valid visuospatial information from the cue to target stages of the task performance, in terms of cognitive load. The P3 characteristics were also correlated with the results of individuals' performance of the visuospatial tasks, in order to estimate the relationship of the observed ERP with spatial reasoning. In 20 typically developing boys, aged 10-13 years (11.3±0.86), the intelligence quotient (I.Q.) was estimated by the Block Design and Vocabulary subtests from the WISC-III. The subjects performed the Attentional Network Test (ANT) accompanied by EEG recording. The cued two-choice task had three equiprobable cue conditions: No cue, with no information about the target; Neutral (temporal) cue, with an asterisk in the center of the visual field, predicting the target onset; and Spatial cues, with an asterisk in the upper or lower hemifield, predicting the onset and corresponding location of the target. The ERPs were estimated for the mid-frontal (Fz) and mid-parietal (Pz) scalp derivations. In the Pz, the Neutral cue P3 had a lower amplitude than the Spatial cue P3; whereas for the target ERPs, the P3 of the Neutral cue condition was larger than that of the Spatial cue condition. However, the sums of the magnitudes of the cue and target P3 were equal in the spatial and neutral cueing, probably indicating that in both cases the equivalent information processing load is included in either the cue or the target reaction, respectively. Meantime, in the Fz, the analog ERP components for both the cue and target stimuli did not depend on the cue condition. The results show that, in the parietal site, the spatial cue P3 reflects the processing of visuospatial information regarding the target position. This contributes to the subsequent "decision-making", thus reducing the information processing load on the target response, which is probably reflected in the lower P3. This finding is consistent with the positive correlation of parietal cue P3 with the individual's ability to perform spatial tasks as scored by the Block Design subtest.

Electrophysiological Correlates of Morphological Neuroplasticity in Human Callosal Dysgenesis.

In search for the functional counterpart of the alternative Probst and sigmoid bundles, considered as morphological evidence of neuroplasticity in callosal dysgenesis, electroencephalographic (EEG) coherence analysis was combined with high resolution and diffusion tensor magnetic resonance imaging. Data of two patients with callosal agenesis, plus two with typical partial dysgenesis with a remnant genu, and one atypical patient with a substantially reduced genu were compared to those of fifteen neurotypic controls. The interhemispheric EEG coherence between homologous nontemporal brain regions corresponded to absence or partial presence of callosal connections. A generalized coherence reduction was observed in complete acallosal patients, as well as coherence preservation in the anterior areas of the two patients with a remnant genu. jThe sigmoid bundles found in three patients with partial dysgenesis correlated with augmented EEG coherence between anterior regions of one hemisphere and posterior regions of the other. These heterologous (crossed) interhemispheric connections were asymmetric in both imaging and EEG patterns, with predominance of the right-anterior-to-left-posterior connections over the mirror ones. The Probst bundles correlated with higher intrahemispheric long-distance coherence in all patients. The significant correlations observed for the delta, theta and alpha bands indicate that these alternative pathways are functional, although the neuropsychological nature of this function is still unknown.

Reduced interhemispheric connectivity in childhood autism detected by electroencephalographic photic driving coherence.

The EEG coherence among 14 scalp points during intermittent photic stimulation at 11 fixed frequencies of 3-24 Hz was studied in 14 boys with autism, aged 6-14 years, with relatively intact verbal and intellectual functions, and 19 normally developing boys. The number of interhemispheric coherent connections pertaining to the 20 highest connections of each individual was significantly lower in autistic patients than in the control group at all the EEG beta frequencies corresponding to those of stimulation. The coefficient of coherence values between homologous occipital, parietal and central areas at the same frequencies were also lower in the autistic group in both mono- and bipolar montages due to a deficit in reactive photic driving increase. No differences between the groups were observed in the spontaneous EEG.

EEG photic driving: right-hemisphere reactivity deficit in childhood autism. A pilot study.

In 14 autistic boys, aged 6-14 years, free of drug treatment, with relatively intact verbal functions and without severe or moderate mental retardation (I.Q. 91.4+/-22.8), intermittent photic stimulation at 11 fixed frequencies of 3-24 Hz revealed latent deficiency of the right hemisphere in the photic driving reactivity, predominantly at the fast alpha and beta frequencies of stimulation. The left-side prevalence was observed: 1) in the total number of driving peaks evaluated for the first four harmonics in the EEG spectra of 14 cortical areas and 2) in the driving amplitude in the spectra of the 2 occipital areas. As compared to 21 normally developing boys matched on age who did not show interhemispheric asymmetry in the driving reactivity, the autistic patients had significantly lower driving characteristics only in the right hemisphere. There were no significant differences between the autistic and control groups in the spontaneous EEG spectra of the occipital areas in the resting state.

Evaluating the event-related synchronization and desynchronization by means of a statistical frequency test.

In the present work, a commonly used index for evaluating the Event-Related Synchronization and Desynchronization (ERS/ERD) in the EEG was expressed as a function of the Spectral F-Test (SFT), which is a statistical test for assessing if two sample spectra are from populations with identical theoretical spectra. The sampling distribution of SFT has been derived, allowing hence ERS/ERD to be evaluated under a statistical basis. An example of the technique was also provided in the EEG signals from 10 normal subjects during intermittent photic stimulation.

Spectral F-test power evaluation in the EEG during intermittent photic stimulation.

Intermittent photic stimulation (IPS) is an important functional test, which can induce the photic driving in the electroencephalogram (EEG). It is capable of enhancing latent oscillations manifestations not present in the resting EEG. However, for adequate quantitative evaluation of the photic driving, these changes should be assessed on a statistical basis. With this aim, the sampling distribution of spectral F test was investigated. On this basis, confidence limits of the SFT-estimate could be obtained for different practical situations, in which the signal-to-noise ratio and the number of epochs used in the estimation may vary. The technique was applied to the EEG of 10 normal subjects during IPS, and allowed detecting responses not only at the fundamental IPS frequency but also at higher harmonics. It also permitted to assess the strength of the photic driving responses and to compare them in different derivations and in different subjects.

