scholarly journals EEG Features in Adolescent Females with Self-Injurious Behavior in Endogenous Depressions

Psychiatry ◽  
2020 ◽  
Vol 18 (2) ◽  
pp. 39-45
Author(s):  
E. V. Damyanovich ◽  
E. V. Iznak ◽  
I. V. Oleichik ◽  
A. F. Iznak

Background: the study of clinical and neurophysiological aspects of non-suicidal self-injurious behavior (NSSI), as one of the forms and risk factors for suicidal behavior in adolescents, including those suffering from mental disorders, is an urgent medical and social scientific task. Objective: To identify the features of EEG in depressive adolescent females with NSSI compared with EEG of age norm. Patients and methods: the study included 60 female patients aged 16–25 years with NSSI in the structure of endogenous depressive conditions, and 20 healthy subjects of the same gender and age. Clinical, psychopathological, psychometric, neurophysiological and statistical methods were used. Topographic EEG mapping revealed differences in the background EEG quantitative parameters of two studied groups. Results and discussion: spectral power values of alpha-2 (9–11 Hz) and alpha-1 (8–9 Hz) EEG frequency components in occipital-parietal and temporal leads, of theta-2 activity (6–8 Hz) in central-parietal leads, as well as of delta activity (2–4 Hz) in frontal and anterior temporal leads were higher in the left hemisphere, reflected increased activation of the right hemisphere. Generalized bilaterally synchronous alpha-theta bursts were registered regularly in EEG of NSSI patients, as well. Conclusions: the spatial distribution of EEG frequency components in depressive patients with NSSI indicates relatively decreased functional state of the cortex, especially of the left hemisphere and of its anterior regions, responsible for voluntary control of activity, with higher level of activation of temporal regions of the right hemisphere, associated with formation of negative emotions, and increased excitability of brain limbic-diencephalic structures, that may underlie poor controlled impulsive behavior.

Psychiatry ◽  
2020 ◽  
Vol 18 (3) ◽  
pp. 14-21
Author(s):  
E. V. Iznak ◽  
E. V. Damyanovich ◽  
N. S. Levchenko ◽  
I. V. Oleichik ◽  
A. F. Iznak

Background: non-suicidal self-injury (NSSI) in adolescence is a significant risk factor for suicide, and therefore, the search for neurobiological markers and predictors of risk for suicidal intentions and actions seems to be an urgent task. In particular, quantitative EEG parameters can be such predictors.Objective: to identify the features of EEG in female adolescents with endogenous depressive conditions, manifested only by NSSI without suicidal intentions, in comparison with the EEG of patients who had suicidal auto-aggressive behavior (SAB) in the structure of depression.Patients and methods: the study was conducted as a comparative clinical and neurophysiological. The study included 45 female patients aged 16–25 years with endogenous depressive conditions, divided into 2 subgroups: those who showed only NSSI (NSSI subgroup, 21 patients), or who had a history of SAB (SAB subgroup, 24 patients). Clinical-psychopathological, psychometric, neurophysiological and statistical methods were used.Results and its discussion: intergroup differences were revealed in relation to the ratio and hemispheric asymmetry of the EEG spectral power of narrow frequency sub-bands of the parietal-occipital alpha rhythm. In the SAB subgroup alpha-2 (9–11 Hz) rhythm spectral power is higher than in the NSSI subgroup, the focus of alpha-2 spectral power is located in the right hemisphere, and alpha-3 sub-band (11–13 Hz) spectral power is higher than of alpha-1 (8–9 Hz). In the NSSI subgroup, alpha-1 (8–9 Hz) sub-band spectral power are higher than of alpha-3 (11–13 Hz), and focuses of alpha-2 (9–11 Hz) and alpha-3 (11–13 Hz) rhythms are localized in the left hemisphere. The results are discussed in terms of functional specialization of the brain hemispheres in relation to the regulation of emotions and control of behavior.Conclusions: the spatial distribution of the EEG frequency components in the SAB subgroup reflects the greater activation of the brain left hemisphere that is more typical for the EEG of individuals with an increased risk of suicide. In the NSSI subgroup, the right hemisphere is relatively more activated that is more typical for EEG in depressive disorders.The results obtained allow the use of quantitative EEG data to clarify the degree of suicidal risk in depressed female adolescents with non-suicidal self-injury.


