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Contents xiii
26 EEG in Focal Epilepsy and Its Role in the Management
of Adult Patients with Drug-Resistant Epilepsy . . . ............. 351
Boyuan Song, Umair J. Chaudhary, and Louis Lemieux
27 EEG Applications in Neonatal and Paediatric Clinical
Neuroscience . . . . . . . . . . . . . . . . . . ........................ 365
Jayvian Mavi and Kimberley Whitehead
28 Sleep . . . . . . . . . . . . . . . . ................................ 385
Masako Tamaki
29 Mobile Electroencephalography . . . . . . . . . . ................. 403
Olave E. Krigolson, Mathew Rocha Hammerstrom,
Katherine Boere
and
30 Understanding the Creative Brain in Action . . . . . . . . .......... 425
Aime J. Aguilar-Herrera, Maxine Annel Pacheco-Ramírez, Yos
hua E. Lima-Carmona, Lianne Sanchez-Rodriguez,
and Jose L. Contreras-Vidal
Part VI Multimodal EEG Applications
31 Combining EEG and Transcranial Electric Brain Stimulation . . . . 45
1
Heiko I. Stecher, Sreekari Vogeti, Daniel Strüber,
Christoph S. Herrmann
and
32 TMS–EEG: A Tool to Probe Key Features of Human
Thalamocortical Circuits . . . . . . . .......................... 479
Silvia Casarotto and Mario Rosanova
33 Combining EEG and fMRI . . . . . . . . . . ..................... 503
David W. Carmichael, Rebecca Meagher, Anna Sadilova, Tracy
Warbrick, and Cilia Jaeger
34 Bridging Brain and Body: Complementing EEG
with Peripheral Physiological Signals . . . . . . ................. 533
Ignacio Rebollo, Daniel S. Kluger, and Marie Loescher
Part VII Writing and Reading EEG Research Papers
35 Writing Up Your EEG Research . . . . . . . . . .................. 557
Shivakumar Viswanathan and Tracy Warbrick
36 How to Evaluate an EEG Research Paper . . . . . . . . ............ 569
Tracy Warbrick and Michael Hoppstädter
Index . . . . . . . . . . . . . . . . . . . ................................ 587

List of Figures

Fig. 1.1 Comparison of neuroimaging methods .............................. 6
Fig. 2.1 Representation of the generation of EEG signal during EPSP.
(a) A pyramidal neuron receives excitatory neurotransmitters at synapses on different sites of the apical dendrites tuft. This induces a positive charge inside the neuron due to the entrance of positive sodium ions. The positive charge is propagated through the apical dendrite towards the negatively charged soma of the neuron. (b) Negative charges are produced in the extracellular space close to the synapses. The negatively charged region forms a dipole with the positive areas along the exterior of the neuron. (c) The dipoles from multiple neurons aligned in parallel summate
to act as a larger dipole that can be detected on the scalp ......... 16
Fig. 2.2 Representation of dipoles produced in the cortex shown as double-
headed arrows and their orientation with respect to the surface. (a) Radial dipoles produced in a gyrus are able to reach the surface, and either their positive or negative side is recorded in EEG. (b) Radial dipoles generated within the oor of a sulcus are deep and not normally detectable with scalp EEG. (c) Tangential dipoles produced at the walls of a sulcus that are faced with a dipole from the opposing wall cancel out and cannot be recorded by EEG. (d) A tangential dipole with the appropriate orientation that is not opposed by another dipole is able to reach the surface; the two
poles would appear on opposite sides of the scalp ................. 18
xv
xvi List of Figures
Fig. 2.3 Sample EEG of single trials during visua l stimulation with a
checkerboard pattern reversal at 2 Hz frequency. The corresponding ERP from the average of all trials is shown at the bottom, known in this case as the visually evoked potential (VEP), with its components N75, P100, and N145. The VEP is also shown overlaid on the single trials to highlight how each trial contains the ERP signal mixed with noise. The averaging process reduces the randomly uctuating noise in the trials, while retaining the more consistent activity related to the brains response to form the ERP. Modulations in the amplitude and latency of the ERP components can be used for research or clinical
purposes . ... .... ... ... .... ... ... . ... ... ... . ... ... .... ... ... ... .... ... ... 21
Fig. 2.4 Filtered EEG signals in the range of the different canonical bands
organized in descending order. The exact band range can differ
between authors ................................. ...................... 24
Fig. 3.1 (a) Organization of the central and perip heral nervous systems.
