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Updated: Sep 20, 2026

Application of an Amplitude-integrated EEG Monitor (Cerebral Function Monitor) to Neonates
Published on: September 6, 2017
Time course of EEG background activity level before spontaneous awakening in the second semester of human life
Chiara Zampi1, Igino Fagioli, Piero Salzarulo
1Department of Psychology, University of Florence, Via San Niccolò 93, 50125 Firenze, Italy.
Insights
EEG activity levels before waking in infants differ by sleep stage. Activation increased before waking from non-REM sleep with slow waves, but remained high during REM and non-REM sleep without slow waves.
Area of Science:
- Neuroscience
- Sleep Medicine
- Developmental Pediatrics
Background:
- Understanding infant sleep is crucial for development.
- Electroencephalogram (EEG) activity patterns during sleep transitions are not fully characterized in early life.
- Distinguishing sleep stages like REM and NREM is key to analyzing brain activity.
Purpose of the Study:
- To investigate the EEG background activity changes preceding spontaneous awakenings in infants.
- To compare these changes across different sleep stages: REM sleep, NREM sleep with slow waves (NREMSWS+), and NREM sleep without slow waves (NREMSWS-).
- To analyze these patterns within the second semester of life.
Main Methods:
- Continuous polygraphic recording and behavioral observation of 12 infants (25-54 weeks old).
- Automatic analysis of EEG activity to determine background level.
- Comparison of EEG activation levels before awakening from different sleep states.
Main Results:
- EEG activation level significantly increased before awakening from NREMSWS+ sleep.
- EEG activation levels were consistently high during REM sleep.
- EEG activation levels were also consistently high during NREMSWS- sleep.
Conclusions:
- Infant EEG background activity shows distinct patterns before awakening depending on the preceding sleep stage.
- Increased EEG activation precedes awakening from NREM sleep with slow waves, suggesting a preparatory cortical shift.
- Consistently high EEG activity during REM and NREM sleep without slow waves may reflect different underlying brain states or arousal thresholds.
Abstract:
This research aimed at investigating the time course of the EEG background activity level before spontaneous awakening out of rapid eye movement (REM) sleep, and non-rapid eye movement sleep with and without slow wave sleep (NREMSWS+, NREMSWS-) in the second semester of life. Twelve infants from 25 to 54 weeks of life were continuously monitored by polygraphic recording and behavioural observation during the night, and the EEG activity was analyzed by a method of automatic analysis. The EEG activation level increased before the awakening out of NREMSWS+ sleep, and was always high both in REM sleep and in NREMSWS-.
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