2021 ◽  
pp. 155005942199168
Author(s):  
Andrey F. Iznak ◽  
Ekaterina V. Iznak ◽  
Elena V. Damyanovich ◽  
Igor V. Oleichik

Background. Both non-suicidal self-injuries (NSSIs) and suicidal attempts (SAs) in adolescence represent significant risk factors for consequent suicide, but neurophysiological markers and predictors of these two forms of auto-aggressive behavior have been studied insufficiently. Objective. The aim of the study was to identify the differences of electroencephalographic (EEG) frequency and spatial parameters between depressive female adolescents with solely NSSI, and with combined NSSI + SA behavior in their history. Methods. The study included 45 female depressive in-patients aged 16-25 years. Baseline resting EEG spectral power, asymmetry, and coherence were analyzed in 8 narrow frequency sub-bands. Results. In the NSSI + SA subgroup (n = 24), the spectral power of parietal–occipital alpha-2 (9-11 Hz) was higher than in the NSSI subgroup, its focus was localized in the right hemisphere, and alpha-3 (11-13 Hz) spectral power was higher than alpha-1 (8-9 Hz). In the NSSI subgroup (n = 21) alpha-1 spectral power was higher than alpha-3, and foci of alpha-2 and alpha-3 were localized in the left hemisphere. EEG coherence was also higher in the NSSI + SA subgroup than in the NSSI subgroup, especially in frontal–central–parietal regions. Conclusions. The spatial distribution of the EEG frequency components in the NSSI + SA subgroup reflects the greater activation of the left hemisphere that is more typical for the EEG of individuals with an increased risk for suicide. In the NSSI subgroup, the right hemisphere is relatively more activated, and EEG coherence is lower, which is more typical for EEG in depressive disorders. The results obtained suggested the use of EEG to clarify the degree of suicidal risk in depressive female adolescents with NSSI.


2013 ◽  
Vol 27 (3) ◽  
pp. 142-148 ◽  
Author(s):  
Konstantinos Trochidis ◽  
Emmanuel Bigand

The combined interactions of mode and tempo on emotional responses to music were investigated using both self-reports and electroencephalogram (EEG) activity. A musical excerpt was performed in three different modes and tempi. Participants rated the emotional content of the resulting nine stimuli and their EEG activity was recorded. Musical modes influence the valence of emotion with major mode being evaluated happier and more serene, than minor and locrian modes. In EEG frontal activity, major mode was associated with an increased alpha activation in the left hemisphere compared to minor and locrian modes, which, in turn, induced increased activation in the right hemisphere. The tempo modulates the arousal value of emotion with faster tempi associated with stronger feeling of happiness and anger and this effect is associated in EEG with an increase of frontal activation in the left hemisphere. By contrast, slow tempo induced decreased frontal activation in the left hemisphere. Some interactive effects were found between mode and tempo: An increase of tempo modulated the emotion differently depending on the mode of the piece.


Author(s):  
Elizabeth Schechter

This chapter defends the 2-agents claim, according to which the two hemispheres of a split-brain subject are associated with distinct intentional agents. The empirical basis of this claim is that, while both hemispheres are the source or site of intentions, the capacity to integrate them in practical reasoning no longer operates interhemispherically after split-brain surgery. As a result, the right hemisphere-associated agent, R, and the left hemisphere-associated agent, L, enjoy intentional autonomy from each other. Although the positive case for the 2-agents claim is grounded mainly in experimental findings, the claim is not contradicted by what we know of split-brain subjects’ ordinary behavior, that is, the way they act outside of experimental conditions.


2021 ◽  
Vol 23 (Supplement_2) ◽  
pp. ii44-ii44
Author(s):  
A T J van der Boog ◽  
S David ◽  
A M M Steennis ◽  
T J Snijders ◽  
J W Dankbaar ◽  
...  