The CNS consi sts of the brain and spinal cord. The PNS consists of an elaborate system of nerves that connect the periphery to the CNS (read more in Chap. 4: Basic Anatomy: Peripheral Nervous System). (b) Schematic of the pathway of the optic nerve (part of the PNS) that carries visual information from the retina to the
occipital lobe at the posterior of the brain . .. .. ... .. .. ... .. .. ... .. .. 32
Fig. 3.2 (a) Chart showing the hierarchical organization of the human
brain. (Adapted based on Ward, 2015). The inset shows the main lobes of the human brain. (b) Left: Gray-scale MRI image of an adult human brain along three standard orthogonal planes (sagittal, coronal, axial) of a coordinate system with an origin at the center of the brain. The gray matter and white matter are shown with darker and lighter shades of gray respectively. Right: Fiber tracts of the corpus callosum linking the left and right hemispheres. Tracts are colored by segment. (From Rosenbloom & Pfefferbaum, 2008). (c) Electrode position layout on the scalp
according to the international 10–20 system ... ..................... 34
Fig. 3.3 (a) Example
of a Talairach coordinate grid placed on a brain slice. (From Woodward et al., 2008). (b) Example of overlaid geographic maps with different information enabled by a shared coordinate system. (c) Map of cytoarchitecture properties at different locations across the brain as described by Brodmann
(1909), now referred to as Brodmann areas ........................ 36
Fig. 4.1 Over
composed of the CNS (purple) and the PNS (black). The PNS can be further divided into the somatic nervous system, consisting of sensory input and motor outputs, and the autonomic nervous system, which is composed of the sympathetic, parasympathetic,
and enteric nervous systems ... . ... ... ... . ... ... .... ... ... .... ... ... . . 42
view of the nervous system divisions. The nervous system is
List of Figures xvii
Fig. 4.2 Somatic nervous system. (a) Receptors from the peripheries
convert a stimulus into an electrical signal that propagates along the myelinated sensory neuron to the dorsal root of the vertebrae. From there, the signal can be directly transmitted to the efferent motor neuron that innervates the effector muscle. The signal from the afferent sensory neuron also synapses onto a secondary sensory neuron in the spina l cord that transmits the signal to the brain. (b) Afferent pathways consist of either the dorsal column or the spinothalamic tracts. Efferent pathways are divided into the
anterior and lateral corticospinal tracts . ... .. . .. ... ... ... ... .. ... ... . 47
Fig. 4.3 Autonomic nervous system. The autonomic nervous system
consists of the sympathetic and parasympathetic nervous systems that innervate different organs of the body. The efferent pathways of the autonomic nervous system consist of two neurons: the preganglionic and the postganglionic neurons. The preganglia synapse onto the postganglia, whose cell bodies are located in the
paravertebral sympathetic ganglion chain ........................... 48
Fig. 4.4 Reex arc and neurofeedback in electrophysiology. Nociceptors
in the skin of the hand detect sudden temperature changes. This is converted to an electrical signal that is transmitted along the afferent sensory pathway to the dorsal horn. Interneurons in the vertebrae then transmit the electrical signal to the efferent motor pathway. The signal is transmitted to the neuromuscular junction, which causes contraction of the muscles in the forearm, effectively pulling the hand away from a hot source. Electrodes on the forearm can be used to measure muscle contraction in response to the nociceptive stimulus. The painful stimulus is also transmitted to the CNS, where it is consciously perceived and can be modulated. For example, in neurofeedback training, the pain response can be mindfully downregulated. The CNS transmits an inhibitory signal along efferent pathways that activate inhibitory neurons in the ventral horn and inhibit muscle contraction of the
forearm . ................................................................ 52
Fig. 5.1 Simp
lied schematic of the tissues surrounding the brain ... . .. ... 57
xviii List of Figures
Fig. 6.1 EEG features to characterize brain states. ( a ) Temporal or spectral
features can be extracted from the raw EEG data. In the time­domain, the voltage changes evoked in response to a stimulus are averaged together across several repeated trials to measure the event-related potential evoked by the stimulus. The raw EEG data can also be broken down into its component frequencies to investigate activity across neural oscillations. An event-related time-frequency analysis can also be applied to study how the brains oscillatory activity changes over time in response to a stimulus. (b) EEG features can also be extracted spatially by either looking at the spatial distribution of EEG signal properties across scalp topography maps or by source localizing specic EEG
features . ................................................................ 65
Fig. 6.2 The circadian rhythm. The suprachiasmatic nucleus (SCN) of the
