Using high density EEG to assess TMS treatment in patients with schizophrenia


Submitted: 15 February 2020
Accepted: 4 March 2020
Published: 1 April 2020
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Authors

  • Sara Marcu Reykjavik University, School of Science and Engineering, Biomedical Engineering, Reykjavik, Iceland; Department of Information Engineering, University of Padova, Italy.
  • Elena Pegolo Reykjavik University, School of Science and Engineering, Biomedical Engineering, Reykjavik, Iceland; Department of Information Engineering, University of Padova, Italy.
  • Eysteinn Ívarsson Clinical Neurophysiology Unit, Neurology Department, National University Hospital of Iceland, Iceland.
  • Aron D. Jónasson Clinical Neurophysiology Unit, Neurology Department, National University Hospital of Iceland, Iceland.
  • Viktor D. Jónasson Psychiatric Department, National University Hospital of Iceland, Iceland.
  • Romain Aubonnet Reykjavik University, School of Science and Engineering, Biomedical Engineering, Reykjavik, Iceland.
  • Paolo Gargiulo Reykjavik University, School of Science and Engineering, Biomedical Engineering, Reykjavik, Iceland.
  • Ovidiu Constantin Banea Reykjavik University, School of Science and Engineering, Biomedical Engineering, Reykjavik; Clinical Neurophysiology Unit, Neurology Department, National University Hospital of Iceland, Iceland.

We present preliminary results from the ongoing study entitled “Icelandic AVH-TMS” which aim is to study the effectiveness of repetitive transcranial magnetic stimulation (rTMS) treatment for patients with schizophrenia and with persistent auditory verbal hallucinations (AVH) using symptoms and psychometric scales and high-density EEG system (256 channels). The aim of the present work was to describe cortical topography of the auditory evoked responses like P50 and N100-P300 complex in healthy participants and patients with schizophrenia and to define a robust methodology of signal quantification using dense-array EEG. Preliminary data is shown for three healthy participants and three patients in baseline conditions and for two patients we show the results recorded before and after 10 days rTMS treatment. Our results show differences in sensory gating (P50 suppresion) and a stronger N100-P300 response to rare audio stimulus after the treatment. Moreover we show the value of assessing brain electrical activity from high-density EEG (256 channels) analyzing the results in different regions of interest. However, it is premature and hazardous to assume that rTMS treatment effectiveness in patients with AVH can be assessed using P50 suppression ratio.


Bramon E, Rabe-Hesketh S, Sham P, et al. Meta-analysis of the P300 and P50 waveforms in schizophrenia. Schizophr Res 2004;70:315–29. doi: 10.1016/j.schres.2004.01.004. DOI: https://doi.org/10.1016/j.schres.2004.01.004

Thoma L, Rentzsch J, Gaudlitz K, et al. P50, N100, and P200 Sensory Gating in Panic Disorder. Clin EEG Neurosci 2020;51: doi:10.1177/1550059419899324. DOI: https://doi.org/10.1177/1550059419899324

Adler LE, Pachtman E, Franks RD, et al. Neurophysiological evidence for a defect in neuronal mechanisms involved in sensory gating in schizophrenia. Biol Psychiat 1982;17:639–54. doi: 10.1016/0006-3223(85)90113-1. DOI: https://doi.org/10.1016/0006-3223(85)90113-1

Sánchez-Morla EM, Santos JL, Aparicio A, et al. Neuropsychological correlates of P50 sensory gating in patients with schizophrenia. Schizophr Res 2013;143:102–6. doi: 10.1016/j.schres.2012.10.017. DOI: https://doi.org/10.1016/j.schres.2012.10.017

Potter D, Summerfelt A, Gold J, Buchanan RW. Review of Clinical Correlates of P50 Sensory Gating Abnormalities in Patients with Schizophrenia. Schizophr Bull 2006; 32:692–700. doi: 10.1093/schbul/sbj050. DOI: https://doi.org/10.1093/schbul/sbj050

Ogura C, Nageishi Y, Matsubayashi M, et al. Abnormalities in Event-Related Potentials, N100, P200, P300 and Slow Wave in Schizophrenia. Psychiat Clin Neuros 1991;45:57–65. doi: 10.1111/j.1440-1819.1991.tb00506.x. DOI: https://doi.org/10.1111/j.1440-1819.1991.tb00506.x

Earls HA, Curran T, Mittal V. A Meta-analytic Review of Auditory Event-Related Potential Components as Endophenotypes for Schizophrenia: Perspectives From First-Degree Relatives. Schizophr Bull 2016;42:1504–16. doi: 10.1093/schbul/sbw047. DOI: https://doi.org/10.1093/schbul/sbw047

Hoffman RE, Boutros NN, Berman RM, et al. Transcranial magnetic stimulation of left temporoparietal cortex in three patients reporting hallucinated “voices.” Biol Psychiat 1999;46: 130-2. doi: 10.1016/s0006-3223(98)00358-8. DOI: https://doi.org/10.1016/S0006-3223(98)00358-8

Sommer IEC, Slotema CW, Daskalakis ZJ, et al. The treatment of hallucinations in schizophrenia spectrum disorders. Schizophr Bull 2012;38: 704–14. doi: 10.1093/schbul/sbs034. DOI: https://doi.org/10.1093/schbul/sbs034

Slotema CW, Blom JD, Sommer IEC. [Treatment strategies for auditory verbal hallucinations]. Tijdschr Psychiatr 2014;56: 247–56.

