Electroencephalography (EEG)
is a method to record an
electrogram
An electrogram (EGM) is a recording of electrical activity of organs such as the brain and heart, measured by monitoring changes in electric potential. Historically, it also referred to an instrument to measure atmospheric electrical potential. ...
of the spontaneous electrical activity of the
brain
The brain is an organ (biology), organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. It consists of nervous tissue and is typically located in the head (cephalization), usually near organs for ...
. The
bio signals detected by EEG have been shown to represent the
postsynaptic potentials of pyramidal neurons in the
neocortex
The neocortex, also called the neopallium, isocortex, or the six-layered cortex, is a set of layers of the mammalian cerebral cortex involved in higher-order brain functions such as sensory perception, cognition, generation of motor commands, ...
and
allocortex
The allocortex (from Latin allo-, meaning other, and cortex, meaning bark or crust), or heterogenetic cortex, is one of the two types of cerebral cortex in the brain, together with the neocortex. In the human brain, the allocortex is the much sm ...
. It is typically non-invasive, with the EEG
electrode
An electrode is an electrical conductor used to make contact with a nonmetallic part of a circuit (e.g. a semiconductor, an electrolyte, a vacuum or a gas). In electrochemical cells, electrodes are essential parts that can consist of a varie ...
s placed along the
scalp
The scalp is the area of the head where head hair grows. It is made up of skin, layers of connective and fibrous tissues, and the membrane of the skull. Anatomically, the scalp is part of the epicranium, a collection of structures covering th ...
(commonly called "scalp EEG") using the
International 10–20 system, or variations of it.
Electrocorticography
Electrocorticography (ECoG), a type of intracranial electroencephalography (iEEG), is a type of electrophysiological monitoring that uses electrodes placed directly on the exposed surface of the brain to record electrical activity from the cer ...
, involving surgical placement of electrodes, is sometimes called
"intracranial EEG". Clinical interpretation of EEG recordings is most often performed by visual inspection of the tracing or
quantitative EEG analysis.
Voltage fluctuations measured by the EEG
bio amplifier and
electrode
An electrode is an electrical conductor used to make contact with a nonmetallic part of a circuit (e.g. a semiconductor, an electrolyte, a vacuum or a gas). In electrochemical cells, electrodes are essential parts that can consist of a varie ...
s allow the evaluation of normal
brain activity. As the electrical activity monitored by EEG originates in
neuron
A neuron (American English), neurone (British English), or nerve cell, is an membrane potential#Cell excitability, excitable cell (biology), cell that fires electric signals called action potentials across a neural network (biology), neural net ...
s in the underlying
brain tissue, the recordings made by the
electrode
An electrode is an electrical conductor used to make contact with a nonmetallic part of a circuit (e.g. a semiconductor, an electrolyte, a vacuum or a gas). In electrochemical cells, electrodes are essential parts that can consist of a varie ...
s on the surface of the
scalp
The scalp is the area of the head where head hair grows. It is made up of skin, layers of connective and fibrous tissues, and the membrane of the skull. Anatomically, the scalp is part of the epicranium, a collection of structures covering th ...
vary in accordance with their orientation and distance to the source of the activity. Furthermore, the value recorded is distorted by intermediary tissues and bones, which act in a manner akin to resistors and capacitors in an
electrical circuit
An electrical network is an interconnection of electrical components (e.g., battery (electricity), batteries, resistors, inductors, capacitors, switches, transistors) or a model of such an interconnection, consisting of electrical elements (e. ...
. This means that not all neurons will contribute equally to an EEG signal, with an EEG predominately reflecting the activity of
cortical neurons near the
electrode
An electrode is an electrical conductor used to make contact with a nonmetallic part of a circuit (e.g. a semiconductor, an electrolyte, a vacuum or a gas). In electrochemical cells, electrodes are essential parts that can consist of a varie ...
s on the scalp. Deep structures within the
brain
The brain is an organ (biology), organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. It consists of nervous tissue and is typically located in the head (cephalization), usually near organs for ...
further away from the
electrode
An electrode is an electrical conductor used to make contact with a nonmetallic part of a circuit (e.g. a semiconductor, an electrolyte, a vacuum or a gas). In electrochemical cells, electrodes are essential parts that can consist of a varie ...
s will not contribute directly to an EEG; these include the base of the
cortical gyrus
In neuroanatomy, a gyrus (: gyri) is a ridge on the cerebral cortex. It is generally surrounded by one or more sulci (depressions or furrows; : sulcus). Gyri and sulci create the folded appearance of the brain in humans and other mammals.
...
, mesial walls of the major
lobes,
hippocampus
The hippocampus (: hippocampi; via Latin from Ancient Greek, Greek , 'seahorse'), also hippocampus proper, is a major component of the brain of humans and many other vertebrates. In the human brain the hippocampus, the dentate gyrus, and the ...
,
thalamus
The thalamus (: thalami; from Greek language, Greek Wikt:θάλαμος, θάλαμος, "chamber") is a large mass of gray matter on the lateral wall of the third ventricle forming the wikt:dorsal, dorsal part of the diencephalon (a division of ...
, and
brain stem
The brainstem (or brain stem) is the posterior stalk-like part of the brain that connects the cerebrum with the spinal cord. In the human brain the brainstem is composed of the midbrain, the pons, and the medulla oblongata. The midbrain is co ...
.
A healthy human EEG will show certain patterns of activity that correlate with how awake a person is. The range of frequencies one observes are between 1 and 30 Hz, and amplitudes will vary between 20 and 100 μV. The observed frequencies are subdivided into various groups:
alpha
Alpha (uppercase , lowercase ) is the first letter of the Greek alphabet. In the system of Greek numerals, it has a value of one. Alpha is derived from the Phoenician letter ''aleph'' , whose name comes from the West Semitic word for ' ...
(8–13 Hz),
beta
Beta (, ; uppercase , lowercase , or cursive ; or ) is the second letter of the Greek alphabet. In the system of Greek numerals, it has a value of 2. In Ancient Greek, beta represented the voiced bilabial plosive . In Modern Greek, it represe ...
(13–30 Hz),
delta
Delta commonly refers to:
* Delta (letter) (Δ or δ), the fourth letter of the Greek alphabet
* D (NATO phonetic alphabet: "Delta"), the fourth letter in the Latin alphabet
* River delta, at a river mouth
* Delta Air Lines, a major US carrier ...
(0.5–4 Hz), and
theta
Theta (, ) uppercase Θ or ; lowercase θ or ; ''thē̂ta'' ; Modern: ''thī́ta'' ) is the eighth letter of the Greek alphabet, derived from the Phoenician letter Teth 𐤈. In the system of Greek numerals, it has a value of 9.
Gree ...
(4–7 Hz).
Alpha wave
Alpha waves, or the alpha rhythm, are neural oscillations in the frequency range of 8–12 Hz likely originating from the synchronous and coherent ( in phase or constructive) neocortical neuronal electrical activity possibly involving thala ...
s are observed when a person is in a state of relaxed wakefulness and are mostly prominent over the parietal and occipital sites. During intense
mental activity
Energy is a concept in some psychological theories or models of a postulated unconscious mental functioning on a level between biology and consciousness.
Philosophical accounts
The idea harks back to Aristotle's conception of '' actus et potentia ...
,
beta wave
Beta waves, or beta rhythm, are neural oscillations (brainwaves) in the brain with a frequency range of between 12.5 and 30 Hz (12.5 to 30 cycles per second). Several different rhythms coexist, with some being inhibitory and others excitory ...
s are more prominent in frontal areas as well as other regions. If a relaxed person is told to open their eyes, one observes alpha activity decreasing and an increase in beta activity.
Theta
Theta (, ) uppercase Θ or ; lowercase θ or ; ''thē̂ta'' ; Modern: ''thī́ta'' ) is the eighth letter of the Greek alphabet, derived from the Phoenician letter Teth 𐤈. In the system of Greek numerals, it has a value of 9.
Gree ...
and
delta waves are not generally seen in
wakefulness
Wakefulness is a daily recurring brain state and state of consciousness in which an individual is conscious and engages in coherent cognition, cognitive and behavioral responses to the external world.
Being awake is the opposite of being asleep, ...
– if they are, it is a sign of brain dysfunction.
EEG can detect abnormal
electrical discharges such as
sharp waves, spikes, or
spike-and-wave
Spike-and-wave is a pattern of the electroencephalogram (EEG) typically observed during epileptic seizures. A spike-and-wave discharge is a regular, symmetrical, generalized EEG pattern seen particularly during absence epilepsy, also known as ...
complexes, as observable in people with
epilepsy
Epilepsy is a group of Non-communicable disease, non-communicable Neurological disorder, neurological disorders characterized by a tendency for recurrent, unprovoked Seizure, seizures. A seizure is a sudden burst of abnormal electrical activit ...
; thus, it is often used to inform
medical diagnosis
Medical diagnosis (abbreviated Dx, Dx, or Ds) is the process of determining which disease or condition explains a person's symptoms and signs. It is most often referred to as a diagnosis with the medical context being implicit. The information ...
. EEG can detect the onset and spatio-temporal (location and time) evolution of
seizures
A seizure is a sudden, brief disruption of brain activity caused by abnormal, excessive, or synchronous neuronal firing. Depending on the regions of the brain involved, seizures can lead to changes in movement, sensation, behavior, awareness, o ...
and the presence of
status epilepticus
Status epilepticus (SE), or status seizure, is a medical condition with abnormally prolonged seizures. It can have long-term consequences, manifesting as a single seizure lasting more than a defined time (time point 1), or 2 or more seizures over ...
. It is also used to help diagnose
sleep disorder
A sleep disorder, or somnipathy, is a medical disorder affecting an individual's sleep patterns, sometimes impacting physical, mental, social, and emotional functioning. Polysomnography and actigraphy are tests commonly ordered for diagnosing sle ...
s, depth of
anesthesia
Anesthesia (American English) or anaesthesia (British English) is a state of controlled, temporary loss of sensation or awareness that is induced for medical or veterinary purposes. It may include some or all of analgesia (relief from or prev ...
,
coma
A coma is a deep state of prolonged unconsciousness in which a person cannot be awakened, fails to Nociception, respond normally to Pain, painful stimuli, light, or sound, lacks a normal Circadian rhythm, sleep-wake cycle and does not initiate ...
,
encephalopathies,
cerebral hypoxia
Cerebral hypoxia is a form of Hypoxia (medical), hypoxia (reduced supply of oxygen), specifically involving the human brain, brain; when the brain is completely deprived of oxygen, it is called ''cerebral anoxia''. There are four categories of c ...
after
cardiac arrest
Cardiac arrest (also known as sudden cardiac arrest CA is when the heart suddenly and unexpectedly stops beating. When the heart stops beating, blood cannot properly Circulatory system, circulate around the body and the blood flow to the ...
, and
brain death
Brain death is the permanent, irreversible, and complete loss of Electroencephalography, brain function, which may include cessation of involuntary activity (e.g., Control of ventilation#Control of respiratory rhythm, breathing) necessary to su ...
. EEG used to be a first-line method of diagnosis for
tumor
A neoplasm () is a type of abnormal and excessive growth of tissue. The process that occurs to form or produce a neoplasm is called neoplasia. The growth of a neoplasm is uncoordinated with that of the normal surrounding tissue, and persists ...
s,
stroke
Stroke is a medical condition in which poor cerebral circulation, blood flow to a part of the brain causes cell death. There are two main types of stroke: brain ischemia, ischemic, due to lack of blood flow, and intracranial hemorrhage, hemor ...
, and other focal brain disorders, but this use has decreased with the advent of high-resolution anatomical imaging techniques such as
magnetic resonance imaging
Magnetic resonance imaging (MRI) is a medical imaging technique used in radiology to generate pictures of the anatomy and the physiological processes inside the body. MRI scanners use strong magnetic fields, magnetic field gradients, and ...
(MRI) and
computed tomography
A computed tomography scan (CT scan), formerly called computed axial tomography scan (CAT scan), is a medical imaging technique used to obtain detailed internal images of the body. The personnel that perform CT scans are called radiographers or ...