hypothalamus acts as the principal clock that regulates rhythmic bodily processes such as sleep–wake cycles and appetite, as well as rhythmic processes of the autonomic nervous system that are important for homeostasis. The SCN neurons have a 24-h rhythm that is generated through a feedback loop of clock gene transcription and protein inhibition. The SCN then transmits electrical signals to other brain regions, which are involved in
cognition, mood, and other neural processes ... .. .. . .. .. ... .. .. ... . 67
Fig. 6.3 Brain stat es characterized by differences in neural activity patterns
in the beta frequency. (a) Changes in beta power, within-area, and between-area coherence have been observed in different brain regions and are also linked with different cognitive processes. (b) The location and type of beta-related activity change with respect to content-specic information processing, for example, during working memory. This gure highlights how activity patterns across brain regions can overlap for different cognitive processes, therefore emphasizing the importance of studying brain states and
dynamic neural activity patterns ... .. . .. ... ... ... .. . .. ... ... ... .. ... . 70
Fig. 7.1 Schema
experiment. The experimental timeline (top) shows example events from two consecutive trials of an experiment. Event times are shown by short vertical lines. The cognitive/neural timeline (middle) shows intervals of neural activity (hatched lines) related to each trial in the upper timeline. The EEG recording timeline (bottom) shows a continuous EEG recording with one voltage time-series (wavy line) per channel. Segments related to trials k and k+
tic of three related timelines in a trial-based EEG
1 are highlighted .............................................. 78
List of Figures xix
Fig. 7.2 (a) Example segment timelines that are time-locked to the
stimulus (short vertical line at t = 0). On each segment, activity immediately before (pre-) and after (post-) each event is shown with differing hatching patterns. Time-points near the stimulus event have comparable activity across segments, as shown for t = +30 ms (poststimulus activity). However, this is not true near the response event, as shown for t = +120 ms; some segments have pre-response activity and others post-response activity. (b) Timelines of segments time-locked to the response event (short vertical line at t = 0). Time-points close to the response event have comparable activity across segments (t =-30 ms), but this is not true around the stimulus event
(t =-120 ms) ......................................................... 82
Fig. 7.3 (a) Activity based on signal magnitude at different time-points. At
time-points before ~60 ms, the signal magnitude is close to zero (examples shown by arrows) but deviates away from zero from ~60 to 130 ms (examples shown by arrows). (b) The signal magnitude at single time-points is close to zero and deviates away from zero in quick succession (examples shown with arrows). (c) The maximum signal magnitude over short time-intervals (examples highlighted in gray) reveals a coherent pattern across
the entire signal duration (thick black line ) .. ... ... .. ... ... ... .. ... . 83
Fig. 8.1 Overview of the study design process ............................... 90
Fig. 8.2 Experimental designs considering groups and experimental
conditions and/or points of measurement ........................... 97
Fig. 9.1 Schema
tic of a typical EEG data analysis organization for hypothesis testing. Raw data are obtained from individual participants who are sampled from the population (left). They undergo an individual-level or rst-level analysis, which consists of a preprocessing step followed by signal denition steps (see text for details). The proces sed data from individual participants are then pooled together for group-level or second-level analysis. The group data are then used to evaluate statistical hypotheses by applying statistical tests. The outcomes are numerical measures
evaluating these hypotheses .......................................... 108
xx List of Figures
Fig. 9.2 Schematic of statistical inference for a single variable. The
hypothesis space (upper plane) is the space of possible statistical hypotheses where H1 and H2 are examples (black dots). For each hypothesis, a probability is assigned to every possible dataset that could be obtained under the effects of random chance if that hypothesis were true. Each dataset is represented by a sample statistic value, and the space of all possible sample statistic values is shown in the middle plane. The shading indicates the probability assigned to each sample statistic (dataset) by a hypothesis. The alpha threshold for each hypothesis is shown as a dotted line. The colored star indicates a sample statistic obtained from the measured sample (bottom plane). It is assigned a different probability by different hypotheses (probability < alpha for H1 but > alpha for H2). The measured sample (bottom plane) is a subset of the population. The sample mean ( standard deviation
(s), and sample size (N) are used to calculate
xÞ, sample
the statistic for the samp le .. .......................................... 112
Fig. 10.1 Preparing pilot testing owchart. The owchart illustrates the
