Disruption of alpha oscillation propagation in patients with schizophrenia

Propagation of electroencephalogram (EEG) oscillations, often referred to as traveling waves, reflects the role of brain oscillations in neural information transmission. This propagation can be distorted by brain disorders such as schizophrenia that features disconnection of neural information transmission (i.e., disconnection syndrome). However, this possibility of the disruption of EEG oscillation propagation in patients with schizophrenia remains largely unexplored.

Using a publicly shared dataset (N = 19 and 24; patients with schizophrenia and healthy controls, respectively), we investigated EEG oscillation propagation by analyzing the local phase gradients (LPG) of alpha (8-12 Hz) oscillations in both healthy participants and patients with schizophrenia.

Our results showed significant directionality in the propagation of alpha oscillations in healthy participants. Specifically, alpha oscillations propagated in an anterior-to-posterior direction along mid-line and a posterior-to-anterior direction laterally. In patients with schizophrenia, some of alpha oscillation propagation were notably disrupted, particularly in the central midline area where alpha oscillations propagated from anterior to posterior areas.

Our finding lends support to the hypothesis of a disconnection syndrome in schizophrenia, underscoring a disruption in the anterior-to-posterior propagation of alpha oscillations.

This study identified disruption of alpha oscillation propagation observed in scalp EEG as a biomarker for schizophrenia.