(CT). Despite its limited spatial resolution, EEG continues to be a valuable tool for research and diagnosis. It is one of the few mobile techniques available and offers millisecond-range temporal resolution, which is not possible with CT, PET, or MRI.
Derivatives of the EEG technique include
evoked potential
An evoked potential or evoked response is an electrical potential in a specific pattern recorded from a specific part of the nervous system, especially the brain, of a human or other animals following presentation of a stimulus such as a light fl ...
s (EP), which involves averaging the EEG activity time-locked to the presentation of a stimulus of some sort (visual,
somatosensory
The somatosensory system, or somatic sensory system is a subset of the sensory nervous system. The main functions of the somatosensory system are the perception of external stimuli, the perception of internal stimuli, and the regulation of bod ...
, or auditory). Event-related potentials (
ERPs) refer to averaged EEG responses that are time-locked to more complex processing of stimuli; this technique is used in
cognitive science
Cognitive science is the interdisciplinary, scientific study of the mind and its processes. It examines the nature, the tasks, and the functions of cognition (in a broad sense). Mental faculties of concern to cognitive scientists include percep ...
,
cognitive psychology
Cognitive psychology is the scientific study of human mental processes such as attention, language use, memory, perception, problem solving, creativity, and reasoning.
Cognitive psychology originated in the 1960s in a break from behaviorism, whi ...
, and
psychophysiological
Psychophysiology (from Greek , ''psȳkhē'', "breath, life, soul"; , ''physis'', "nature, origin"; and , ''-logia'') is the branch of psychology that is concerned with the physiological bases of psychological processes. While psychophysiology w ...
research.
Uses
Epilepsy

EEG is the
gold standard
A gold standard is a backed currency, monetary system in which the standard economics, economic unit of account is based on a fixed quantity of gold. The gold standard was the basis for the international monetary system from the 1870s to the ...
diagnostic procedure to confirm
epilepsy
Epilepsy is a group of Non-communicable disease, non-communicable Neurological disorder, neurological disorders characterized by a tendency for recurrent, unprovoked Seizure, seizures. A seizure is a sudden burst of abnormal electrical activit ...
. The
sensitivity of a routine EEG to detect interictal epileptiform discharges at epilepsy centers has been reported to be in the range of 29–55%.
Given the low to moderate sensitivity, a routine EEG (typically with a duration of 20–30 minutes) can be normal in people that have epilepsy. When an EEG shows interictal epileptiform discharges (e.g. sharp waves, spikes,
spike-and-wave
Spike-and-wave is a pattern of the electroencephalogram (EEG) typically observed during epileptic seizures. A spike-and-wave discharge is a regular, symmetrical, generalized EEG pattern seen particularly during absence epilepsy, also known as ...
, etc.) it is confirmatory of epilepsy in nearly all cases (high
specificity), however up to 3.5% of the general population may have epileptiform abnormalities in an EEG without ever having had a seizure (low
false positive rate)
or with a very low risk of developing epilepsy in the future.
When a routine EEG is normal and there is a high suspicion or need to confirm epilepsy, it may be repeated or performed with a longer duration in the epilepsy monitoring unit (EMU) or at home with an ambulatory EEG. In addition, there are activating maneuvers such as photic stimulation, hyperventilation and sleep deprivation that can increase the diagnostic yield of the EEG.
Epilepsy Monitoring Unit (EMU)
At times, a routine EEG is not sufficient to establish the diagnosis or determine the best course of action in terms of treatment. In this case, attempts may be made to record an EEG while a
seizure
A seizure is a sudden, brief disruption of brain activity caused by abnormal, excessive, or synchronous neuronal firing. Depending on the regions of the brain involved, seizures can lead to changes in movement, sensation, behavior, awareness, o ...
is occurring. This is known as an
ictal recording, as opposed to an interictal recording, which refers to the EEG recording between seizures. To obtain an ictal recording, a prolonged EEG is typically performed accompanied by a time-synchronized video and audio recording. This can be done either as an outpatient (at home) or during a hospital admission, preferably to an Epilepsy Monitoring Unit (EMU) with nurses and other personnel trained in the care of patients with seizures. Outpatient ambulatory video EEGs typically last one to three days. An admission to an Epilepsy Monitoring Unit typically lasts several days but may last for a week or longer. While in the hospital, seizure medications are usually withdrawn to increase the odds that a seizure will occur during admission. For reasons of safety, medications are not withdrawn during an EEG outside of the hospital. Ambulatory video EEGs, therefore, have the advantage of convenience and are less expensive than a hospital admission, but they also have the disadvantage of a decreased probability of recording a clinical event.
Epilepsy monitoring is often considered when patients continue having events despite being on anti-seizure medications or if there is concern that the patient's events have an alternate diagnosis, e.g.,
psychogenic non-epileptic seizures,
syncope (fainting), sub-cortical
movement disorder
Movement disorders are clinical syndromes with either an excess of movement or a paucity of voluntary and involuntary movements, unrelated to weakness or spasticity. Movement disorders present with extrapyramidal symptoms and are caused by basa ...
s,
migraine
Migraine (, ) is a complex neurological disorder characterized by episodes of moderate-to-severe headache, most often unilateral and generally associated with nausea, and light and sound sensitivity. Other characterizing symptoms may includ ...
variants, stroke, etc. In cases of epileptic seizures, continuous EEG monitoring helps to
characterize seizures and localize/lateralize the region of the brain from which a seizure originates. This can help identify appropriate non-medication treatment options. In clinical use, EEG traces are visually analyzed by neurologists to look at various features. Increasingly, quantitative analysis of EEG is being used in conjunction with visual analysis. Quantitative analysis displays like power spectrum analysis, alpha-delta ratio, amplitude integrated EEG, and spike detection can help quickly identify segments of EEG that need close visual analysis or, in some cases, be used as surrogates for quick identification of seizures in long-term recordings.
Other brain disorders
An EEG might also be helpful for diagnosing or treating the following disorders:
* Brain tumor
* Brain damage from head injury
* Brain dysfunction that can have a variety of causes (encephalopathy)
* Inflammation of the brain (encephalitis)
* Stroke
* Sleep disorders
It can also:
* distinguish
epileptic
Epilepsy is a group of non-communicable neurological disorders characterized by a tendency for recurrent, unprovoked seizures. A seizure is a sudden burst of abnormal electrical activity in the brain that can cause a variety of symptoms, rang ...
seizures from other types of spells, such as
psychogenic non-epileptic seizures,
syncope (fainting), sub-cortical
movement disorder
Movement disorders are clinical syndromes with either an excess of movement or a paucity of voluntary and involuntary movements, unrelated to weakness or spasticity. Movement disorders present with extrapyramidal symptoms and are caused by basa ...
s and
migraine
Migraine (, ) is a complex neurological disorder characterized by episodes of moderate-to-severe headache, most often unilateral and generally associated with nausea, and light and sound sensitivity. Other characterizing symptoms may includ ...
variants
* differentiate "organic"
encephalopathy
Encephalopathy (; ) means any disorder or disease of the brain, especially chronic degenerative conditions. In modern usage, encephalopathy does not refer to a single disease, but rather to a syndrome of overall brain dysfunction; this syndrome ...
or
delirium
Delirium (formerly acute confusional state, an ambiguous term that is now discouraged) is a specific state of acute confusion attributable to the direct physiological consequence of a medical condition, effects of a psychoactive substance, or ...
from primary psychiatric syndromes such as
catatonia
Catatonia is a complex syndrome most commonly seen in people with underlying mood disorders, such as major depressive disorder, or psychotic disorders, such as schizophrenia. People with catatonia exhibit abnormal movement and behaviors, wh ...
* serve as an adjunct test of
brain death
Brain death is the permanent, irreversible, and complete loss of Electroencephalography, brain function, which may include cessation of involuntary activity (e.g., Control of ventilation#Control of respiratory rhythm, breathing) necessary to su ...
in comatose patients
* prognosticate in comatose patients (in certain instances) or in newborns with brain injury from various causes around the time of birth
* determine whether to wean anti-epileptic medications.
Intensive Care Unit (ICU)
EEG can also be used in
intensive care unit
An intensive care unit (ICU), also known as an intensive therapy unit or intensive treatment unit (ITU) or critical care unit (CCU), is a special department of a hospital or health care facility that provides intensive care medicine.
An inten ...
s for brain function monitoring to monitor for non-convulsive seizures/non-convulsive status epilepticus, to monitor the effect of sedative/anesthesia in patients in medically induced coma (for treatment of refractory seizures or increased
intracranial pressure
Intracranial pressure (ICP) is the pressure exerted by fluids such as cerebrospinal fluid (CSF) inside the skull and on the brain tissue. ICP is measured in millimeters of mercury ( mmHg) and at rest, is normally 7–15 mmHg for a supine adu ...
), and to monitor for secondary brain damage in conditions such as
subarachnoid hemorrhage
Subarachnoid hemorrhage (SAH) is bleeding into the subarachnoid space—the area between the arachnoid (brain), arachnoid membrane and the pia mater surrounding the human brain, brain. Symptoms may include a thunderclap headache, severe heada ...
(currently a research method).
In cases where significant brain injury is suspected, e.g., after cardiac arrest, EEG can provide some prognostic information.
If a patient with epilepsy is being considered for
resective surgery to treat epilepsy, it is often necessary to localize the focus (source) of the epileptic brain activity with a resolution greater than what is provided by scalp EEG. In these cases, neurosurgeons typically implant strips and grids of electrodes or penetrating depth electrodes under the
dura mater, through either a
craniotomy
A craniotomy is a surgery, surgical operation in which a bone flap is temporarily removed from the Human skull, skull to access the Human brain, brain. Craniotomies are often critical operations, performed on patients who are suffering from brain ...
or a
burr hole. The recording of these signals is referred to as
electrocorticography
Electrocorticography (ECoG), a type of intracranial electroencephalography (iEEG), is a type of electrophysiological monitoring that uses electrodes placed directly on the exposed surface of the brain to record electrical activity from the cer ...
(ECoG), subdural EEG (SDE), intracranial EEG (iEEG), or stereotactic EEG (SEEG). The signal recorded from ECoG is on a different scale of activity than the brain activity recorded from scalp EEG. Low-voltage, high-frequency components that cannot be seen easily (or at all) in scalp EEG can be seen clearly in ECoG. Further, smaller electrodes (which cover a smaller parcel of brain surface) allow for better spatial resolution to narrow down the areas critical for seizure onset and propagation. Some clinical sites record data from penetrating microelectrodes.
Home ambulatory EEG
Sometimes it is more convenient or clinically necessary to perform ambulatory EEG recordings in the home of the person being tested. These studies typically have a duration of 24–72 hours.
Research use
EEG and the related study of
ERPs are used extensively in
neuroscience
Neuroscience is the scientific study of the nervous system (the brain, spinal cord, and peripheral nervous system), its functions, and its disorders. It is a multidisciplinary science that combines physiology, anatomy, molecular biology, ...
,
cognitive science
Cognitive science is the interdisciplinary, scientific study of the mind and its processes. It examines the nature, the tasks, and the functions of cognition (in a broad sense). Mental faculties of concern to cognitive scientists include percep ...
,
cognitive psychology
Cognitive psychology is the scientific study of human mental processes such as attention, language use, memory, perception, problem solving, creativity, and reasoning.
Cognitive psychology originated in the 1960s in a break from behaviorism, whi ...
,
neurolinguistics
Neurolinguistics is the study of Nervous system, neural mechanisms in the human brain that control the comprehension, production, and acquisition of language. As an interdisciplinary field, neurolinguistics draws methods and theories from fie ...
, and
psychophysiological
Psychophysiology (from Greek , ''psȳkhē'', "breath, life, soul"; , ''physis'', "nature, origin"; and , ''-logia'') is the branch of psychology that is concerned with the physiological bases of psychological processes. While psychophysiology w ...
research, as well as to study human functions such as swallowing. Any EEG techniques used in research are not sufficiently standardised for clinical use, and many ERP studies fail to report all of the necessary processing steps for data collection and reduction, limiting the reproducibility and replicability of many studies. Based on a 2024 systematic literature review and meta analysis commissioned by the
Patient-Centered Outcomes Research Institute
The Patient-Centered Outcomes Research Institute (PCORI) is a United States–based non-profit institute created through the 2010 Patient Protection and Affordable Care Act. It is a government-sponsored organization charged with funding Compar ...
