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Biomedical subjects

R D Pascual Marqui

Publications and source records attributed to R D Pascual Marqui.

4 recordsLinked to original sources

Frontal lobe epilepsy associated with tuberous sclerosis: electroencephalographic-magnetic resonance image fusioning.

We studied the topographic relationships between cortical and subcortical lesions shown on magnetic resonance images (MRI) and sources of epileptiform activity in a series of nine children with intractable epilepsy and tuberous sclerosis complex. Although video-electroencephalographic (EEG) monitoring was suggestive of a frontal seizure onset, interictal EEG was, in seven of nine cases, in the form of apparently bisynchronous discharges. In all cases, the use of a short time lag estimation procedure based on a nonlinear correlation function between surface recorded EEG signals allowed the detection of a lateralized onset of EEG paroxysmal activity. Furthermore, a computerized method based on a source localization EEG-MRI image fusioning procedure, has revealed a topographic concordance between well-defined frontal cortical lesions shown on MRI and site of onset of paroxysmal discharges. Lennox-like EEG patterns frequently reported in children with tuberous sclerosis complex could be the result of the tendency of frontal tubers to induce secondary bilateral synchrony, with implications in the medical and eventually surgical management of the often drug-resistant associated seizures.

Child↗

Brain electrical field measurements unaffected by linked earlobes reference.

Recent theoretical analysis supports the possibility that using a linked earlobe reference in EEG studies might appreciatively distort the measured electrical field due to current flow over a low resistance path across the wire joining both ears. Such an effect would invalidate published quantitative EEG norms. Evidence for the balancing effect of this distortion was sought for in the EEG of 4 patients with well localized unilateral lesions, a situation in which this distortion would be most apparent. Statistical tests failed to reveal significant differences between EEGs recorded when ears were linked or unlinked. An analysis of the equivalent circuit reveals that a high skin/electrode impedance effectively makes the linked ear reference behave as an ordinary reference.

Brain↗

Multivariate Box-Cox transformations with applications to neurometric data.

The Box-Cox power transform methodology for achieving Gaussianity is developed for a variety of models useful in neurometric statistical analysis. Algorithms are proposed for estimating the optimal transformations in the univariate and multivariate cases. Their use is briefly illustrated with neurometric data.

Algorithms↗

On the structure of EEG development.

Two different descriptions of EEG maturation are compared: a broad-band spectral parameters (BBSPs) model and a recently developed xi-alpha (xi alpha) model. 'Developmental equations' were obtained for both parameter sets using 1 min, eyes closed EEG sample from 165 normal children (5-12 years old). At each age, the xi alpha parameter set described the average spectrum more closely than the BBSP developmental equations. Furthermore, a more detailed picture of changes of spectral shape with age is possible with the xi alpha model. A computer simulation illustrates the possible appearance of fixed frequency bands as a byproduct of inadequate statistical models.

Aging↗