Relationships between EEG Coherence and Neuropsychological Tests in Dementia

Previous research has demonstrated differences in resting state EEG coherence among groups of subjects with dementia of the Alzheimer type (DAT), multi-infarct dementia (MID), and normal elderly controls. Since reduced coherence between brain sites has been thought to reflect functional disconnection between brain areas, we hypothesized that decreased coherence would be associated with cognitive dysfunction as assessed by neuropsychological tests. We correlated several neuropsychological tests with four coherence variables and found that reduced coherence was associated with impairment on specific neuropsychological tests in ways that conform to and supplement current knowledge about the localization of brain functions. The results are consistent with the hypothesis that coherence reflects a functional breakdown in communication between brain areas, and that coherence may be a more precise way to localize brain function than other EEG variables.

[1]  J. Beaumont,et al.  A critical review of EEG coherence studies of hemisphere function. , 1984, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[2]  N. Lassen,et al.  Multi-infarct dementia. A cause of mental deterioration in the elderly. , 1974, Lancet.

[3]  I. Whishaw,et al.  Fundamentals of Human Neuropsychology , 1995 .

[4]  G C Galbraith,et al.  EEG correlates of visual-motor practice in man. , 1975, Electroencephalography and clinical neurophysiology.

[5]  N. Geschwind Disconnexion syndromes in animals and man. I. , 1965, Brain : a journal of neurology.

[6]  F H Duffy,et al.  Brain electrical activity in patients with presenile and senile dementia of the Alzheimer type , 1984, Annals of neurology.

[7]  C. Stern,et al.  EEG coherence in men with AIDS: association with subcortical metabolic activity. , 1993, The Journal of neuropsychiatry and clinical neurosciences.

[8]  R. Thatcher,et al.  Cortico-cortical associations and EEG coherence: a two-compartmental model. , 1986, Electroencephalography and clinical neurophysiology.

[9]  A. P. Georgopoulos,et al.  Functional magnetic resonance imaging of motor cortex: hemispheric asymmetry and handedness. , 1993, Science.

[10]  A. Leuchter,et al.  Effect of white matter disease on functional connections in the aging brain. , 1994, Journal of neurology, neurosurgery, and psychiatry.

[11]  E Callaway,et al.  Coupling between Cortical Potentials from Different Areas , 1974, Science.

[12]  Arnold B. Scheibel,et al.  The Biological Substrates of Alzheimer's Disease , 1986 .

[13]  D. Tucker,et al.  Functional connections among cortical regions: topography of EEG coherence. , 1986, Electroencephalography and clinical neurophysiology.

[14]  D. O. Walter,et al.  Quantitative EEG Correlates of Outcome in Older Psychiatric Patients: Part I: Cross-Sectional and Longitudinal Assessment of Patients With Dementia. , 1994, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[15]  D. O. Walter,et al.  Electroencephalographic spectra and coherence in the diagnosis of Alzheimer's-type and multi-infarct dementia. A pilot study. , 1987, Archives of general psychiatry.

[16]  E. Kaplan,et al.  The Boston naming test , 2001 .

[17]  S. Bressler,et al.  Shadows of thought: shifting lateralization of human brain electrical patterns during brief visuomotor task. , 1983, Science.

[18]  A S Gevins,et al.  Neurocognitive pattern analysis of a visuospatial task: rapidly-shifting foci of evoked correlations between electrodes. , 1985, Psychophysiology.

[19]  J. Elashoff,et al.  Multiple Regression in Behavioral Research. , 1975 .

[20]  Pierre Flor-Henry,et al.  Hemisphere asymmetries of function in psychopathology , 1979 .

[21]  D O Walter,et al.  Changes in brain functional connectivity in Alzheimer-type and multi-infarct dementia. , 1992, Brain : a journal of neurology.

[22]  M. Folstein,et al.  Clinical diagnosis of Alzheimer's disease , 1984, Neurology.

[23]  A. Leuchter,et al.  Quantitative EEG Correlates of Outcome in Older Psychiatric Patients: Part II: Two-Year Follow-Up of Patients With Depression. , 1994, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[24]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[25]  A S Gevins,et al.  Electrical potentials in human brain during cognition: new method reveals dynamic patterns of correlation. , 1981, Science.

[26]  Elizabeth K. Warrington,et al.  The WAIS as a lateralizing and localizing diagnostic instrument: A study of 656 patients with unilateral cerebral lesions , 1986, Neuropsychologia.

[27]  J C Shaw,et al.  The EEG and Differential Diagnosis in Psychogeriatrics , 1979, British Journal of Psychiatry.