(PCORI), EEG scans cannot be used reliably to assist in making a clinical diagnosis of ADHD.
However, EEG continues to be used in research on mental disabilities, such as
auditory processing disorder
Auditory processing disorder (APD) is a neurodevelopmental disorder affecting the way the brain processes sounds. Individuals with APD usually have normal structure and function of the ear, but cannot process the information they hear in the s ...
(APD),
ADD, and
ADHD
Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterised by symptoms of inattention, hyperactivity, impulsivity, and emotional dysregulation that are excessive and pervasive, impairing in multiple ...
.
EEGs have also been studied for their utility in detecting neurophysiological changes in the brain after concussion, however, at this time there are no advanced imaging techniques that can be used clinically to diagnose or monitor recovery from concussion.
Advantages
Several other methods to study brain function exist, including
functional magnetic resonance imaging
Functional magnetic resonance imaging or functional MRI (fMRI) measures brain activity by detecting changes associated with blood flow. This technique relies on the fact that cerebral blood flow and neuronal activation are coupled. When an area o ...
(fMRI),
positron emission tomography
Positron emission tomography (PET) is a functional imaging technique that uses radioactive substances known as radiotracers to visualize and measure changes in metabolic processes, and in other physiological activities including blood flow, r ...
(PET),
magnetoencephalography
Magnetoencephalography (MEG) is a functional neuroimaging technique for mapping brain activity by recording magnetic fields produced by electric current, electrical currents occurring naturally in the human brain, brain, using very sensitive magn ...
(MEG),
nuclear magnetic resonance spectroscopy
Nuclear magnetic resonance spectroscopy, most commonly known as NMR spectroscopy or magnetic resonance spectroscopy (MRS), is a Spectroscopy, spectroscopic technique based on re-orientation of Atomic nucleus, atomic nuclei with non-zero nuclear sp ...
(NMR or MRS),
electrocorticography
Electrocorticography (ECoG), a type of intracranial electroencephalography (iEEG), is a type of electrophysiological monitoring that uses electrodes placed directly on the exposed surface of the brain to record electrical activity from the cer ...
(ECoG),
single-photon emission computed tomography
Single-photon emission computed tomography (SPECT, or less commonly, SPET) is a nuclear medicine tomography, tomographic imaging technique using gamma rays. It is very similar to conventional nuclear medicine planar imaging using a gamma camera ...
(SPECT),
near-infrared spectroscopy
Near-infrared spectroscopy (NIRS) is a spectroscopic method that uses the near-infrared region of the electromagnetic spectrum (from 780 nm to 2500 nm). Typical applications include medical and physiological diagnostics and research inc ...
(NIRS), and
event-related optical signal (EROS). Despite the relatively poor spatial sensitivity of EEG, the "one-dimensional signals from localised peripheral regions on the head make it attractive for its simplistic fidelity and has allowed high clinical and basic research throughput".
Thus, EEG possesses some advantages over some of those other techniques:
* Hardware costs are significantly lower than those of most other techniques
* EEG prevents limited availability of technologists to provide immediate care in high traffic hospitals.
* EEG only requires a quiet room and briefcase-size equipment, whereas fMRI, SPECT, PET, MRS, or MEG require bulky and immobile equipment. For example, MEG requires equipment consisting of
liquid helium
Liquid helium is a physical state of helium at very low temperatures at standard atmospheric pressures. Liquid helium may show superfluidity.
At standard pressure, the chemical element helium exists in a liquid form only at the extremely low temp ...
-cooled detectors that can be used only in magnetically shielded rooms, altogether costing upwards of several million dollars;
and fMRI requires the use of a 1-ton magnet in, again, a shielded room.
* EEG can readily have a high temporal resolution, (although sub-millisecond resolution generates less meaningful data), because the two to 32 data streams generated by that number of electrodes is easily stored and processed, whereas 3D spatial technologies provide thousands or millions times as many input data streams, and are thus limited by hardware and software. EEG is commonly recorded at sampling rates between 250 and 2000 Hz in clinical and research settings.
* EEG is relatively tolerant of subject movement, unlike most other neuroimaging techniques. There even exist methods for minimizing, and even eliminating movement artifacts in EEG data
* EEG is silent, which allows for better study of the responses to auditory stimuli.
* EEG does not aggravate
claustrophobia, unlike fMRI, PET, MRS, SPECT, and sometimes MEG
* EEG does not involve exposure to high-intensity (>1
Tesla) magnetic fields, as in some of the other techniques, especially MRI and MRS. These can cause a variety of undesirable issues with the data, and also prohibit use of these techniques with participants that have metal implants in their body, such as metal-containing pacemakers
* EEG does not involve exposure to
radioligand
A radioligand is a microscopic particle which consists of a Radiopharmaceutical, therapeutic radioactive isotope and the cell-targeting compound - the ligand. The ligand is the target binding site, it may be on the surface of the targeted cancer c ...
s, unlike
positron emission tomography
Positron emission tomography (PET) is a functional imaging technique that uses radioactive substances known as radiotracers to visualize and measure changes in metabolic processes, and in other physiological activities including blood flow, r ...
.
* ERP studies can be conducted with relatively simple paradigms, compared with IE block-design fMRI studies
* Relatively
non-invasive, in contrast to
electrocorticography
Electrocorticography (ECoG), a type of intracranial electroencephalography (iEEG), is a type of electrophysiological monitoring that uses electrodes placed directly on the exposed surface of the brain to record electrical activity from the cer ...
, which requires electrodes to be placed on the actual surface of the brain.
EEG also has some characteristics that compare favorably with behavioral testing:
* EEG can detect
covert processing (i.e., processing that does not require a response)
* EEG can be used in subjects who are incapable of making a motor response
* EEG is a method widely used in the study of sport performance, valued for its portability and lightweight design
* Some ERP components can be detected even when the subject is not attending to the stimuli
* Unlike other means of studying reaction time, ERPs can elucidate stages of processing (rather than just the result)
* the simplicity of EEG readily provides for tracking of brain changes during different phases of life. EEG sleep analysis can indicate significant aspects of the timing of brain development, including evaluating adolescent brain maturation.
* In EEG there is a better understanding of what signal is measured as compared to other research techniques, e.g. the BOLD response in MRI.
Disadvantages
* Low spatial resolution on the scalp.
fMRI
Functional magnetic resonance imaging or functional MRI (fMRI) measures brain activity by detecting changes associated with blood flow. This technique relies on the fact that cerebral blood flow and neuronal activation are coupled. When an area o ...
, for example, can directly display areas of the brain that are active, while EEG requires intense interpretation just to hypothesize what areas are activated by a particular response.
* Depending on the orientation and location of the dipole causing an EEG change, there may be a false localization due to the inverse problem.
* EEG poorly measures neural activity that occurs below the upper layers of the brain (the cortex).
* Unlike
PET
A pet, or companion animal, is an animal kept primarily for a person's company or entertainment rather than as a working animal, livestock, or a laboratory animal. Popular pets are often considered to have attractive/ cute appearances, inte ...
and MRS, EEG cannot identify specific locations in the brain at which various neurotransmitters, drugs, etc. can be found.
* Often takes a long time to connect a subject to EEG, as it requires precise placement of dozens of electrodes around the head and the use of various gels, saline solutions, and pastes to maintain good conductivity, and a cap is used to keep them in place. While the length of time differs dependent on the specific EEG device used, as a general rule it takes considerably less time to prepare a subject for MEG, fMRI, MRS, and SPECT.
* Signal-to-noise ratio is poor, so sophisticated data analysis and relatively large numbers of subjects are needed to extract useful information from EEG.
* EEGs are not currently very compatible with individuals who have coarser or textured hair. Even protective styles can pose issues during testing. Researchers are currently trying to build better options for patients and technicians alike Furthermore, researchers are starting to implement more culturally-informed data collection practices to help reduce racial biases in EEG research.
With other neuroimaging techniques
Simultaneous EEG recordings and fMRI scans have been obtained successfully, though recording both at the same time effectively requires that several technical difficulties be overcome, such as the presence of ballistocardiographic artifact, MRI pulse artifact and the induction of electrical currents in EEG wires that move within the strong magnetic fields of the MRI. While challenging, these have been successfully overcome in a number of studies.
MRI's produce detailed images created by generating strong magnetic fields that may induce potentially harmful displacement force and torque. These fields produce potentially harmful radio frequency heating and create image artifacts rendering images useless. Due to these potential risks, only certain medical devices can be used in an MR environment.
Similarly, simultaneous recordings with MEG and EEG have also been conducted, which has several advantages over using either technique alone:
* EEG requires accurate information about certain aspects of the skull that can only be estimated, such as skull radius, and conductivities of various skull locations. MEG does not have this issue, and a simultaneous analysis allows this to be corrected for.
* MEG and EEG both detect activity below the surface of the cortex very poorly, and like EEG, the level of error increases with the depth below the surface of the cortex one attempts to examine. However, the errors are very different between the techniques, and combining them thus allows for correction of some of this noise.
* MEG has access to virtually no sources of brain activity below a few centimetres under the cortex. EEG, on the other hand, can receive signals from greater depth, albeit with a high degree of noise. Combining the two makes it easier to determine what in the EEG signal comes from the surface (since MEG is very accurate in examining signals from the surface of the brain), and what comes from deeper in the brain, thus allowing for analysis of deeper brain signals than either EEG or MEG on its own.
Recently, a combined EEG/MEG (EMEG) approach has been investigated for the purpose of source reconstruction in epilepsy diagnosis.
EEG has also been combined with
positron emission tomography
Positron emission tomography (PET) is a functional imaging technique that uses radioactive substances known as radiotracers to visualize and measure changes in metabolic processes, and in other physiological activities including blood flow, r ...
. This provides the advantage of allowing researchers to see what EEG signals are associated with different drug actions in the brain.
Recent studies using
machine learning
Machine learning (ML) is a field of study in artificial intelligence concerned with the development and study of Computational statistics, statistical algorithms that can learn from data and generalise to unseen data, and thus perform Task ( ...
techniques such as
neural networks
A neural network is a group of interconnected units called neurons that send signals to one another. Neurons can be either Cell (biology), biological cells or signal pathways. While individual neurons are simple, many of them together in a netwo ...
with statistical temporal features extracted from
frontal lobe
The frontal lobe is the largest of the four major lobes of the brain in mammals, and is located at the front of each cerebral hemisphere (in front of the parietal lobe and the temporal lobe). It is parted from the parietal lobe by a Sulcus (neur ...
EEG brainwave data has shown high levels of success in classifying mental states (Relaxed, Neutral, Concentrating), mental emotional states (Negative, Neutral, Positive) and
thalamocortical dysrhythmia.
Mechanisms
The brain's electrical charge is maintained by billions of
neuron
A neuron (American English), neurone (British English), or nerve cell, is an membrane potential#Cell excitability, excitable cell (biology), cell that fires electric signals called action potentials across a neural network (biology), neural net ...
s. Neurons are electrically charged (or "polarized") by
membrane transport proteins that pump
ions
An ion () is an atom or molecule with a net electrical charge. The charge of an electron is considered to be negative by convention and this charge is equal and opposite to the charge of a proton, which is considered to be positive by convent ...
across their membranes. Neurons are constantly exchanging ions with the extracellular milieu, for example to maintain
resting potential
The relatively static membrane potential of quiescent cells is called the resting membrane potential (or resting voltage), as opposed to the specific dynamic electrochemical phenomena called action potential and graded membrane potential. The re ...
and to propagate
action potential
An action potential (also known as a nerve impulse or "spike" when in a neuron) is a series of quick changes in voltage across a cell membrane. An action potential occurs when the membrane potential of a specific Cell (biology), cell rapidly ri ...
s. Ions of similar charge repel each other, and when many ions are pushed out of many neurons at the same time, they can push their neighbours, who push their neighbours, and so on, in a wave. This process is known as volume conduction. When the wave of ions reaches the electrodes on the scalp, they can push or pull electrons on the metal in the electrodes. Since metal conducts the push and pull of electrons easily, the difference in push or pull voltages between any two electrodes can be measured by a
voltmeter
A voltmeter is an instrument used for measuring electric potential difference between two points in an electric circuit. It is connected in parallel. It usually has a high resistance so that it takes negligible current from the circuit.