Spectral F-Test power evaluation in the EEG during intermittent photic stimulaton

A fotoestimulação intermitente (FEI) é um importante teste functional, que pode induzir o fotorecrutamento no eletroencefalograma (EEG), sendo capaz de realçar manifestações latentes de oscilações não observadas no EEG de repouso. Entretanto, para uma análise quantitativa adequada do fotorecrutamento, tais alterações devem ser avaliadas com base estatística. Assim, a distribuição de probabilidade do teste-F espectral (TFE) foi investigada. Neste sentido, limites de confiança para a estimativa do TFE puderam ser obtidos para diferentes situações práticas, nas quais a razão sinal-ruído e o número de épocas usadas na estimação podem variar. A técnica foi aplicada ao EEG de 10 sujeitos normais durante FEI, e permitiu a detecção de respostas não somente na freqüência fundamental da FEI como também em seus harmônicos. Além disso, permitiu avaliar o grau de fotorecrutamento entre derivações distintas e entre diferentes sujeitos.

The relationship of theory and methodology in EEG studies of mental activity.

Due to the multidisciplinary character of psychophysiology, the problem of comparability of psychological and physiological phenomena of different natures and levels of organization has always been raised. This requires the interaction of theory and methodology to appropriately address the specifics of the psychophysiological paradigm, all the while maintaining their grounding in the actual psychological and physiological concepts. The history of EEG studies of mental activity shows that a weak theoretical basis at certain stages can result not only in methodological crises but can also affect empirical data collection and interpretation. An adequate theory can lend strong support to the methodology with "brain-oriented" structuring of psychological tasks and such a theory improves the neurophysiological informative value of the EEG parameters referring to the psychological characteristics of mental processes etc. On the other hand, the great importance of the EEG recording and processing techniques can result in overrating technological progress, hence frequently holding back meaningful interpretation and construction of a comprehensive psychophysiological conceptual framework. This in turn causes demands for higher material and intellectual outlays, due to overspecialization in research, and results in work duplication as well as the creation of a fragmentary knowledge structure. This article illustrates how the multidisciplinary interaction of theory and methodology, when focused on theoretical problems, can yield a series of concepts with escalating levels of integration, bringing together such different branches of psychophysiology as the study of functional states and of individual differences. As a result, this extends the theoretical model based on normal material to encompass borderline constitutional psychopathology.

Detecção de resposta a fotoestimulação intermitente no eletroencefalograma utilizando o teste F-Espectral / Detecting responses to intermittent photic stimulation in the electroencephalogram using the Spectral F Test

A fotoestimulação intermitente (FEI) tem sido considerada um dos testes funcionais mais importantes nos exames neurofisiológicos clínicos por ser capaz de induzir, pelo mecanismo de ressonância fotorrecrutante, o surgimento de alterações patológicas não presentes no eletroencefalograma (EEG) espontâneo. Para detectar os efeitos fotorrecrutantes da FEI de 5,8 e 12 Hz no EEG de 14 regiões cerebrais de 38 crianças e adolescentes normais de 3 a 17 anos, a técnica Teste F-Espectral (TFE) foi usada para investigar a ausência de resposta. Para cada freqüência fixa de FEI os sinais EEG adquiridos em regiões corticais homólogas, tanto anterior quanto durante estimulação, foram subdivididos em M=10 segmentos de igual duração e, então estimados os espectros e calculado o TFE. Esta técnica indicou a existência de harmônicos da FEI para os quais a hipótese nula de ausência de resposta pode ser rejeitada (alfa=0,05). O TFE evidenciou...

Neurodynamic organization of cognitive processes and EEG correlates of endogenous asthenia-like disrorders

The EEG of 58 young endogenous psychiatric patients (male, aged 16 - 25) with atypical subdepressive and depressive states (defined in the literature as "asthenic juvenile deficiency") was analyzed by means of period (interval-amplitude) and factor analyses. Characteristic neurodynamic imbalance was revealed in subgroup of 24 patients of sluggish schizophrenia with prominent "asthenia-like" symptomatology characterized by predominant mild thought disorders with difficulty in attention concentration. These patients diffrend from control normal subjects, cyclothymic patients and the patients of sluggish schizophrenia without well-defined asthenic disorders in significantly higher values of EEG Factor related to the index (temporal percentage), frequency and regularity of low-amplitude beta-waves as well as in the reduced values of the other EEG Factor connected with the mean period of alpha-waves and with the theta-index. According to previous series of EEG study of cognitive activity in norm, this can probably be considered as abundance of processes of "cortical excitation" and deficit of "active selective inhibition". The revealed imbalance of such process proved to be opposed to their normal balance revealed during voluntary attention concentration and some other processes of mental selectivity in normal subjects

Significado fisiológico dor parâmetros de freqüência e amplitude do EEG humano e valor informativo comparativo das análises espectral e de periódo / Physiological meaning of frequency and amplitude parameters in human ECG and comparative informative value of spectral and the period analysis

Em trechos prolonados do EEG, verificamos, através de análise fatorial, que a freqüência e a amplitude da análise de período (em 4 faixas padrão) fornecem parâmetros com diferentes significados fisiológicos. Em determinadas tarefas psicofisiológicas e clínicas (relacionadas ao estudo da atividade mental), estes parâmetros aparentam ser mais adequados e informativos do que os mais usados características espectrais dessas mesmas faixas.