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Clinical Implications of Quantitative Electroencephalography and Current Source Density in Patients with Alzheimer’s Disease

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Abstract

This study examined whether quantitative electroencephalography (qEEG) and current source density (CSD) can be used to evaluate symptom severity in Alzheimer’s disease (AD) patients. Thirty AD patients (13 mild and 17 moderate severity) and 30 normal control (NC) subjects were recruited. The Korean version of the Consortium to Establish a Registry for Alzheimer’s Disease Assessment Packet and the Global Deterioration Scale were measured. qEEG and CSD data were analyzed in five frequency bands: delta (1–3 Hz), theta (4–7 Hz), alpha (8–12 Hz), beta (13–25 Hz), and gamma (30–50 Hz). Compared with the NC subjects, the moderate AD patients had significantly increased theta and decreased beta power. Compared with the mild AD patients, the moderate AD patients had significantly decreased beta power. In the AD patients, the theta power was significantly correlated with a poor performance for global cognition; however, beta power was positively correlated with a good performance for global cognition, attention, memory, visuospatial function, and executive function. The CSD of the theta band in the superior temporal gyrus, transverse temporal gyrus, insula, postcentral gyrus, cuneus, and lingual gyrus was significantly different between NC subjects and moderate AD patients and between mild and moderate AD patients. The theta CSD of these regions was significantly correlated with a poor performance for global cognition, memory, visuospatial function, execution, and language. The results suggest that qEEG and the CSD of the theta and beta bands are useful biological markers in AD patients.

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References

  • Andersen K, Launer LJ, Dewey ME, Letenneur L, Ott A, Copeland JR, Dartigues JF, Kragh-Sorensen P, Baldereschi M, Brayne C, Lobo A, Martinez-Lage JM, Stijnen T, Hofman A (1999) Gender differences in the incidence of AD and vascular dementia: the EURODEM studies. EURODEM Incidence Research Group. Neurology 53:1992–1997

    Article  PubMed  CAS  Google Scholar 

  • Armstrong RA (2010) A spatial pattern analysis of beta-amyloid (Abeta) deposition in the temporal lobe in Alzheimer’s disease. Folia Neuropathol 48:67–74

    PubMed  Google Scholar 

  • Babiloni C, Binetti G, Cassetta E, Cerboneschi D, Dal Forno G, Del Percio C, Ferreri F, Ferri R, Lanuzza B, Miniussi C, Moretti DV, Nobili F, Pascual-Marqui RD, Rodriguez G, Romani GL, Salinari S, Tecchio F, Vitali P, Zanetti O, Zappasodi F, Rossini PM (2004) Mapping distributed sources of cortical rhythms in mild Alzheimer’s disease. A multicentric EEG study. Neuroimage 22:57–67

    Article  PubMed  Google Scholar 

  • Babiloni C, Cassetta E, Binetti G, Tombini M, Del Percio C, Ferreri F, Ferri R, Frisoni G, Lanuzza B, Nobili F, Parisi L, Rodriguez G, Frigerio L, Gurzì M, Prestia A, Vernieri F, Eusebi F, Rossini PM (2007) Resting EEG sources correlate with attentional span in mild cognitive impairment and Alzheimer’s disease. Eur J Neurosci 25:3742–3757

    Article  PubMed  Google Scholar 

  • Bennys K, Rondouin G, Vergnes C, Touchon J (2001) Diagnostic value of quantitative EEG in Alzheimer’s disease. Neurophysiol Clin 31:153–160

    Article  PubMed  CAS  Google Scholar 

  • Bianchetti A, Trabucch M (2001) Clinical aspects of Alzheimer’s disease. Aging Clin Exp Res 13:221–230

    CAS  Google Scholar 

  • Brett M, Johnsrde IS, Owen AM (2002) The problem of functional localization in the human brain. Nat Rev Neurosci 3:243–249

    Article  PubMed  CAS  Google Scholar 

  • Brookmeyer R, Gray S, Kawas C (1998) Projections of Alzheimer’s disease in the United States and the public health impact of delaying disease onset. Am J Public Health 88:1337–1342

    Article  PubMed  CAS  Google Scholar 

  • Chetelat G, Desgranges B, de la Sayette V, Viader F, Eustache F, Baron JC (2003) Mild cognitive impairment: can FDG-PET predict who is to rapidly convert to Alzheimer’s disease? Neurology 60:1374–1377