A ...
. Recording these voltages over time gives us the EEG.
The
electric potential
Electric potential (also called the ''electric field potential'', potential drop, the electrostatic potential) is defined as electric potential energy per unit of electric charge. More precisely, electric potential is the amount of work (physic ...
generated by an individual neuron is far too small to be picked up by EEG or MEG.
EEG activity therefore always reflects the summation of the
synchronous activity of thousands or millions of neurons that have similar spatial orientation. If the cells do not have similar spatial orientation, their ions do not line up and create waves to be detected.
Pyramidal neurons
Pyramidal cells, or pyramidal neurons, are a type of multipolar neuron found in areas of the brain including the cerebral cortex, the hippocampus, and the amygdala. Pyramidal cells are the primary excitation units of the mammalian prefrontal cort ...
of the cortex are thought to produce the most EEG signal because they are well-aligned and fire together. Because voltage field gradients fall off with the square of distance, activity from deep sources is more difficult to detect than currents near the skull.
Scalp EEG activity shows
oscillations at a variety of frequencies. Several of these oscillations have characteristic
frequency range
Spectral bands are regions of a given spectrum, having a specific range of wavelengths or frequencies. Most often, it refers to electromagnetic bands, regions of the electromagnetic spectrum.
More generally, spectral bands may also be means in ...
s, spatial distributions and are associated with different states of brain functioning (e.g., waking and the various
sleep stages). These oscillations represent
synchronized activity over a network of neurons. The neuronal networks underlying some of these oscillations are understood (e.g., the thalamocortical resonance underlying
sleep spindles), while many others are not (e.g., the system that generates the posterior basic rhythm). Research that measures both EEG and neuron spiking finds the relationship between the two is complex, with a combination of EEG power in the
gamma
Gamma (; uppercase , lowercase ; ) is the third letter of the Greek alphabet. In the system of Greek numerals it has a value of 3. In Ancient Greek, the letter gamma represented a voiced velar stop . In Modern Greek, this letter normally repr ...
band and phase in the
delta
Delta commonly refers to:
* Delta (letter) (Δ or δ), the fourth letter of the Greek alphabet
* D (NATO phonetic alphabet: "Delta"), the fourth letter in the Latin alphabet
* River delta, at a river mouth
* Delta Air Lines, a major US carrier ...
band relating most strongly to neuron spike activity.
Method
In conventional scalp EEG, the recording is obtained by placing
electrode
An electrode is an electrical conductor used to make contact with a nonmetallic part of a circuit (e.g. a semiconductor, an electrolyte, a vacuum or a gas). In electrochemical cells, electrodes are essential parts that can consist of a varie ...
s on the scalp with a conductive gel or paste, usually after preparing the scalp area by light
abrasion to reduce
impedance due to dead skin cells. Many systems typically use electrodes, each of which is attached to an individual wire. Some systems use caps or nets into which electrodes are embedded; this is particularly common when high-density arrays of electrodes are needed.
Electrode locations and names are specified by the
International 10–20 system for most clinical and research applications (except when high-density arrays are used). This system ensures that the naming of electrodes is consistent across laboratories. In most clinical applications, 19 recording electrodes (plus ground and system reference) are used. A smaller number of electrodes are typically used when recording EEG from
neonates
In common terminology, a baby is the very young offspring of adult human beings, while infant (from the Latin word ''infans'', meaning 'baby' or 'child') is a formal or specialised synonym. The terms may also be used to refer to Juvenile (orga ...
. Additional electrodes can be added to the standard set-up when a clinical or research application demands increased spatial resolution for a particular area of the brain. High-density arrays (typically via cap or net) can contain up to 256 electrodes more-or-less evenly spaced around the scalp.
Each electrode is connected to one input of a
differential amplifier
A differential amplifier is a type of electronic amplifier that amplifies the difference between two input voltages but suppresses any voltage common to the two inputs. It is an analog circuit with two inputs V_\text^- and V_\text^+ and one outp ...
(one amplifier per pair of electrodes); a common system reference electrode is connected to the other input of each differential amplifier. These amplifiers amplify the voltage between the active electrode and the reference (typically 1,000–100,000 times, or 60–100
dB of power gain). In analog EEG, the signal is then filtered (next paragraph), and the EEG signal is output as the deflection of pens as paper passes underneath. Most EEG systems these days, however, are digital, and the amplified signal is digitized via an
analog-to-digital converter
In electronics, an analog-to-digital converter (ADC, A/D, or A-to-D) is a system that converts an analog signal, such as a sound picked up by a microphone or light entering a digital camera, into a Digital signal (signal processing), digi ...
, after being passed through an
anti-aliasing filter. Analog-to-digital sampling typically occurs at 256–512 Hz in clinical scalp EEG; sampling rates of up to 20 kHz are used in some research applications.
During the recording, a series of activation procedures may be used. These procedures may induce normal or abnormal EEG activity that might not otherwise be seen. These procedures include hyperventilation, photic stimulation (with a strobe light), eye closure, mental activity, sleep and sleep deprivation. During (inpatient) epilepsy monitoring, a patient's typical seizure medications may be withdrawn.
The digital EEG signal is stored electronically and can be filtered for display. Typical settings for the
high-pass filter
A high-pass filter (HPF) is an electronic filter that passes signals with a frequency higher than a certain cutoff frequency and attenuates signals with frequencies lower than the cutoff frequency. The amount of attenuation for each frequency ...
and a
low-pass filter
A low-pass filter is a filter that passes signals with a frequency lower than a selected cutoff frequency and attenuates signals with frequencies higher than the cutoff frequency. The exact frequency response of the filter depends on the filt ...
are 0.5–1
Hz and 35–70 Hz respectively. The high-pass filter typically filters out slow artifact, such as
electrogalvanic signals and movement artifact, whereas the low-pass filter filters out high-frequency artifacts, such as
electromyographic signals. An additional
notch filter
In signal processing, a band-stop filter or band-rejection filter is a filter that passes most frequencies unaltered, but attenuates those in a specific range to very low levels. It is the inverse of a ''band-pass filter''. A notch filter is ...
is typically used to remove artifact caused by electrical power lines (60 Hz in the United States and 50 Hz in many other countries).
The EEG signals can be captured with opensource hardware such as
OpenBCI and the signal can be processed by freely available EEG software such as
EEGLAB or the
Neurophysiological Biomarker Toolbox.
As part of an evaluation for epilepsy surgery, it may be necessary to insert electrodes near the surface of the brain, under the surface of the
dura mater. This is accomplished via burr hole or
craniotomy
A craniotomy is a surgery, surgical operation in which a bone flap is temporarily removed from the Human skull, skull to access the Human brain, brain. Craniotomies are often critical operations, performed on patients who are suffering from brain ...
. This is referred to variously as
"electrocorticography (ECoG)", "intracranial EEG (I-EEG)" or "subdural EEG (SD-EEG)". Depth electrodes may also be placed into brain structures, such as the
amygdala
The amygdala (; : amygdalae or amygdalas; also '; Latin from Greek language, Greek, , ', 'almond', 'tonsil') is a paired nucleus (neuroanatomy), nuclear complex present in the Cerebral hemisphere, cerebral hemispheres of vertebrates. It is c ...
or
hippocampus
The hippocampus (: hippocampi; via Latin from Ancient Greek, Greek , 'seahorse'), also hippocampus proper, is a major component of the brain of humans and many other vertebrates. In the human brain the hippocampus, the dentate gyrus, and the ...
, structures, which are common epileptic foci and may not be "seen" clearly by scalp EEG. The electrocorticographic signal is processed in the same manner as digital scalp EEG (above), with a couple of caveats. ECoG is typically recorded at higher sampling rates than scalp EEG because of the requirements of
Nyquist theorem – the subdural signal is composed of a higher predominance of higher frequency components. Also, many of the artifacts that affect scalp EEG do not impact ECoG, and therefore display filtering is often not needed.
A typical adult human EEG signal is about 10 μV to 100 μV in amplitude when measured from the scalp.
Since an EEG voltage signal represents a difference between the voltages at two electrodes, the display of the EEG for the reading electroencephalographer may be set up in one of several ways. The representation of the EEG channels is referred to as a ''montage.''
; Sequential montage: Each channel (i.e., waveform) represents the difference between two adjacent electrodes. The entire montage consists of a series of these channels. For example, the channel "Fp1-F3" represents the difference in voltage between the Fp1 electrode and the F3 electrode. The next channel in the montage, "F3-C3", represents the voltage difference between F3 and C3, and so on through the entire array of electrodes.
; Referential montage: Each channel represents the difference between a certain electrode and a designated reference electrode. There is no standard position for this reference; it is, however, at a different position than the "recording" electrodes. Midline positions are often used because they do not amplify the signal in one hemisphere vs. the other, such as Cz, Oz, Pz etc. as online reference. The other popular offline references are:
* REST reference: which is an offline computational reference at infinity where the potential is zero. REST (reference electrode standardization technique) takes the equivalent sources inside the brain of any a set of scalp recordings as springboard to link the actual recordings with any an online or offline( average, linked ears etc.) non-zero reference to the new recordings with infinity zero as the standardized reference.
* "linked ears": which is a physical or mathematical average of electrodes attached to both earlobes or
mastoids.
; Average reference montage: The outputs of all of the amplifiers are summed and averaged, and this averaged signal is used as the common reference for each channel.
; Laplacian montage: Each channel represents the difference between an electrode and a weighted average of the surrounding electrodes.
When analog (paper) EEGs are used, the technologist switches between montages during the recording in order to highlight or better characterize certain features of the EEG. With digital EEG, all signals are typically digitized and stored in a particular (usually referential) montage; since any montage can be constructed mathematically from any other, the EEG can be viewed by the electroencephalographer in any display montage that is desired.
The EEG is read by a
clinical neurophysiologist or
neurologist
Neurology (from , "string, nerve" and the suffix -logia, "study of") is the branch of medicine dealing with the diagnosis and treatment of all categories of conditions and disease involving the nervous system, which comprises the brain, the ...
(depending on local custom and law regarding
medical specialities), optimally one who has specific training in the interpretation of EEGs for clinical purposes. This is done by visual inspection of the waveforms, called graphoelements. The use of computer signal processing of the EEG – so-called
quantitative electroencephalography
Quantitative electroencephalography (qEEG or QEEG) is a field concerned with the numerical analysis of electroencephalography (EEG) data and associated behavioral correlates.
Details
Techniques used in digital signal analysis are extended to t ...
– is somewhat controversial when used for clinical purposes (although there are many research uses).
Dry EEG electrodes
In the early 1990s Babak Taheri, at
University of California, Davis
The University of California, Davis (UC Davis, UCD, or Davis) is a Public university, public Land-grant university, land-grant research university in Davis, California, United States. It is the northernmost of the ten campuses of the University ...
demonstrated the first single and also multichannel dry active electrode arrays using micro-machining. The single channel dry EEG electrode construction and results were published in 1994. The arrayed electrode was also demonstrated to perform well compared to
silver
Silver is a chemical element; it has Symbol (chemistry), symbol Ag () and atomic number 47. A soft, whitish-gray, lustrous transition metal, it exhibits the highest electrical conductivity, thermal conductivity, and reflectivity of any metal. ...
/
silver chloride
Silver chloride is an inorganic chemical compound with the chemical formula Ag Cl. This white crystalline solid is well known for its low solubility in water and its sensitivity to light. Upon illumination or heating, silver chloride converts ...
electrodes. The device consisted of four sites of sensors with integrated electronics to reduce noise by
impedance matching
In electrical engineering, impedance matching is the practice of designing or adjusting the input impedance or output impedance of an electrical device for a desired value. Often, the desired value is selected to maximize power transfer or ...