Abstract BACKGROUND Surgical treatment of diffuse glioma is performed to reduce tumor mass effect and to pave the way for adjuvant (chemo)radiotherapy. As a complication of surgery, ischemic lesions are often found in the postoperative setting. Not only can these lesion induce neurological deficits, but their volume has also been associated with reduced survival time. Prior studies suggest areas with a singular vascular supply to be more prone to postoperative ischemic lesions, although the precise cause is yet unknown. The aim of this study was to explore the volumetric and spatial distributions of postoperative ischemic lesions and their relation to arterial territories in glioma patients. MATERIAL AND METHODS We accessed a retrospective database of 144 adult cases with WHO grade II-IV supratentorial gliomas, who received surgery and postoperative MRI within 3 days in 2012–2014. We identified 93 patients with postoperative ischemia, defined as new confluent diffusion restriction on DWI. Ischemic lesions were manually delineated and spatially normalized to stereotaxic MNI space. Voxel-based analysis (VBA) was performed to compare presence and absence of postoperative ischemia. False positive results were eliminated by family-wise error correction. Areas of ischemia were labeled using an arterial territory map, the Harvard-Oxford cortical and subcortical atlases and the XTRACT white matter atlas. RESULTS Median volume of confluent ischemia was 3.52cc (IQR 2.15–5.94). 23 cases had only ischemic lesion in the left hemisphere, 46 in the right hemisphere and 24 bilateral. Median volume was 3.08cc (IQR 1.35–5.72) in left-sided lesions and 2.47cc (1.01–4.24) in right-sided lesions. Volume of ischemic lesions was not associated with survival after 1, 2 or 5 years. A cluster of 125.18cc was found to be significantly associated with development of postoperative ischemia. 73% of this cluster was situated in the arterial territory of the right middle cerebral artery (MCA), limited by the border of the posterior cerebral artery (PCA), and the watershed area between the right MCA and the right anterior cerebral artery (ACA). Significant areas were located in the frontal lobes, spanning into the right temporo-occipital region, and predominantly included right and left thalamus, caudate nucleus, putamen, pallidum, as well as right temporal gyri and insular cortex, and parts of the right corticospinal tract, longitudinal fasciculi and superior thalamic radiation. CONCLUSION We found slightly more and larger ischemic lesions in the right than left hemisphere after glioma resection. A statistically significant cluster of voxels of postoperative ischemia was found in the territory of the right MCA and watershed area of the right ACA. Exploration of the spatial distribution of these lesions could help elucidate their etiology and form the basis for predicting clinically relevant postoperative ischemia.


Psihologija ◽  
2008 ◽  
Vol 41 (2) ◽  
pp. 195-211
Author(s):  
Jasmina Vuksanovic ◽  
Milena Djuric

Fluency tests are frequently used in clinical practice to asses executive functions. The literature data are not unequivocal although in a great number of papers is pointed out the importance of the left hemisphere, specially of the left frontal lobes in the mediation of phonological fluency and the right hemisphere in the mediation of nonverbal fluency. This paper considers the suitability of fluency tests for the detection of left versus right seizure laterality. The sample consisted of thirty-two epilepsy patients divided into two groups: LHF-participants with the seizure focus in the left hemisphere (n=16), and DHF-participants with the seizure focus in the right hemisphere (n=16), and K-the control group of t age-matched healthy children (n=50) aged 7-11 years. The qualitative and quantitative comparison of the phonological and nonverbal fluency performance was carried out in consideration of the seizure laterality as well as compared to the healthy controls. The results of phonological fluency performance revealed that the performance of the LHF group was significantly reduced as compared to both DHF and K group. The analysis of nonverbal fluency performance revealed that the performance of the DHF group was significantly reduced as compared to both LHF and K group The qualitative analysis obtained valuable data, which could additionally contribute to the neuropsychological evaluation of the left versus right seizure laterality.


2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Selene Schintu ◽  
Elisa Martín-Arévalo ◽  
Michael Vesia ◽  
Yves Rossetti ◽  
Romeo Salemme ◽  
...  

Rightward prism adaptation ameliorates neglect symptoms while leftward prism adaptation (LPA) induces neglect-like biases in healthy individuals. Similarly, inhibitory repetitive transcranial magnetic stimulation (rTMS) on the right posterior parietal cortex (PPC) induces neglect-like behavior, whereas on the left PPC it ameliorates neglect symptoms and normalizes hyperexcitability of left hemisphere parietal-motor (PPC-M1) connectivity. Based on this analogy we hypothesized that LPA increases PPC-M1 excitability in the left hemisphere and decreases it in the right one. In an attempt to shed some light on the mechanisms underlying LPA’s effects on cognition, we investigated this hypothesis in healthy individuals measuring PPC-M1 excitability with dual-site paired-pulse TMS (ppTMS). We found a left hemisphere increase and a right hemisphere decrease in the amplitude of motor evoked potentials elicited by paired as well as single pulses on M1. While this could indicate that LPA biases interhemispheric connectivity, it contradicts previous evidence that M1-only MEPs are unchanged after LPA. A control experiment showed that input-output curves were not affected by LPAper se. We conclude that LPA combined with ppTMS on PPC-M1 differentially alters the excitability of the left and right M1.