    Article  PubMed  CAS  Google Scholar 

  • Devanand DP, Habeck CG, Tabert MH, Scarmeas N, Pelton GH, Moeller JR, Mensh BD, Tarabula T, Van Heertum RL, Stern Y (2006) PET network abnormalities and cognitive decline in patients with mild cognitive impairment. Neuropsychopharmacology 31:1327–1334

    PubMed  Google Scholar 

  • Fernandez-Bouzas A, Harmony T, Marosi E, Fernandez T, Silva J, Rodriguez M, Bernal J, Reyes A, Casián G (1999) Evolution of cerebral edema and its relationship with power in theta band. Electroencephalogr Clin Neurophysiol 102:279–285

    Google Scholar 

  • Fogelson N, Kogan E, Korczyn A, Giladi N, Shabtai H, Neufeld M (2003) Effects of rivastigmine on the quantitative EEG in demented Parkinsonian patients. Acta Neurol Scand 107:252–255

    Article  PubMed  CAS  Google Scholar 

  • Förstl H, Kurz A (1999) Clinical features of Alzheimer’s disease. Eur Arch Psychiatry Clin Neurosci 249:288–290

    Article  PubMed  Google Scholar 

  • Frisoni GB, Pievani M, Testa C, Sabattoli F, Vresciani L, Bonetti M, Beltramello A, Hayashi KM, Toga AW, Thompson PM (2007) The topography of grey matter involvement in early and late onset Alzheimer’s disease. Brain 130:720–730

    Article  PubMed  Google Scholar 

  • Fuchs M, Kastner J, Wagner M, Hawes S, Ebersole J (2002) A standardized boundary element method volume conductor model. Clin Neurophysiol 113:702–712

    Article  PubMed  Google Scholar 

  • Gevins A, Smith ME, McEvoy L, Yu D (1997) High-resolution EEG mapping of cortical activation related to working memory: effects of task difficulty, type of processing, and practice. Cereb Cortex 7:374–385

    Article  PubMed  CAS  Google Scholar 

  • Gianotti L, Kunig G, Lehmann D, Faber P, Pascual-Marqui R, Kochi K, Schreiter-Gasser U (2007) Correlation between disease severity and brain electric LORETA tomography in Alzheimer’s disease. Clin Neurophysiol 118:186–196

    Article  PubMed  Google Scholar 

  • Goldstein G, Shelly C (1981) Does the right hemisphere age more rapidly than the left? J Clin Neuropsychol 3:65–78

    Article  PubMed  CAS  Google Scholar 

  • Good CD, Johnsrude IS, Ashburner J, Henson RN, Friston KJ, Frackowiak RS (2001) A voxel-based morphometric study of ageing in 465 normal adult human brains. Neuroimage 14:21–36

    Article  PubMed  CAS  Google Scholar 

  • Habert MO, Horn JF, Sarazin M, Lotterie JA, Puel M, Onen F, Zanxa M, Portet F, Touchon J, Verny M, Mahieux F, Giron A, Fertil B, Dubois B (2011) Brain perfusion SPECT with an automated quantitative tool can identify prodromal Alzheimer’s disease among patients with mild cognitive impairment. Neurobiol Aging 32:15–23

    Article  PubMed  Google Scholar 

  • Holschneider DP, Leuchter AF (1995) Beta activity in aging and dementia. Brain Topogr 8:169–180

    Article  PubMed  CAS  Google Scholar 

  • Huerta PT, Lisman JE (1993) Heightened synaptic plasticity of hippocampal CA1 neurons during a cholinergically induced rhythmic state. Nature 364:723–725

    Article  PubMed  CAS  Google Scholar 

  • Jacobs HI, Van Boxtel MP, van der Elst W, Burgmans S, Smeets F, Gronenschild EdHBM, Verhey FRJ, Uylings HBM, Jolles J (2011) Increasing the diagnostic accuracy of medial temporal lobe atrophy in Alzheimer’s disease. J Alzheimers Dis 25:477–490

    PubMed  Google Scholar 

  • Jelic V, Kowalski J (2009) Evidence-based evaluation of diagnostic accuracy of resting EEG in dementia and mild cognitive impairment. Clin EEG Neurosci 40:129–142

    Article  PubMed  Google Scholar 

  • Jeong J (2004) EEG dynamics in patients with Alzheimer’s disease. Clin Neurophysiol 115:1490–1505

    Article  PubMed  Google Scholar 

  • Jorm AF, Jolley D (1998) The incidence of dementia: a meta-analysis. Neurology 51:728–733