. The advantages of such electrodes are: (1) no electrolyte used, (2) no skin preparation, (3) significantly reduced sensor size, and (4) compatibility with EEG monitoring systems. The active electrode array is an integrated system made of an array of capacitive sensors with local integrated circuitry housed in a package with batteries to power the circuitry. This level of integration was required to achieve the functional performance obtained by the electrode. The electrode was tested on an electrical test bench and on human subjects in four modalities of EEG activity, namely: (1) spontaneous EEG, (2) sensory event-related potentials, (3) brain stem potentials, and (4) cognitive event-related potentials. The performance of the dry electrode compared favorably with that of the standard wet electrodes in terms of skin preparation, no gel requirements (dry), and higher signal-to-noise ratio.
In 1999 researchers at
Case Western Reserve University
Case Western Reserve University (CWRU) is a Private university, private research university in Cleveland, Ohio, United States. It was established in 1967 by a merger between Western Reserve University and the Case Institute of Technology. Case ...
, in
Cleveland
Cleveland is a city in the U.S. state of Ohio and the county seat of Cuyahoga County. Located along the southern shore of Lake Erie, it is situated across the Canada–U.S. maritime border and approximately west of the Ohio-Pennsylvania st ...
,
Ohio
Ohio ( ) is a U.S. state, state in the Midwestern United States, Midwestern region of the United States. It borders Lake Erie to the north, Pennsylvania to the east, West Virginia to the southeast, Kentucky to the southwest, Indiana to the ...
, led by Hunter Peckham, used 64-electrode EEG skullcap to return limited hand movements to
quadriplegic
Tetraplegia, also known as quadriplegia, is defined as the dysfunction or loss of Motor control, motor and/or Sense, sensory function in the Cervical vertebrae, cervical area of the spinal cord. A loss of motor function can present as either weak ...
Jim Jatich. As Jatich concentrated on simple but opposite concepts like up and down, his beta-rhythm EEG output was analysed using software to identify patterns in the noise. A basic pattern was identified and used to control a switch: Above average activity was set to on, below average off. As well as enabling Jatich to control a computer cursor the signals were also used to drive the nerve controllers embedded in his hands, restoring some movement.
In 2018, a functional dry electrode composed of a polydimethylsiloxane
elastomer
An elastomer is a polymer with viscoelasticity (i.e. both viscosity and elasticity) and with weak intermolecular forces, generally low Young's modulus (E) and high failure strain compared with other materials. The term, a portmanteau of ''ela ...
filled with conductive carbon
nanofibers was reported. This research was conducted at the
U.S. Army Research Laboratory.
EEG technology often involves applying a gel to the scalp which facilitates strong signal-to-noise ratio. This results in more reproducible and reliable experimental results. Since patients dislike having their hair filled with gel, and the lengthy setup requires trained staff on hand, utilizing EEG outside the laboratory setting can be difficult.
Additionally, it has been observed that wet electrode sensors' performance reduces after a span of hours.
Therefore, research has been directed to developing dry and semi-dry EEG bioelectronic interfaces.
Dry electrode signals depend upon mechanical contact. Therefore, it can be difficult getting a usable signal because of impedance between the skin and the electrode.
Some EEG systems attempt to circumvent this issue by applying a saline solution. Others have a semi dry nature and release small amounts of the gel upon contact with the scalp.
Another solution uses spring loaded pin setups. These may be uncomfortable. They may also be dangerous if they were used in a situation where a patient could bump their head since they could become lodged after an impact trauma incident.
Currently, headsets are available incorporating dry electrodes with up to 30 channels. Such designs are able to compensate for some of the signal quality degradation related to high impedances by optimizing pre-amplification, shielding and supporting mechanics.
Limitations
EEG has several limitations. Most important is its poor spatial resolution. EEG is most sensitive to a particular set of post-synaptic potentials: those generated in superficial layers of the cortex, on the crests of
gyri
In neuroanatomy, a gyrus (: gyri) is a ridge on the cerebral cortex. It is generally surrounded by one or more sulcus (neuroanatomy), sulci (depressions or furrows; : sulcus). Gyri and sulci create the folded appearance of the brain in huma ...
directly abutting the skull and radial to the skull. Dendrites which are deeper in the cortex, inside
sulci
Sulci or Sulki (in Greek , Stephanus of Byzantium, Steph. B., Ptolemy, Ptol.; , Strabo; , Pausanias (geographer), Paus.), was one of the most considerable cities of ancient Sardinia, situated in the southwest corner of the island, on a small isla ...
, in midline or deep structures (such as the
cingulate gyrus
The cingulate cortex is a part of the brain situated in the medial aspect of the cerebral cortex. The cingulate cortex includes the entire cingulate gyrus, which lies immediately above the corpus callosum, and the continuation of this in the cin ...
or
hippocampus
The hippocampus (: hippocampi; via Latin from Ancient Greek, Greek , 'seahorse'), also hippocampus proper, is a major component of the brain of humans and many other vertebrates. In the human brain the hippocampus, the dentate gyrus, and the ...
), or producing currents that are tangential to the skull, make far less contribution to the EEG signal.
EEG recordings do not directly capture axonal
action potentials
An action potential (also known as a nerve impulse or "spike" when in a neuron) is a series of quick changes in voltage across a cell membrane. An action potential occurs when the membrane potential of a specific cell rapidly rises and falls. ...
. An action potential can be accurately represented as a current
quadrupole
A quadrupole or quadrapole is one of a sequence of configurations of things like electric charge or current, or gravitational mass that can exist in ideal form, but it is usually just part of a multipole expansion of a more complex structure re ...
, meaning that the resulting field decreases more rapidly than the ones produced by the current dipole of post-synaptic potentials.
In addition, since EEGs represent averages of thousands of neurons, a large population of cells in synchronous activity is necessary to cause a significant deflection on the recordings. Action potentials are very fast and, as a consequence, the chances of field summation are slim. However,
neural backpropagation, as a typically longer dendritic current dipole, can be picked up by EEG electrodes and is a reliable indication of the occurrence of neural output.
Not only do EEGs capture dendritic currents almost exclusively as opposed to axonal currents, they also show a preference for activity on populations of parallel dendrites and transmitting current in the same direction at the same time.
Pyramidal neurons
Pyramidal cells, or pyramidal neurons, are a type of multipolar neuron found in areas of the brain including the cerebral cortex, the hippocampus, and the amygdala. Pyramidal cells are the primary excitation units of the mammalian prefrontal cort ...
of cortical layers II/III and V extend apical dendrites to layer I. Currents moving up or down these processes underlie most of the signals produced by electroencephalography.
EEG thus provides information with a large bias in favor of particular neuron types, locations and orientations. So it generally should not be used to make claims about global brain activity. The
meninges
In anatomy, the meninges (; meninx ; ) are the three membranes that envelop the brain and spinal cord. In mammals, the meninges are the dura mater, the arachnoid mater, and the pia mater. Cerebrospinal fluid is located in the subarachnoid spac ...
,
cerebrospinal fluid
Cerebrospinal fluid (CSF) is a clear, colorless Extracellular fluid#Transcellular fluid, transcellular body fluid found within the meninges, meningeal tissue that surrounds the vertebrate brain and spinal cord, and in the ventricular system, ven ...
and skull "smear" the EEG signal, obscuring its intracranial source.
It is mathematically impossible to reconstruct a unique intracranial current source for a given EEG signal,
as some currents produce potentials that cancel each other out. This is referred to as the
inverse problem
An inverse problem in science is the process of calculating from a set of observations the causal factors that produced them: for example, calculating an image in X-ray computed tomography, sound source reconstruction, source reconstruction in ac ...
. However, much work has been done to produce remarkably good estimates of, at least, a localized
electric dipole that represents the recorded currents.
EEG vis-à-vis fMRI, fNIRS, fUS and PET
EEG has several strong points as a tool for exploring brain activity. EEGs can detect changes over milliseconds, which is excellent considering an
action potential
An action potential (also known as a nerve impulse or "spike" when in a neuron) is a series of quick changes in voltage across a cell membrane. An action potential occurs when the membrane potential of a specific Cell (biology), cell rapidly ri ...
takes approximately 0.5–130 milliseconds to propagate across a single neuron, depending on the type of neuron. Other methods of looking at brain activity, such as
PET
A pet, or companion animal, is an animal kept primarily for a person's company or entertainment rather than as a working animal, livestock, or a laboratory animal. Popular pets are often considered to have attractive/ cute appearances, inte ...
,
fMRI
Functional magnetic resonance imaging or functional MRI (fMRI) measures brain activity by detecting changes associated with blood flow. This technique relies on the fact that cerebral blood flow and neuronal activation are coupled. When an area o ...
or
fUS have time resolution between seconds and minutes. EEG measures the brain's electrical activity directly, while other methods record changes in blood flow (e.g.,
SPECT
Single-photon emission computed tomography (SPECT, or less commonly, SPET) is a nuclear medicine tomographic imaging technique using gamma rays. It is very similar to conventional nuclear medicine planar imaging using a gamma camera (that is, ...
, fMRI, fUS) or metabolic activity (e.g., PET,
NIRS), which are indirect markers of brain electrical activity.
EEG can be used simultaneously with fMRI or fUS so that high-temporal-resolution data can be recorded at the same time as high-spatial-resolution data, however, since the data derived from each occurs over a different time course, the data sets do not necessarily represent exactly the same brain activity.
There are technical difficulties associated with combining EEG and fMRI including the need to remove the ''MRI gradient artifact'' present during MRI acquisition. Furthermore, currents can be induced in moving EEG electrode wires due to the magnetic field of the MRI.
EEG can be used simultaneously with
NIRS or fUS without major technical difficulties. There is no influence of these modalities on each other and a combined measurement can give useful information about electrical activity as well as hemodynamics at medium spatial resolution.
EEG vis-à-vis MEG
EEG reflects correlated synaptic activity caused by
post-synaptic potentials of cortical
neurons
A neuron (American English), neurone (British English), or nerve cell, is an membrane potential#Cell excitability, excitable cell (biology), cell that fires electric signals called action potentials across a neural network (biology), neural net ...
. The ionic currents involved in the generation of fast
action potentials
An action potential (also known as a nerve impulse or "spike" when in a neuron) is a series of quick changes in voltage across a cell membrane. An action potential occurs when the membrane potential of a specific cell rapidly rises and falls. ...
may not contribute greatly to the averaged
field potentials representing the EEG.
More specifically, the scalp electrical potentials that produce EEG are generally thought to be caused by the extracellular ionic currents caused by
dendritic
Dendrite derives from the Greek word "dendron" meaning ( "tree-like"), and may refer to:
Biology
*Dendrite, a branched projection of a neuron
*Dendrite (non-neuronal), branching projections of certain skin cells and immune cells
Physical
*Dendri ...
electrical activity, whereas the fields producing
magnetoencephalographic signals
are associated with intracellular ionic currents.
Normal activity
File:Human EEG with prominent alpha-rhythm.png, Human EEG with prominent resting state activity – alpha-rhythm. Left: EEG traces (horizontal – time in seconds; vertical – amplitudes, scale 100 μV). Right: power spectra of shown signals (vertical lines – 10 and 20 Hz, scale is linear). Alpha-rhythm consists of sinusoidal-like waves with frequencies in 8–12 Hz range (11 Hz in this case) more prominent in posterior sites. Alpha range is red at power spectrum graph.
File:Human EEG without alpha-rhythm.png, Human EEG with in resting state. Left: EEG traces (horizontal – time in seconds; vertical – amplitudes, scale 100 μV). Right: power spectra of shown signals (vertical lines – 10 and 20 Hz, scale is linear). 80–90% of people have prominent sinusoidal-like waves with frequencies in 8–12 Hz range – alpha rhythm. Others (like this) lack this type of activity.
File:Human EEG artefacts.png , Common artifacts in human EEG. 1: Electrooculographic artifact caused by the excitation of eyeball's muscles (related to blinking, for example). Big-amplitude, slow, positive wave prominent in frontal electrodes. 2: Electrode's artifact caused by bad contact (and thus bigger impedance) between P3 electrode and skin. 3: Swallowing artifact. 4: Common reference electrode's artifact caused by bad contact between reference electrode and skin. Huge wave similar in all channels.
