Left-hemispheric abnormal EEG activity in relation to impairment and recovery in aphasic patients.

Focal electromagnetic slow-wave activity is generated in the vicinity of brain lesions. The present study confirmed this for the EEG delta band (1-4 Hz): Activity in the waking state was pronounced over the hemisphere of the lesion in 11 stroke patients suffering from aphasia, but not in 10 healthy controls. Changes of abnormal slow waves patterns were tracked from 1-3 months to 2 years poststroke by recording the EEG five times at 4-month intervals. Across the first year poststroke, mean left-hemispheric delta amplitude and equivalent current dipole strength decreased in parallel with the spontaneous recovery of language function, whereas the regional distribution of delta activity sources was stabile across time. No changes were observed during the second year poststroke. Results suggest that abnormal slow waves in the vicinity of brain lesions may be related to impairment in brain function, and that their measurement may assist in depicting the course of functional recovery.

Error detection in patients with lesions to the medial prefrontal cortex: an ERP study.

When people detect their own errors in a discrimination task, a negative-going waveform can be observed in scalp-recorded EEG that has been coined the error-related negativity (Ne/ERN). Generation of the Ne/ERN has been associated with structures in the prefrontal cortex, especially the anterior cingulate region, but also the supplementary motor cortex and subcortical structures. There is some controversy as to whether the Ne/ERN is a necessary concomitant to error detection. We examined the Ne/ERN in five patients with damage to the medial prefrontal cortex, including the anterior cingulate region. Our findings support the implication of the rostral anterior cingulate in Ne/ERN production, but they also show that subjects can be aware of errors and yet not produce an Ne/ERN. Thus, error detection leads to the Ne/ERN process and damage to the anterior cingulate region may interrupt this relay, suggesting that error detection may be supported by circuits outside the anterior cingulate region.

Slow event-related brain activity of aphasic patients and controls in word comprehension and rhyming tasks.

Slow event-related potentials (ERP) were examined in healthy and aphasic subjects in two-stimulus designs comprising a word comprehension and a rhyming task. Aphasics, though selected to perform above chance level, made significantly more errors and responded more slowly than controls, although canonical correlations did not indicate a statistical relationship between performance measures and ERP amplitudes. A discriminant analysis of ERP amplitudes distinguished the groups for the slow wave (SW; 0.5-1.0 s post-S1 onset) in the word comprehension, for the SW and the initial contingent negative variation (iCNV; 1.0-2.0 s post-S1 onset) in the rhyming task. Similarly for both tasks, ERP topography showed left-anterior predominance of the negative SW and iCNV in controls, whereas participants with aphasia showed smaller anterior and larger left-posterior amplitudes. The centroparietal terminal CNV (tCNV; 1 s pre-S2) was smaller in participants with aphasia than in controls, but similar in topography. Results suggest left-anterior activation for those language processes that were presumably provoked in the present tasks, like lexical access, or phonological encoding. The pattern of participants with aphasia may indicate effects of language impairment and recovery, but also consequences of the brain damage.