    Article  PubMed  CAS  Google Scholar 

  • Jung HT, Lee SH, Kim JN, Lee KJ, Choung YC (2007) Quantitative electroencephalography and low resolution electromagnetic tomography imaging of Alzheimer’s disease. Psychiatry Investig 4:31–37

    Google Scholar 

  • Kim DH, Na DL, Yeon BG, Kang Y, Min KB, Lee SH, Lee SS, Lee MR, Pyo OJ, Park CB, Kim S, Bae SS (1999) Prevalence of dementia in the elderly of an urban community in Korea. Korean J Prev Med 32:306–316

    Google Scholar 

  • Kim KW, Park JH, Kim MH et al (2011a) A nationwide survey on the prevalence of dementia and mild cognitive impairment in South Korea. J Alzheimers Dis 23:281–291

    PubMed  Google Scholar 

  • Kim JL, Park JH, Kim BJ, Kim MD, Kim SK, Chi YK, Kim TH, Moon SW, Park MH, Bae JN, Woo JI, Ryu SH, Yoon JC, Lee NJ, Lee DY, Lee DW, Lee SB, Lee JJ, Lee CU, Chang SM, Han JW, Jhoo JH, Han C, Cho MJ, Kim KW (2011b) Interactive influences of demographics on the Mini-Mental State Examination (MMSE) and the demographics-adjusted norms for MMSE in elderly Koreans. Int Psychogeriatr 14:1–9

    CAS  Google Scholar 

  • Kinkingnéhun S, Sarazin M, Lehéricy S, Guichart-Gomez E, Hergueta T, Dubois B (2008) VBM anticipates the rate of progression of Alzheimer disease: a 3-year longitudinal study. Neurology 70:2201–2211

    Article  PubMed  Google Scholar 

  • Knott V, Mohr E, Mahoney C, Ilivitsky V (2001) Quantitative electroencephalography in Alzheimer’s disease: comparison with a control group, population norms and mental status. J Psychiatry Neurosci 26:106–116

    PubMed  CAS  Google Scholar 

  • Koenig T, Prichep L, Dierks T, Hubl D, Wahlund LO, John ER, Jelic V (2005) Decreased EEG synchronization in Alzheimer’s disease and mild cognitive impairment. Neurobiol Aging 26:165–171

    Article  PubMed  CAS  Google Scholar 

  • Lee DY, Yoon JC, Lee KU, Jhoo JH, Kim KW, Lee JH, Woo JI (1999) Reliability and validity of Korean version of Short Blessed Test (SBT-K): as screening instrument. J Korean Neuropsychiatr Assoc 38:1365–1375

    Google Scholar 

  • Lee JH, Lee KU, Lee DY, Kim KW, Jhoo JH, Kim JH et al (2002) Development of the Korean version of the Consortium to Establish a Registry for Alzheimer’s Disease Assessment Packet (CERAD-K): clinical and neuropsychological assessment batteries. J Gerontol B Psychol Sci Soc Sci 57:47–53

    Article  Google Scholar 

  • Lee SH, Kwon GH, Park YM, Kim H, Lee KJ, Chung YC (2006) Low-resolution electromagnetic tomography (LORETA) source imaging compared with structural brain imaging in patients having organic brain lesion. J Korean Neuropsychiatr Assoc 45:199–207

    Google Scholar 

  • Lee SH, Park YM, Kim DW, Im CH (2010) Global synchronization index as a biological correlate of cognitive decline in Alzheimer’s disease. Neurosci Res 66:333–339

    Article  PubMed  Google Scholar 

  • Li G, Shen YC, Chen CH, Zhao YW, Li SR, Lu M (1989) An epidemiological survey of age-related dementia in an urban area of Beijing. Acta Psychiatr Scand 79:557–563

    Article  PubMed  CAS  Google Scholar 

  • Marshak DR, Pesce SA, Stanley LC, Griffin WS (1992) Increased S100 beta neurotrophic activity in Alzheimer’s disease temporal lobe. Neurobiol Aging 13:1–7

    Article  PubMed  CAS  Google Scholar 

  • Maurer K, Dierks T (1992) Functional imaging procedures in dementias: mapping of EEG and evoked potentials. Acta Neurol Scand 85:40–46

    Article  Google Scholar 

  • Michel CM, Murray MM, Lantz G, Gonzalez S, Spinelli L, Grave de Peralta R (2004) EEG source imaging. Clin Neurophysiol 115:2195–2222