File:eeg raw.svg, One second of EEG signal
The EEG is typically described in terms of (1)
rhythmic activity and (2) transients. The rhythmic activity is divided into bands by frequency. To some degree, these frequency bands are a matter of nomenclature (i.e., any rhythmic activity between 8–12 Hz can be described as "alpha"), but these designations arose because rhythmic activity within a certain frequency range was noted to have a certain distribution over the scalp or a certain biological significance. Frequency bands are usually extracted using spectral methods (for instance Welch) as implemented for instance in freely available EEG software such as
EEGLAB or the
Neurophysiological Biomarker Toolbox.
Computational processing of the EEG is often named
quantitative electroencephalography
Quantitative electroencephalography (qEEG or QEEG) is a field concerned with the numerical analysis of electroencephalography (EEG) data and associated behavioral correlates.
Details
Techniques used in digital signal analysis are extended to t ...
(qEEG).
Most of the cerebral signal observed in the scalp EEG falls in the range of 1–20 Hz (activity below or above this range is likely to be artifactual, under standard clinical recording techniques). Waveforms are subdivided into bandwidths known as alpha, beta, theta, and delta to signify the majority of the EEG used in clinical practice.
Comparison of EEG bands
The practice of using only whole numbers in the definitions comes from practical considerations in the days when only whole cycles could be counted on paper records. This leads to gaps in the definitions, as seen elsewhere on this page. The theoretical definitions have always been more carefully defined to include all frequencies. Unfortunately there is no agreement in standard reference works on what these ranges should be – values for the upper end of alpha and lower end of beta include 12, 13, 14 and 15. If the threshold is taken as 14 Hz, then the slowest beta wave has about the same duration as the longest spike (70 ms), which makes this the most useful value.
Wave patterns
*
Delta waves is the frequency range up to 4 Hz. It tends to be the highest in amplitude and the slowest waves. It is seen normally in adults in
slow-wave sleep. It is also seen normally in babies. It may occur focally with subcortical lesions and in general distribution with diffuse lesions, metabolic encephalopathy hydrocephalus or deep midline lesions. It is usually most prominent frontally in adults (e.g. FIRDA – frontal intermittent rhythmic delta) and posteriorly in children (e.g. OIRDA – occipital intermittent rhythmic delta).
*
Theta
Theta (, ) uppercase Θ or ; lowercase θ or ; ''thē̂ta'' ; Modern: ''thī́ta'' ) is the eighth letter of the Greek alphabet, derived from the Phoenician letter Teth 𐤈. In the system of Greek numerals, it has a value of 9.
Gree ...
is the frequency range from 4 Hz to 7 Hz. Theta is seen normally in young children. It may be seen in drowsiness or arousal in older children and adults; it can also be seen in
meditation
Meditation is a practice in which an individual uses a technique to train attention and awareness and detach from reflexive, "discursive thinking", achieving a mentally clear and emotionally calm and stable state, while not judging the meditat ...
. Excess theta for age represents abnormal activity. It can be seen as a focal disturbance in focal subcortical lesions; it can be seen in generalized distribution in diffuse disorder or metabolic encephalopathy or deep midline disorders or some instances of hydrocephalus. On the contrary this range has been associated with reports of relaxed, meditative, and creative states.
*
Alpha
Alpha (uppercase , lowercase ) is the first letter of the Greek alphabet. In the system of Greek numerals, it has a value of one. Alpha is derived from the Phoenician letter ''aleph'' , whose name comes from the West Semitic word for ' ...
is the frequency range from 8
Hz to 12 Hz.
Hans Berger
Hans Berger (21 May 1873 – 1 June 1941) was a German psychiatrist. He is best known as the inventor of electroencephalography (EEG) in 1924, which is a method used for recording the electrical activity of the brain, commonly described in terms ...
named the first rhythmic EEG activity he observed the "alpha wave". This was the "posterior basic rhythm" (also called the "posterior dominant rhythm" or the "posterior alpha rhythm"), seen in the posterior regions of the head on both sides, higher in amplitude on the dominant side. It emerges with closing of the eyes and with relaxation, and attenuates with eye opening or mental exertion. The posterior basic rhythm is actually slower than 8 Hz in young children (therefore technically in the theta range).
:In addition to the posterior basic rhythm, there are other normal alpha rhythms such as the
mu rhythm (alpha activity in the contralateral
sensory and
motor cortical areas) that emerges when the hands and arms are idle; and the "third rhythm" (alpha activity in the temporal or frontal lobes). Alpha can be abnormal; for example, an EEG that has diffuse alpha occurring in coma and is not responsive to external stimuli is referred to as "alpha coma".
*
Beta
Beta (, ; uppercase , lowercase , or cursive ; or ) is the second letter of the Greek alphabet. In the system of Greek numerals, it has a value of 2. In Ancient Greek, beta represented the voiced bilabial plosive . In Modern Greek, it represe ...
is the frequency range from 13 Hz to about 30 Hz. It is seen usually on both sides in symmetrical distribution and is most evident frontally. Beta activity is closely linked to motor behavior and is generally attenuated during active movements. Low-amplitude beta with multiple and varying frequencies is often associated with active, busy or anxious thinking and active concentration. Rhythmic beta with a dominant set of frequencies is associated with various pathologies, such as
Dup15q syndrome, and drug effects, especially
benzodiazepines
Benzodiazepines (BZD, BDZ, BZs), colloquially known as "benzos", are a class of central nervous system (CNS) depressant drugs whose core chemical structure is the fusion of a benzene ring and a diazepine ring. They are prescribed to treat co ...
. It may be absent or reduced in areas of cortical damage. It is the dominant rhythm in patients who are alert or anxious or who have their eyes open.
*
Gamma
Gamma (; uppercase , lowercase ; ) is the third letter of the Greek alphabet. In the system of Greek numerals it has a value of 3. In Ancient Greek, the letter gamma represented a voiced velar stop . In Modern Greek, this letter normally repr ...
is the frequency range approximately 30–100 Hz. Gamma rhythms are thought to represent binding of different populations of neurons together into a network for the purpose of carrying out a certain cognitive or motor function.
*
Mu range is 8–13 Hz and partly overlaps with other frequencies. It reflects the synchronous firing of motor neurons in rest state. Mu suppression is thought to reflect motor mirror neuron systems, because when an action is observed, the pattern extinguishes, possibly because the normal and mirror neuronal systems "go out of sync" and interfere with one other.
"Ultra-slow" or "near-
DC" activity is recorded using DC amplifiers in some research contexts. It is not typically recorded in a clinical context because the signal at these frequencies is susceptible to a number of artifacts.
Some features of the EEG are transient rather than rhythmic. Spikes and sharp waves may represent seizure activity or
interictal activity in individuals with epilepsy or a predisposition toward epilepsy. Other transient features are normal: vertex waves and sleep spindles are seen in normal sleep.
There are types of activity that are statistically uncommon, but not associated with dysfunction or disease. These are often referred to as "normal variants". The mu rhythm is an example of a normal variant.
The normal electroencephalogram (EEG) varies by age. The
prenatal EEG and neonatal EEG is quite different from the adult EEG. Fetuses in the third trimester and newborns display two common brain activity patterns: "discontinuous" and "trace alternant." "Discontinuous" electrical activity refers to sharp bursts of electrical activity followed by low frequency waves. "Trace alternant" electrical activity describes sharp bursts followed by short high amplitude intervals and usually indicates quiet sleep in newborns. The EEG in childhood generally has slower frequency oscillations than the adult EEG.
The normal EEG also varies depending on state. The EEG is used along with other measurements (
EOG,
EMG) to define
sleep stages in
polysomnography
Polysomnography (PSG) is a multi-parameter type of sleep study and a diagnostic tool in sleep medicine. The test result is called a polysomnogram, also abbreviated PSG. The name is derived from Greek and Latin roots: the Greek πολύς ('' ...
. Stage I sleep (equivalent to drowsiness in some systems) appears on the EEG as drop-out of the posterior basic rhythm. There can be an increase in theta frequencies. Santamaria and Chiappa cataloged a number of the variety of patterns associated with drowsiness. Stage II sleep is characterized by sleep spindles – transient runs of rhythmic activity in the 12–14 Hz range (sometimes referred to as the "sigma" band) that have a frontal-central maximum. Most of the activity in Stage II is in the 3–6 Hz range. Stage III and IV sleep are defined by the presence of delta frequencies and are often referred to collectively as "slow-wave sleep". Stages I–IV comprise non-REM (or "NREM") sleep. The EEG in REM (rapid eye movement) sleep appears somewhat similar to the awake EEG.
EEG under general anesthesia depends on the type of anesthetic employed. With halogenated anesthetics, such as
halothane
Halothane, sold under the brand name Fluothane among others, is a general anaesthetic. It can be used to induce or maintain anaesthesia. One of its benefits is that it does not increase the production of saliva, which can be particularly useful ...
or intravenous agents, such as
propofol
Propofol is the active component of an intravenous anesthetic formulation used for induction and maintenance of general anesthesia. It is chemically termed 2,6-diisopropylphenol. The formulation was approved under the brand name Diprivan. Nu ...
, a rapid (alpha or low beta), nonreactive EEG pattern is seen over most of the scalp, especially anteriorly; in some older terminology this was known as a WAR (widespread anterior rapid) pattern, contrasted with a WAIS (widespread slow) pattern associated with high doses of
opiate
An opiate is an alkaloid substance derived from opium (or poppy straw). It differs from the similar term ''opioid'' in that the latter is used to designate all substances, both natural and synthetic, that bind to opioid receptors in the brain ( ...
s. Anesthetic effects on EEG signals are beginning to be understood at the level of drug actions on different kinds of synapses and the circuits that allow synchronized neuronal activity. Recent algorithms based on state-chart representation using EEG signals can now to monitor the brain states during general anesthesia allowing to classify the brain depth under various sedation.
Artifacts

EEG is an extremely useful technique for studying brain activity, but the signal measured is always contaminated by
artifacts which can impact the analysis of the data. An artifact is any measured signal that does not originate within the brain. Although multiple algorithms exist for the removal of artifacts, the problem of how to deal with them remains an open question. The source of artifacts can be from issues relating to the instrument, such as faulty electrodes, line noise or high electrode impedance, or they may be from the physiology of the subject being recorded. This can include, eye blinks and movement, cardiac activity and muscle activity and these types of artifacts are more complicated to remove. Artifacts may bias the visual interpretation of EEG data as some may mimic cognitive activity that could affect diagnoses of problems such as Alzheimer's disease or sleep disorders. As such the removal of such artifacts in EEG data used for practical applications is of the utmost importance.
Artifact removal
It is important to be able to distinguish artifacts from genuine brain activity in order to prevent incorrect interpretations of EEG data. General approaches for the removal of artifacts from the data are, prevention, rejection and cancellation. The goal of any approach is to develop methodology capable of identifying and removing artifacts without affecting the quality of the EEG signal. As artifact sources are quite different the majority of researchers focus on developing algorithms that will identify and remove a single type of noise in the signal. Simple filtering using a
notch filter
In signal processing, a band-stop filter or band-rejection filter is a filter that passes most frequencies unaltered, but attenuates those in a specific range to very low levels. It is the inverse of a ''band-pass filter''. A notch filter is ...
is commonly employed to reject components with a 50/60 Hz frequency. However such simple filters are not an appropriate choice for dealing with all artifacts, as for some, their frequencies will overlap with the EEG frequencies.
Regression algorithms have a moderate computation cost and are simple. They represented the most popular correction method up until the mid-1990s when they were replaced by "blind source separation" type methods. Regression algorithms work on the premise that all artifacts are comprised by one or more reference channels. Subtracting these reference channels from the other contaminated channels, in either the time or frequency domain, by estimating the impact of the reference channels on the other channels, would correct the channels for the artifact. Although the requirement of reference channels ultimately lead to this class of algorithm being replaced, they still represent the benchmark against which modern algorithms are evaluated.
Blind source separation (BSS) algorithms employed to remove artifacts include
principal component analysis
Principal component analysis (PCA) is a linear dimensionality reduction technique with applications in exploratory data analysis, visualization and data preprocessing.
The data is linearly transformed onto a new coordinate system such that th ...
(PCA) and
independent component analysis
In signal processing, independent component analysis (ICA) is a computational method for separating a multivariate statistics, multivariate signal into additive subcomponents. This is done by assuming that at most one subcomponent is Gaussian and ...
