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Triphasic Waves Are Generated by Widespread Bilateral Cortical Networks.

Mustafa Aykut Kural1,2, Martin Fabricius3, Jakob Christensen2,4

  • 1Departments of Clinical Neurophysiology and.

Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society
|August 28, 2020
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Summary
This summary is machine-generated.

Triphasic waves (TWs) in encephalopathy originate from widespread brain networks. EEG source imaging reveals these generators are primarily in the anterior frontal and temporo-polar regions.

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Area of Science:

  • Neuroscience
  • Clinical Electrophysiology

Background:

  • Triphasic waves (TWs) are EEG patterns observed in encephalopathy.
  • Their precise origin and clinical significance remain subjects of ongoing research and debate.

Purpose of the Study:

  • To pinpoint the cortical generators of TWs using advanced EEG source imaging techniques.
  • To understand the neuroanatomical basis of TWs in encephalopathy.

Main Methods:

  • EEG source imaging was applied to 20 patients with encephalopathy exhibiting TWs.
  • Three distinct source localization methods were employed: equivalent current dipoles, distributed source modeling, and spatial filtration.
  • Analysis focused on the initial negative and positive phases of the TWs.

Main Results:

  • Equivalent current dipole modeling proved insufficient for valid source localization.
  • Distributed source modeling and spatial filtration consistently indicated TW generation within large, bilateral cortical networks.
  • These networks invariably included the anterior frontal and temporo-polar cortical areas.

Conclusions:

  • EEG source imaging successfully localized the cortical generators of TWs.
  • TWs originate from anterior frontal and temporo-frontal brain regions.
  • This localization aligns with known pathophysiological changes in consciousness and cognition associated with encephalopathy.