    Article  PubMed  Google Scholar 

  • Nelson PT, Abner EL, Scheff SW, Schmitt FA, Kryscio RJ, Jicha GA, Smith CD, Petel E, Markesbery WR (2009) Alzheimer’s-type neuropathology in the precuneus is not increased relative to other areas of neocortex across a range of cognitive impairment. Neurosci Lett 450:336–339

    Article  PubMed  CAS  Google Scholar 

  • Nobili F, Koulibaly PM, Rodriguez G, Benoit M, Girtler N, Robert PH, Brugnolo A, Darcourt J (2009) 99mTc-HMPAO and 99mTc-ECD brain uptake correlates of verbal memory in Alzheimer’s disease. Q J Nucl Med Mol Imaging 51:357–363

    Google Scholar 

  • Park YM, Che HJ, Im CH, Jung HT, Bae SM, Lee SH (2008) Decreased EEG synchronization and its correlation with symptom severity in Alzheimer’s disease. Neurosci Res 62:112–117

    Article  PubMed  Google Scholar 

  • Pascual-Marqui RD (2002) Standardized low-resolution brain electromagnetic tomography (sLORETA): technical details. Methods Find Exp Clin Pharmacol 24:5–12

    PubMed  Google Scholar 

  • Pascual-Marqui RD, Lehmann D, Koenig T, Kochi K, Merlo MC, Hell D et al (1999) Low resolution brain electromagnetic tomography (LORETA) functional imaging in acute, neuroleptic-naïve, first-episode, productive schizophrenia. Psychiatry Res 90:169–179

    Article  PubMed  CAS  Google Scholar 

  • Peters F, Collette F, Defueldre C, Sterpenich V, Majerys S, Salmon E (2009) The neural correlates of verbal short-term memory in Alzheimer’s disease: an fMRI study. Brain 132:1833–1846

    Article  PubMed  Google Scholar 

  • Prichep LS (2007) Quantitative EEG and electromagnetic brain imaging in aging and in the evolution of dementia. Ann N Y Acad Sci 1097:156–167

    Article  PubMed  Google Scholar 

  • Reisberg B, Ferris SH, de Leon MJ, Crook T (1982) The Global Deterioration Scale for assessment of primary degenerative dementia. Am J Psychiatry 139:1136–1139

    PubMed  CAS  Google Scholar 

  • Rocca WA, Bonaiuto S, Lippi A, Luciani P, Turte F, Cavarzeran F, Amaducci L (1990) Prevalence of clinically diagnosed Alzheimer’s disease and other dementing disorders: a door-to-door survey in Appignano, Macerata Province, Italy. Neurology 40:626–631

    Article  PubMed  CAS  Google Scholar 

  • Schreiter-Gasser U, Rousson V, Hentschel F, Sattel H, Gasser T (2008) Alzheimer disease versus mixed dementias: an EEG perspective. Clin Neurophysiol 119:2255–2259

    Article  PubMed  Google Scholar 

  • Sherlin L (2009) Dementia and Alzheimer’s disease: LORETA findings. http://qeegsupport.com/dementia-and-alzheimers-disease-loreta-findings. Accessed 30 Jan 2012

  • Sherlin L, Townsend A, Hall J (2006) LORETA analysis of Alzheimer’s disease. J Neurother 9:4

    Google Scholar 

  • Vertes RP (2005) Hippocampal theta rhythm: a tag for short-term memory. Hippocampus 15:923–935

    Article  PubMed  CAS  Google Scholar 

  • Von Stein A, Chiang C, Konig P (2000) Top-down processing mediated by interareal synchronization. Neurobiology 97:14748–14753

    Google Scholar 

  • Williamson PC, Merskey H, Morrison S, Rabheru K, Fox H, Wands K, Wong C, Hachinski V (1990) Quantitative electroencephalographic correlates of cognitive decline in normal elderly subjects. Arch Neurol 47:1185–1188

    Article  PubMed  CAS  Google Scholar 

  • Zion-Golumbic E, Golan T, Anaki D, Bentin S (2008) Human face preference in gamma-frequency EEG activity. Neuroimage 39:1980–1987

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This study was supported by a grant of the Korea Healthcare Technology R & D Project, Ministry for Health, Welfare, and Family Affairs, Republic of Korea (A084117).

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Correspondence to Seung-Hwan Lee.

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Kim, JS., Lee, SH., Park, G. et al. Clinical Implications of Quantitative Electroencephalography and Current Source Density in Patients with Alzheimer’s Disease. Brain Topogr 25, 461–474 (2012). https://doi.org/10.1007/s10548-012-0234-1

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  • DOI: https://doi.org/10.1007/s10548-012-0234-1

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