Saturday, August 23, 2014

ELECTROENCEPHALOGRAPHY (EEG)


What is EEG?
Electroencephalography is a method that measures and records the fluctuations of electrical activity resulting from the ions flowing across a membrane in neurons. It measures this activity over a short period of time such as 20 – 40 minutes and records in a computer or any other technological device. EEG machines can be used to detect diseases such as epilepsy where there is an abnormal amount of electrical activity in the brain. It can also diagnose other conditions such as coma, sleep disorders and brain death. In other diseases there is an abnormally low amount of EEG activity. Because they only tell part of the picture EEG are often combined with other neuroimaging techniques such as MRI, fMRI, PET to get a better understanding of what is going on in the patients brain.
How does EEG work?
The way EEG works is by placing small electrical conductors or “electrodes” on the scalp of the patient. A conductive gel or paste is also applied on the electrodes to get a better reading of brain activity. The locations where the electrodes are applied on the scalp are exact and relevant. Typically 19 electrodes are used in a normal EEG scan however this number may increase or decrease depending on the patient’s individual case. After the electrode detects the electrical signals of the brain they must be amplified 1000 – 10,000 times before they are recoded. This is because of the miniature nature of electrical brain activity across the synapses of neurons. While the EEG is recording data, “activation procedures” are used to recreate the effects of the patients disorder to better record their abnormal brain activity. For example a patient with epilepsy or any other disorder maybe told to withdraw on their medication for the disorder. Other types of “activation procedures” include photic simulation (basically flashing a strobe light into the patients eyes while they are closed), sleep or sleep deprivation (patient maybe told not to sleep before the day of the EEG) or mental activity (the patient is asked to recall events or do simple arithmetic problems).
EEG Limitations
Despite being a useful tool for doctors and researchers the EEG has several limitations. One of these is that the EEG only records the activity of certain neurons in the brain. The neurons that are deeper in the brain have a weaker effect on the EEG signals. Because the EEG averages the activity of several thousand neurons at once a very large electrical change is required to be shown by the EEG. The EEG does not reflect normal action potentials that do not influence many cells but are important. Mostly dendritic currents are captured by the EEG not axonal ones. Also the cerebrospinal fluid which is meaningless to brain activity can blur the EEG signal. The EEG compared to other neuroimaging techniques cannot give specific locations in the brain where neurotransmitter drugs are found. Often background noises created by the brain the skew the EEG signals.
Different EEG Band Waves
EEG can pick up different types of brain waves after each wave is used a new type of  deal activity with a distinct frequency (measured in hertz). These waves are shown as rhythmic activity meaning in an up down motion with time in x-axis and hertz in y-axis. Alpha waves for example have a distinct frequency of 8 – 15 Hertz and are found at the posterior regions of the head. Relaxation and closing of the eyes is related to these waves. When people are in a coma these are the main waves that reflect the status of the individual. 
Alpha Waves

Beta waves have a frequency of 16 – 31 Hertz and are found on both sides of the head. They are affected by active thinking or when an individual goes from a relaxed state into an anxious or alert one. Beta waves are affected by the drug benzodiazepine that treats/acts as a multitude of things. These include being a muscle relaxant; hypnotic, anxiolytic and can treat alcohol dependence, seizures, anxiety attacks, agitation and insomnia. The drug works by enhancing the effect of the GABA neurotransmitter. This means there is a relationship between beta waves and the neurotransmitter.

Beta Waves

Gamma waves have the frequency of 32 Hertz and above  (up to 100 Hz) and are located on the somatosensory cortex. They have been shown to be related to short-term memory and matching of familiar sounds, objects or tactile sensations. Their rhythmic band pattern has been associated with neurons carrying out major motor functions. A decline in the gamma wave maybe related to a decline in general cognitive abilities.


Gamma Waves
                             
Images taken from: http://en.wikipedia.org/wiki/Electroencephalography

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