2021 ◽  
Vol 23 (2) ◽  
pp. 107-112
Author(s):  
Elena B. Filippova ◽  
Elena M. Lesova ◽  
Natalya V. Murgaeva

We researched the dependence of cognitive abilities, mostly connected to functions of right and left hemispheres, and physical endurance on phases of sexual cycle. We discovered that on the first day of the cycle the number of correct tasks, connected with functions of the right hemisphere, was bigger than in the middle of the cycle, while no difference was detected in tasks, connected with functions of the left hemisphere. In the beginning of the cycle all test subjects correctly answered more "right hemisphere" questions, than during the ovulation phase, in the middle of the cycle the majority of test subjects correctly answered more "left hemisphere" tasks. We assume that sexual steroids moderate functional differences, connected with functions of right and left hemisphere. Precisely, low level of sexual steroids in the beginning of the cycle helps to activate functions of the right hemisphere, while steroids concentration in the middle of the cycle stops those functions. The level of heartbeat under the physical load was bigger in the luteal phase than before the ovulation; with the increase of load the heartbeat decreased before the ovulation and increase in the luteal phase. We assume that increased content of estrogens before the ovulations lead to decrease in physical endurance, while the decrease of concentration of estrogens in the luteal phase increased this endurance. Therefore, influence of sexual steroids helps to activate functions, which characterize specific psychological and physical status of women sex, particularly verbal abilities, lower abilities for visual analysis, and lower physical endurance of women.


Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Sana Somani ◽  
Melissa Gazi ◽  
Michael Minor ◽  
Joe Acker ◽  
Abimbola Fadairo ◽  
...  

Introduction: The Emergency Medical Stroke Assessment (EMSA) is a six point stroke severity scale with one point each for gaze preference, facial droop, arm drift, leg drift, abnormal naming, and abnormal repetition that was developed to help emergency medical services (EMS) providers identify acute ischemic stroke (AIS) patients with large vessel occlusion (LVO). We hypothesized that the EMSA would detect left hemisphere LVO with a higher sensitivity than right hemisphere LVO. Methods: We trained 24 trauma system-based emergency communication center (ECC) paramedics in the EMSA. ECC-guided EMS in performance of the EMSA on patients with suspected stroke. We compared the sensitivity, specificity, area under the curve (AUC), and 95% confidence interval (CI) of ECC-guided prehospital EMSA for right versus left hemisphere ICA or M1 occlusion. Results: We enrolled 569 patients from September 2016 through February 2018, out of which 236 had a discharge diagnosis of stroke and 173 had a diagnosis of AIS. We excluded patients with bilateral (n=21) and brainstem (n=21) AIS. There were 64 patients with left hemisphere AIS including 19 with LVO. There were 67 patients with right hemisphere AIS including 22 with LVO. A score of ≥ 4 points yielded a sensitivity of 84.2 (95% CI = 60.4-96.6) and specificity of 66.7 (51.1-80.0) for left hemisphere LVO compared to a sensitivity of 68.2 (45.1-86.1) and specificity of 73.9 (58.9-85.7) for right hemisphere LVO. For predicting a left hemisphere LVO, the AUC was 0.77 (0.65-0.90) compared to 0.66 (0.50-0.82) for right-sided LVO. Assigning 2 points for abnormal gaze yielded an AUC of 0.78 (0.66-0.91) versus 0.67 (0.52-0.83) for left and right hemisphere LVO, respectively. Conclusions: The EMSA, like the National Institutes of Health Stroke Scale (NIHSS) upon which it is based, is more sensitive to left compared to right hemisphere LVO. More heavily weighting abnormal gaze did not improve the sensitivity of the EMSA for right hemisphere LVO. There is no comparable data on the right versus left hemisphere performance of other prehospital scales. There is a need to develop sensitive tests of right hemisphere dysfunction that are suitable for use in the field.


Sign in / Sign up

Export Citation Format

Share Document