(ICA) and several algorithms in this class have been successful at tackling most physiological artifacts.
Recent real-time algorithms based on wavelet transport called WQN can now be used to find and replace artifact segment in real-time in the absence of artifact information. These classes of algorithms depend on the continuity of spectral energy in the different frequenc
bands
Physiological artifacts
Ocular artifacts
Ocular artifacts affect the EEG signal significantly. This is due to eye movements involving a change in electric fields surrounding the eyes, distorting the electric field over the scalp, and as EEG is recorded on the scalp, it therefore distorts the recorded signal. A difference of opinion exists among researchers, with some arguing ocular artifacts are, or may be reasonably described as a single generator, whilst others argue it is important to understand the potentially complicated mechanisms. Three potential mechanisms have been proposed to explain the ocular artifact.
The first is corneal retinal dipole movement which argues that an electric
dipole
In physics, a dipole () is an electromagnetic phenomenon which occurs in two ways:
* An electric dipole moment, electric dipole deals with the separation of the positive and negative electric charges found in any electromagnetic system. A simple ...
is formed between the cornea and retina, as the former is positively and the latter negatively charged. When the eye moves, so does this dipole which impacts the electrical field over the scalp, this is the most standard view. The second mechanism is retinal dipole movement, which is similar to the first but differing in that it argues there is a potential difference, hence dipole across the retina with the cornea having little effect. The third mechanism is eyelid movement. It is known that there is a change in voltage around the eyes when the eyelid moves, even if the eyeball does not. It is thought that the eyelid can be described as a sliding potential source and that the impacting of blinking is different to eye movement on the recorded EEG.
Eyelid fluttering artifacts of a characteristic type were previously called Kappa rhythm (or Kappa waves). It is usually seen in the prefrontal leads, that is, just over the eyes. Sometimes they are seen with mental activity. They are usually in the Theta (4–7 Hz) or Alpha (7–14 Hz) range. They were named because they were believed to originate from the brain. Later study revealed they were generated by rapid fluttering of the eyelids, sometimes so minute that it was difficult to see. They are in fact noise in the EEG reading, and should not technically be called a rhythm or wave. Therefore, current usage in electroencephalography refers to the phenomenon as an eyelid fluttering artifact, rather than a Kappa rhythm (or wave).
The propagation of the ocular artifact is impacted by multiple factors including the properties of the subject's skull, neuronal tissues and skin but the signal may be approximated as being inversely proportional to the distance from the eyes squared. The
electrooculogram (EOG) consists of a series of electrodes measuring voltage changes close to the eye and is the most common tool for dealing with the eye movement artifact in the EEG signal.
Muscular artifacts
Another source of artifacts are various muscle movements across the body. This particular class of artifact is usually recorded by all electrodes on the scalp due to
myogenic activity (increase or decrease of blood pressure). The origin of these artifacts have no single location and arises from functionally independent muscle groups, meaning the characteristics of the artifact are not constant. The observed patterns due to muscular artifacts will change depending on subject sex, the particular muscle tissue, and its degree of contraction. The frequency range for muscular artifacts is wide and overlaps with every classic EEG rhythm. However most of the power is concentrated in the lower range of the observed frequencies of 20 to 300 Hz making the gamma band particularly susceptible to muscular artifacts. Some muscle artifacts may have activity with a frequency as low as 2 Hz, so delta and theta bands may also be affected by muscle activity. Muscular artifacts may impact sleep studies, as unconscious
bruxism
Bruxism is excessive teeth grinding or jaw clenching. It is an oral Parafunctional habit, parafunctional activity; i.e., it is unrelated to normal function such as eating or talking. Bruxism is a common behavior; the global prevalence of brux ...
(grinding of teeth) movements or snoring can seriously impact the quality of the recorded EEG. In addition the recordings made of epilepsy patients may be significantly impacted by the existence of muscular artifacts.
Cardiac artifacts
The potential due to cardiac activity introduces
electrocardiograph (ECG) errors in the EEG. Artifacts arising due to cardiac activity may be removed with the help of an ECG reference signal.
Other physiological artifacts
Glossokinetic artifacts are caused by the potential difference between the base and the tip of the tongue. Minor tongue movements can contaminate the EEG, especially in
parkinsonian and
tremor
A tremor is an involuntary, somewhat rhythmic muscle contraction and relaxation involving neural oscillations, oscillations or twitching movements of one or more body parts. It is the most common of all involuntary movements and can affect the h ...
disorders.
Environmental artifacts
In addition to artifacts generated by the body, many artifacts originate from outside the body. Movement by the patient, or even just settling of the electrodes, may cause ''electrode pops'', spikes originating from a momentary change in the
impedance of a given electrode. Poor
grounding of the EEG electrodes can cause significant 50 or 60 Hz artifact, depending on the local power system's
frequency
Frequency is the number of occurrences of a repeating event per unit of time. Frequency is an important parameter used in science and engineering to specify the rate of oscillatory and vibratory phenomena, such as mechanical vibrations, audio ...
. A third source of possible interference can be the presence of an
IV drip; such devices can cause rhythmic, fast, low-voltage bursts, which may be confused for spikes.
Abnormal activity
Abnormal activity can broadly be separated into
epileptiform and non-epileptiform activity. It can also be separated into focal or diffuse.
Focal epileptiform discharges represent fast, synchronous potentials in a large number of neurons in a somewhat discrete area of the brain. These can occur as interictal activity, between seizures, and represent an area of cortical irritability that may be predisposed to producing epileptic seizures. Interictal discharges are not wholly reliable for determining whether a patient has epilepsy nor where his/her seizure might originate. (See
focal epilepsy.)
Generalized epileptiform discharges often have an anterior maximum, but these are seen synchronously throughout the entire brain. They are strongly suggestive of a generalized epilepsy.
Focal non-epileptiform abnormal activity may occur over areas of the brain where there is focal damage of the cortex or
white matter
White matter refers to areas of the central nervous system that are mainly made up of myelinated axons, also called Nerve tract, tracts. Long thought to be passive tissue, white matter affects learning and brain functions, modulating the distr ...
. It often consists of an increase in slow frequency rhythms or a loss of normal higher frequency rhythms. It may also appear as focal or unilateral decrease in amplitude of the EEG signal.
Diffuse non-epileptiform abnormal activity may manifest as diffuse abnormally slow rhythms or bilateral slowing of normal rhythms, such as the PBR.
Intracortical Encephalogram electrodes and sub-dural electrodes can be used in tandem to discriminate and discretize artifact from epileptiform and other severe neurological events.
More advanced measures of abnormal EEG signals have also recently received attention as possible biomarkers for different disorders such as
Alzheimer's disease
Alzheimer's disease (AD) is a neurodegenerative disease and the cause of 60–70% of cases of dementia. The most common early symptom is difficulty in remembering recent events. As the disease advances, symptoms can include problems wit ...
.
Remote communication
Systems for decoding imagined speech from EEG have applications such as in
brain–computer interface
A brain–computer interface (BCI), sometimes called a brain–machine interface (BMI), is a direct communication link between the brain's electrical activity and an external device, most commonly a computer or robotic limb. BCIs are often dire ...
s.
EEG diagnostics
The
Department of Defense
The United States Department of Defense (DoD, USDOD, or DOD) is an executive department of the U.S. federal government charged with coordinating and supervising the six U.S. armed services: the Army, Navy, Marines, Air Force, Space Force, ...
(DoD) and
Veteran's Affairs (VA), and
U.S Army Research Laboratory (ARL), collaborated on EEG diagnostics in order to detect
mild to moderate Traumatic Brain Injury (mTBI) in combat soldiers.
Between 2000 and 2012, 75 percent of U.S. military operations brain injuries were classified mTBI. In response, the DoD pursued new technologies capable of rapid, accurate, non-invasive, and field-capable detection of mTBI to address this injury.
Combat personnel often develop PTSD and mTBI in correlation. Both conditions present with altered low-frequency brain wave oscillations. Altered brain waves from PTSD patients present with decreases in low-frequency oscillations, whereas, mTBI injuries are linked to increased low-frequency wave oscillations. Effective EEG diagnostics can help doctors accurately identify conditions and appropriately treat injuries in order to mitigate long-term effects.
Traditionally, clinical evaluation of EEGs involved visual inspection. Instead of a visual assessment of brain wave oscillation topography, quantitative electroencephalography (qEEG), computerized algorithmic methodologies, analyzes a specific region of the brain and transforms the data into a meaningful "power spectrum" of the area.
Accurately differentiating between mTBI and PTSD can significantly increase positive recovery outcomes for patients especially since long-term changes in neural communication can persist after an initial mTBI incident.
Another common measurement made from EEG data is that of complexity measures such as
Lempel-Ziv complexity,
fractal dimension
In mathematics, a fractal dimension is a term invoked in the science of geometry to provide a rational statistical index of complexity detail in a pattern. A fractal pattern changes with the Scaling (geometry), scale at which it is measured.
It ...
, and
spectral flatness,
which are associated with particular pathologies or pathology stages.
Economics
Inexpensive EEG devices exist for the low-cost research and consumer markets. Recently, a few companies have miniaturized medical grade EEG technology to create versions accessible to the general public. Some of these companies have built commercial EEG devices retailing for less than US$100.
* In 2004 OpenEEG released its ModularEEG as open source hardware. Compatible open source software includes a game for balancing a ball.
* In 2007
NeuroSky released the first affordable consumer based EEG along with the game NeuroBoy. This was also the first large scale EEG device to use dry sensor technology.
* In 2008
OCZ Technology developed device for use in video games relying primarily on
electromyography
Electromyography (EMG) is a technique for evaluating and recording the electrical activity produced by skeletal muscles. EMG is performed using an instrument called an electromyograph to produce a record called an electromyogram. An electromyo ...
.
* In 2008 the
Final Fantasy
is a Japanese fantasy Anthology series, anthology media franchise created by Hironobu Sakaguchi which is owned, developed, and published by Square Enix (formerly Square (video game company), Square). The franchise centers on a series of fanta ...
developer
Square Enix
is a Japanese Multinational corporation, multinational holding company, video game publisher and entertainment conglomerate. It releases role-playing video game, role-playing game franchises, such as ''Final Fantasy'', ''Dragon Quest'', and '' ...
announced that it was partnering with NeuroSky to create a game, ''Judecca''.
* In 2009
Mattel
Mattel, Inc. ( ) is an American multinational corporation, multinational toy manufacturing and entertainment company headquartered in El Segundo, California. Founded in Los Angeles by Harold Matson and the husband-and-wife duo of Ruth Handler, ...
partnered with NeuroSky to release the
Mindflex, a game that used an EEG to steer a ball through an obstacle course. By far the best-selling consumer based EEG to date.
* In 2009 Uncle Milton Industries partnered with NeuroSky to release the ''
Star Wars
''Star Wars'' is an American epic film, epic space opera media franchise created by George Lucas, which began with the Star Wars (film), eponymous 1977 film and Cultural impact of Star Wars, quickly became a worldwide popular culture, pop cu ...
''
Force Trainer, a game designed to create the illusion of possessing
the Force
The Force is a Metaphysics, metaphysical, mysterious, and Energy (esotericism), ubiquitous power in the ''Star Wars'' Universe of Star Wars, fictional universe. Characters refer to the Force as an energy that interconnects all things in the univer ...
.
* In 2010, NeuroSky added a blink and electromyography function to the MindSet.
* In 2011, NeuroSky released the MindWave, an EEG device designed for educational purposes and games.
The MindWave won the Guinness Book of World Records award for "Heaviest machine moved using a brain control interface".
* In 2012, a Japanese gadget project,
neurowear, released Necomimi: a headset with motorized cat ears. The headset is a NeuroSky MindWave unit with two motors on the headband where a cat's ears might be. Slipcovers shaped like cat ears sit over the motors so that as the device registers emotional states the ears move to relate. For example, when relaxed, the ears fall to the sides and perk up when excited again.