process of preparing pilot testing, including dening the studys goals, measurable outcomes, testing steps, and pilot sample characteristics. The key experiment characteristics can be optimized (from signal quality to questionnaires) by assessing the suggested criteria (arrow connections). Almost all these goals can have an impact on signal quality (except for the questionnaires). The goals and outcomes help dene the steps and the samples used in pilot testing. Different phases are associated with different sample groups, including lab members, control populations, and experimental participants. These phases go from testing the characteristics individually to simulating a data acquisition
session for thorough preparation ... .................................. 120
Fig. 10.2 Flow
chart of the main phases in pilot testing. Three phases of pilot testing are outlined: preparation, execution, and post-testing steps. The diagram presents the steps within each phase and their order. The preparation phase (preparing) includes dening study goals, evaluation criteria, steps of the testing, and samples used. The execution (doing) requires testing individual characteristics, partial setups, testing the experiment procedure, and then simulating data acquisition session. It can require a return to previous steps or even to the previous phase to prepare new pilot tests. The steps after pilot testing involve publishing the results (optional), preregistering the study, and then conducting the full study. Optional steps and returns to previous steps are presented in
dashed lines ... . ... ..................................................... 125
List of Figures xxi
Fig. 11.1 The role an electronic lab notebook (ELN) can play in the research
data life cycle . ......................................................... 132
Fig. 12.1 The components of an EEG recording setup. (a) EEG electrodes
and peripheral physiology sensors are used to detect the signal. (b) The amplier converts the signal from analog to digital, amplies, and lters the signal. (c) Event markers can be co-registered with the data using triggers. (d) Data (and triggers) are recorded using
dedicated software ... .. ... ... ... .. . .. ... ... .. . .. ... ... .. ... ... ... .. ... 142
Fig. 12.2 The 10–20 system for naming EEG electrodes (Jasper, 1958).
Electrode positions are dened by percentages of distances between anatomical landmarks on the head. They are named with a letter representing the lobe of the brain (F frontal, P parietal, C central, T temporal, O occipital) and a number (odd numbers left, even numbers right). The lines connecting anatomical landmarks, as well as the circumference, are shown. These lengths are dened as 100%. Electrodes are placed at distances of 10% or 20% of
these lines .............................................................. 146
Fig. 12.3 Placement of electrodes for peripheral electrophysiology
recordings. (a) Indicates placement of bipolar pair of electrodes for vertical EOG, vEOG, recordings and horizontal EOG, hEOG; (b) Placement of bipolar electrodes and ground (GND) electrode for ECG recordings; (c) indicates muscle body tendon placement for EMG recordings. The example shows the bicep muscle of the arm; and (d) electrode placement for skin conductance with GSR
sensor . ... ... .. ... ... ... ... .. . .. ... ... ... .. . .. ... ... ... .. . .. ... ... ... .. . 147
Fig. 12.4 Referential and bipolar recording schemes for EEG and peripheral
physiology. (Part a) Shows a referential recording scheme where the signal at each EEG electrode is recorded relative to a reference electrode. Note that the distance differs between the reference electrode and each recording electrode, this will inuence the signal recorded. The position of the reference electrode relative to the EEG electrodes is therefore important. (Part b) Shows a bipolar recording scheme for EMG. The position of the recording electrodes relative to each other (rather than to a refence electrode
as in part a) will inuence the recorded signal .. .................. 150
Fig. 12.5 Analog
to digital conversion: temporal resolution. An analog signal perfectly resolved in time is shown in the left panel. A digital signal is a sampled signal, obtained by sampling the analog signal at discrete points in time. The higher the sampling rate, the better the time resolution. The middle panel shows a signal sampled every 0.4 s and the right panel shows a signal sampled every 0.2 s. The signal in the right panel is closer to the original
analog signal than the digital .. .... ................................... 151
xxii List of Figures
Fig. 12.6 Analog to digital conversion: amplitude resolution. A continuous
signal gets recorded (& amplied) at regular amplitude intervals. The higher the bits per volt, the higher the amplitude resolution. The left panel shows the original analog signal. The middle panel shows a signal sampled with an amplitude of 0.4. The right panel shows a signal sampled with an amplitude of 0.2. The signal in the right panel has a more ne-grained resolution and is closer to the
original analog signal ............................ ..................... 151
Fig. 14.1 Events, markers, and triggers in a visual paradigm. In this case, a
visual cue appearing on the screen is the event. The stimulus presentation computer sends a trigger to the EEG amplier at the same time. The trigger gets recorded together with the EEG data.