Lefaucheur J-P, André-Obadia N, Antal A et al. Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS). Clin Neurophysiol 2014;125:2150–2206. doi: 10.1016/j.clinph.2014.05.021. DOI: https://doi.org/10.1016/j.clinph.2014.05.021

Morstyn R, Duffy FH, McCarley RW. Altered P300 topography in schizophrenia. Arch Gen Psychiat 1983;40:729–34. doi: 10.1001/archpsyc.1983.01790060027003. DOI: https://doi.org/10.1001/archpsyc.1983.01790060027003

Salisbury DF, Shenton ME, McCarley RW. P300 topography differs in schizophrenia and manic psychosis. Biol Psychiat 1999;45:98–106. doi: 10.1016/s0006-3223(98)00208-x. DOI: https://doi.org/10.1016/S0006-3223(98)00208-X

Kurthen M, Trautner P, Rosburg T et al. Towards a functional topography of sensory gating areas: invasive P50 recording and electrical stimulation mapping in epilepsy surgery candidates. Psychiat Res 2007;155:121–33. doi: 10.1016/j.pscychresns.2006.10.003. DOI: https://doi.org/10.1016/j.pscychresns.2006.10.003

Light GA, Williams LE, Minow F, et al. Electroencephalography (EEG) and Event-Related Potentials (ERP’s) with Human Participants. Curr Protoc Neurosci 2010;52:1-6. doi: 10.1002/0471142301.ns0625s52. DOI: https://doi.org/10.1002/0471142301.ns0625s52

Hall M-H, Taylor G, Salisbury DF, Levy DL. Sensory gating event-related potentials and oscillations in schizophrenia patients and their unaffected relatives. Schizophr Bull. 2011;37: 1187–99. doi: 10.1093/schbul/sbq027. DOI: https://doi.org/10.1093/schbul/sbq027

Olincy A, Braff DL, Adler LE, et al. Inhibition of the P50 cerebral evoked response to repeated auditory stimuli: results from the Consortium on Genetics of Schizophrenia. Schizophr Res 2010;119:175–82. doi: 10.1016/j.schres.2010.03.004. DOI: https://doi.org/10.1016/j.schres.2010.03.004

Stefánsson SB, Jónsdóttir TJ. Auditory event-related potentials, auditory digit span, and clinical symptoms in chronic schizophrenic men on neuroleptic medication. Biol Psychiat 1996;40:19–27. doi: 10.1016/0006-3223(95)00351-7 DOI: https://doi.org/10.1016/0006-3223(95)00351-7

Tadel F, Baillet S, Mosher JC, Pantazis D, Leahy RM. Brainstorm: a user-friendly application for MEG/EEG analysis. Comput Intell Neurosci. 2011;2011: 879716. doi: 10.1155/2011/879716. DOI: https://doi.org/10.1155/2011/879716

Ívarsson E, Shaw A, Georgsdóttir AÓ et al. A Novel Technique to Trigger High Beta and Low Gamma Activity in Patients with Schizophrenia. IFMBE Proceedings. 2020. pp. 1064–70. doi:10.1007/978-3-030-31635-8_129 DOI: https://doi.org/10.1007/978-3-030-31635-8_129

Banea OC, Pegolo E, Marcu S et al. P50 and P300 Event Related Potentials in Patients with Schizophrenia Recorded from High-Density EEG. IFMBE Proceedings. 2020. pp. 1071–77. doi:10.1007/978-3-030-31635-8_130 DOI: https://doi.org/10.1007/978-3-030-31635-8_130

Edmunds KJ, Petersen H, Hassan M et al. Cortical recruitment and functional dynamics in postural control adaptation and habituation during vibratory proprioceptive stimulation. J Neural Eng 2019;16:026037. doi: 10.1088/1741-2552/ab0678. DOI: https://doi.org/10.1088/1741-2552/ab0678

Marcu, S., Pegolo, E., Ívarsson, E., Jónasson, A. D., Jónasson, V. D., Aubonnet, R., Gargiulo, P., & Banea, O. C. (2020). Using high density EEG to assess TMS treatment in patients with schizophrenia. European Journal of Translational Myology, 30(1), 134–138. https://doi.org/10.4081/ejtm.2019.8903

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