* In 2014,
OpenBCI released an eponymous
open source
Open source is source code that is made freely available for possible modification and redistribution. Products include permission to use and view the source code, design documents, or content of the product. The open source model is a decentrali ...
brain-computer interface after a successful kickstarter campaign in 2013. The board, later renamed "Cyton", has 8 channels, expandable to 16 with the Daisy module. It supports EEG,
EKG, and
EMG. The Cyton Board is based on the Texas Instruments ADS1299
IC and the Arduino or PIC microcontroller, and initially costed $399 before increasing in price to $999. It uses standard metal cup electrodes and conductive paste.
* In 2015,
Mind Solutions Inc released the smallest consumer BCI to date, the
NeuroSync. This device functions as a dry sensor at a size no larger than a
Bluetooth
Bluetooth is a short-range wireless technology standard that is used for exchanging data between fixed and mobile devices over short distances and building personal area networks (PANs). In the most widely used mode, transmission power is li ...
ear piece.
* In 2015, A Chinese-based company
Macrotellect released
BrainLink Pro and
BrainLink Lite, a
consumer grade EEG wearable product providing 20 brain fitness enhancement Apps on
Apple
An apple is a round, edible fruit produced by an apple tree (''Malus'' spp.). Fruit trees of the orchard or domestic apple (''Malus domestica''), the most widely grown in the genus, are agriculture, cultivated worldwide. The tree originated ...
and
Android App Stores.
* In 2021,
BioSerenity release the Neuronaute and Icecap a single-use disposable EEG headset that allows recording with equivalent quality to traditional cup electrodes.
Future research
The EEG has been used for many purposes besides the conventional uses of clinical diagnosis and conventional cognitive neuroscience. An early use was during World War II by the U.S. Army Air Corps to screen out pilots in danger of having seizures; long-term EEG recordings in epilepsy patients are still used today for
seizure prediction.
Neurofeedback
Neurofeedback is a form of biofeedback that uses electrical potentials in the brain to reinforce desired brain states through operant conditioning. This process is non-invasive neurotherapy and typically collects brain activity data using elect ...
remains an important extension, and in its most advanced form is also attempted as the basis of
brain computer interfaces. The EEG is also used quite extensively in the field of
neuromarketing
Neuromarketing is a commercial marketing communication field that applies neuropsychology to market research, studying consumers' Piaget's theory of cognitive development, sensorimotor, cognitive, and affective responses to marketing stimuli. Th ...
.
The EEG is altered by drugs that affect brain functions, the chemicals that are the basis for
psychopharmacology
Psychopharmacology (from Greek ; ; and ) is the scientific study of the effects drugs have on mood, sensation, thinking, behavior, judgment and evaluation, and memory. It is distinguished from neuropsychopharmacology, which emphasizes ...
. Berger's early experiments recorded the effects of drugs on EEG. The science of
pharmaco-electroencephalography has developed methods to identify substances that systematically alter brain functions for therapeutic and recreational use.
Honda is attempting to develop a system to enable an operator to control its
Asimo
ASIMO (Advanced Step in Innovative Mobility) is a humanoid robot created by Honda in 2000.
In 2002, there were 20 units of the first ASIMO model produced; three different ASIMO models subsequently followed. As of February 2009, there were over ...
robot using EEG, a technology it eventually hopes to incorporate into its automobiles.
EEGs have been used as evidence in criminal trials in the
India
India, officially the Republic of India, is a country in South Asia. It is the List of countries and dependencies by area, seventh-largest country by area; the List of countries by population (United Nations), most populous country since ...
n state of
Maharashtra
Maharashtra () is a state in the western peninsular region of India occupying a substantial portion of the Deccan Plateau. It is bordered by the Arabian Sea to the west, the Indian states of Karnataka and Goa to the south, Telangana to th ...
.
Brain Electrical Oscillation Signature Profiling (BEOS), an EEG technique, was used in the trial of ''State of Maharashtra v. Sharma'' to show Sharma remembered using arsenic to poison her ex-fiancé, although the reliability and scientific basis of BEOS is disputed.
A lot of research is currently being carried out in order to make EEG devices smaller, more portable and easier to use. So called "Wearable EEG" is based upon creating low power wireless collection electronics and 'dry' electrodes which do not require a conductive gel to be used. Wearable EEG aims to provide small EEG devices which are present only on the head and which can record EEG for days, weeks, or months at a time, as
ear-EEG. Such prolonged and easy-to-use monitoring could make a step change in the diagnosis of chronic conditions such as epilepsy, and greatly improve the end-user acceptance of BCI systems. Research is also being carried out on identifying specific solutions to increase the battery lifetime of Wearable EEG devices through the use of the data reduction approach.
In research, currently EEG is often used in combination with
machine learning
Machine learning (ML) is a field of study in artificial intelligence concerned with the development and study of Computational statistics, statistical algorithms that can learn from data and generalise to unseen data, and thus perform Task ( ...
. EEG data are pre-processed then passed on to machine learning algorithms. These algorithms are then trained to recognize different diseases like
schizophrenia
Schizophrenia () is a mental disorder characterized variously by hallucinations (typically, Auditory hallucination#Schizophrenia, hearing voices), delusions, thought disorder, disorganized thinking and behavior, and Reduced affect display, f ...
,
epilepsy
Epilepsy is a group of Non-communicable disease, non-communicable Neurological disorder, neurological disorders characterized by a tendency for recurrent, unprovoked Seizure, seizures. A seizure is a sudden burst of abnormal electrical activit ...
or
dementia
Dementia is a syndrome associated with many neurodegenerative diseases, characterized by a general decline in cognitive abilities that affects a person's ability to perform activities of daily living, everyday activities. This typically invo ...
. Furthermore, they are increasingly used to study seizure detection. By using machine learning, the data can be analyzed automatically. In the long run this research is intended to build algorithms that support physicians in their clinical practice and to provide further insights into diseases. In this vein, complexity measures of EEG data are often calculated, such as
Lempel-Ziv complexity,
fractal dimension
In mathematics, a fractal dimension is a term invoked in the science of geometry to provide a rational statistical index of complexity detail in a pattern. A fractal pattern changes with the Scaling (geometry), scale at which it is measured.
It ...
, and
spectral flatness.
It has been shown that combining or multiplying such measures can reveal previously hidden information in EEG data.
EEG signals from musical performers were used to create instant compositions and one CD by the Brainwave Music Project, run at the
Computer Music Center at
Columbia University
Columbia University in the City of New York, commonly referred to as Columbia University, is a Private university, private Ivy League research university in New York City. Established in 1754 as King's College on the grounds of Trinity Churc ...
by
Brad Garton and
Dave Soldier. Similarly, an hour-long recording of the brainwaves of
Ann Druyan
Ann Druyan ( ; born June 13, 1949) is an American documentary producer and director specializing in the communication of science. She co-wrote the 1980 PBS documentary series ''Cosmos'', hosted by Carl Sagan, whom she married in 1981. She i ...
was included on the
Voyager Golden Record
The Voyager Golden Records are two identical phonograph records, one of each which were included aboard the two Voyager spacecraft launched in 1977. The records contain sounds and data to reconstruct raster scan images selected to portray the di ...
, launched on the ''
Voyager'' probes in 1977, in case any extraterrestrial intelligence could decode her thoughts, which included what it was like to fall in love.
History

In 1875,
Richard Caton (1842–1926), a physician practicing in
Liverpool
Liverpool is a port City status in the United Kingdom, city and metropolitan borough in Merseyside, England. It is situated on the eastern side of the River Mersey, Mersey Estuary, near the Irish Sea, north-west of London. With a population ...
, presented his findings about electrical phenomena of the exposed cerebral hemispheres of rabbits and monkeys in the ''
British Medical Journal
''The BMJ'' is a fortnightly peer-reviewed medical journal, published by BMJ Publishing Group Ltd, which in turn is wholly-owned by the British Medical Association (BMA). ''The BMJ'' has editorial freedom from the BMA. It is one of the world ...
''. In 1890, Polish physiologist
Adolf Beck published an investigation of spontaneous electrical activity of the brain of rabbits and dogs that included rhythmic oscillations altered by light. Beck started experiments on the electrical brain activity of animals. Beck placed electrodes directly on the surface of the brain to test for sensory stimulation. His observation of fluctuating brain activity led to the conclusion of brain waves.
In 1912, Ukrainian physiologist
Vladimir Vladimirovich Pravdich-Neminsky published the first animal EEG and the
evoked potential
An evoked potential or evoked response is an electrical potential in a specific pattern recorded from a specific part of the nervous system, especially the brain, of a human or other animals following presentation of a stimulus such as a light fl ...
of the
mammal
A mammal () is a vertebrate animal of the Class (biology), class Mammalia (). Mammals are characterised by the presence of milk-producing mammary glands for feeding their young, a broad neocortex region of the brain, fur or hair, and three ...
ian (dog). In 1914,
Napoleon Cybulski and Jelenska-Macieszyna photographed EEG recordings of experimentally induced seizures.
German physiologist and psychiatrist
Hans Berger
Hans Berger (21 May 1873 – 1 June 1941) was a German psychiatrist. He is best known as the inventor of electroencephalography (EEG) in 1924, which is a method used for recording the electrical activity of the brain, commonly described in terms ...
(1873–1941) recorded the first human EEG in 1924. Expanding on work previously conducted on animals by Richard Caton and others, Berger also invented the electroencephalograph (giving the device its name), an invention described "as one of the most surprising, remarkable, and momentous developments in the history of clinical neurology". His discoveries were first confirmed by British scientists
Edgar Douglas Adrian and B. H. C. Matthews in 1934 and developed by them.
In 1934, Fisher and Lowenbach first demonstrated epileptiform spikes. In 1935,
Gibbs,
Davis and
Lennox described
interictal spike waves and the three cycles/s pattern of clinical
absence seizure
Absence seizures are one of several kinds of generalized seizures. Absence seizures are characterized by a brief loss and return of consciousness, generally not followed by a period of lethargy (i.e. without a notable postictal state). Absence ...
s, which began the field of clinical electroencephalography. Subsequently, in 1936
Gibbs and
Jasper
Jasper, an aggregate of microgranular quartz and/or cryptocrystalline chalcedony and other mineral phases, is an opaque, impure variety of silica, usually red, yellow, brown or green in color; and rarely blue. The common red color is due to ...
reported the interictal spike as the focal signature of epilepsy. The same year, the first EEG laboratory opened at Massachusetts General Hospital.
Franklin Offner (1911–1999), professor of biophysics at
Northwestern University
Northwestern University (NU) is a Private university, private research university in Evanston, Illinois, United States. Established in 1851 to serve the historic Northwest Territory, it is the oldest University charter, chartered university in ...
developed a prototype of the EEG that incorporated a piezoelectric inkwriter called a
Crystograph (the whole device was typically known as the
Offner Dynograph).
In 1947, The American EEG Society was founded and the first International EEG congress was held. In 1953
Aserinsky and
Kleitman described
REM sleep
Rapid eye movement sleep (REM sleep or REMS) is a unique phase of sleep in mammals (including humans) and birds, characterized by random rapid movement of the eyes, accompanied by low muscle tone throughout the body, and the propensity of the s ...
.
In the 1950s,
William Grey Walter developed an adjunct to EEG called
EEG topography, which allowed for the mapping of electrical activity across the surface of the brain. This enjoyed a brief period of popularity in the 1980s and seemed especially promising for psychiatry. It was never accepted by neurologists and remains primarily a research tool.
An electroencephalograph system manufactured by Beckman Instruments was used on at least one of the
Project Gemini
Project Gemini () was the second United States human spaceflight program to fly. Conducted after the first American crewed space program, Project Mercury, while the Apollo program was still in early development, Gemini was conceived in 1961 and ...
crewed spaceflights (1965–1966) to monitor the brain waves of astronauts on the flight. It was one of many Beckman Instruments specialized for and used by NASA.
The first instance of the use of EEG to control a physical object, a robot, was in 1988. The robot would follow a line or stop depending on the alpha activity of the subject. If the subject relaxed and closed their eyes therefore increasing alpha activity, the bot would move. Opening their eyes thus decreasing alpha activity would cause the robot to stop on the trajectory.
See also
References
Further reading
*
*
External links
*
*
{{Authority control
Diagnostic neurology
Electrophysiology
Neurophysiology
Neurotechnology
Electrodiagnosis
Brain–computer interface
Mathematics in medicine