The triggers are represented as markers in the recorded le ...... 164
Fig. 14.2 Effects of jitter and latency on an ERP ± condence interval. A
stable latency changes the time of the ERPs' appearance in relation to the event (in this case at t = 0 ms). Increasingly high jitter directly affects the waveform. The higher the jitter, the more of the original waveform is getting lost. The four examples demonstrate the effects of latency and jitter, simulated with normally distributed delays based on mean latency ± jitter in milliseconds. (a) No latency and no jitter: the original and simulated ERPs overlap perfectly. (b) Here, the mean latency is zero, but the jitter has a high standard deviation of 50 ms. The waveform of the ERP is noticeably different. (c) Constant, jitter-free latency: the ERP is preserved but shifted on the time axis. The amplitude can also be affected if baseline correction is used. (d) High latency and high jitter signicantly distort the original waveform and timing
information of the ERP ............................................... 166
Fig. 14.3 Trigger pulses. From left to right, the triggers shall be generat ed
on: the rising edge, caused by a stimulus presentation software tool that sets the idle level to low and sends a short high pulse to indicate an event; falling edge, where a button is pressed, pulling a high level to low for a short time; on both edges, where each level
change is linked to an event . ......................................... 171
Fig. 14.4 Schema
tic of a timing verication experiment. A stimulus presentation software is used to: generate a visual event on a display (a), send a trigger to an EEG amplier (b), and send an LSL marker to the network (c). Ideally, all of these events should happen simultaneously. The EEG data stream, including the brain signals from the participant and the photo signal from a photo sensor, is also sent via LSL and can be synchronized with the LSL marker stream to analyze the timing between the events. The test
can be used with or without the LSL option ... ..................... 172
List of Figures xxiii
Fig. 15.1 EEG recording illustrating artifacts from eye blinks and horizontal
eye movements. The signal is referenced to Fz, and channel order is from frontal to posterior regions. The data are high-pass ltered at 0.1–40 Hz to enhance visibility of these characteristic slow deections. The topography of a representative saccade the typical spatial distribution and amplitude of the related artifact, with noticeable activity in frontal and temporal regions due to
extraocular muscle engagement . ..................................... 178
Fig. 15.2 EEG data illustrating a sequence of voluntary and spontaneous
eye blinks, recorded across 64 channels using the 10–20 electrode montage. The signal was high-pass ltered at 0.1 Hz and low-pass ltered at 40 Hz. The blink sequence consists of four voluntary blinks, followed by three spontaneous blinks, and then ve additional voluntary blinks. A marked segment of the EEG trace is shown on the right in a topographic mapping view, highlighting frontal activity associated with blink artifacts. The topography of a representative blink peak reveals the characteristic spatial distribution and amplitude of the artifact, with prominent
activation in frontal regions ... ... .. . .. ... ... ... ... .. ... ... ... ... .. . .. 179
Fig. 15.3 Pulse artifact in EEG, every second or so, at nearly the same
moment across many of the channels, a sharp vertical spike suddenly appears. These spikes are very brief, narrow, and point upward or downward depending on the EEGs polarity, like tall thin peaks. They are much sharper and taller than the slower rolling background waves, which makes them stand out clearly. The topographic map of a single pulsation peak, displayed to the right, illustrates the typical spatial distribution of pulse-related
artifacts . ... ............................................................. 181
Fig. 15.4 EMG artifacts in EEGParticipant was asked to clench the teeth
and mimic chewing behavior. Overall, the picture shows how muscle contractions can dominate the recording, masking the underlying brain activity with strong, sharp, and irregular patterns of EMG. It clearly illustrates why muscle relaxation and minimizing facial movements are important for obtaining clean
EEG data ... . ... ........................................................ 182
Fig. 15.5 Facial
muscle activity, such as frowning or raising the eyebrows, generates high frequency artifacts in the EEG-data. These movements are typically reected as slower signal drifts, as shown
in the gure ............................................................ 184