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Visual snow syndrome (VSS) involves unstable brain network activity, shown by shorter and less intense electroencephalography (EEG) microstates. Aberrant transitions between microstate classes suggest disturbed large-scale network function in VSS patients.

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Area of Science:

  • Neuroscience
  • Clinical Neurology
  • Medical Imaging

Background:

  • Visual snow syndrome (VSS) presents with visual disturbances like flickering dots.
  • VSS is linked to migraine and tinnitus and is considered a network disorder.
  • The underlying pathophysiology of VSS remains largely unknown.

Purpose of the Study:

  • To investigate large-scale network processing in VSS using resting-state electroencephalography (EEG) microstate analysis.
  • To compare microstate parameters between VSS patients and matched controls, with and without migraine.

Main Methods:

  • A case-control study involving 21 VSS patients and 21 controls.
  • Resting-state EEG recordings were analyzed using canonical microstate Classes A-D.
  • Parameters such as duration, amplitude, and transition probabilities between microstates were assessed.

Main Results:

  • VSS patients exhibited significantly shorter microstate durations and lower mean amplitudes compared to controls.
  • Aberrant microstate syntax was observed in VSS, specifically more transitions from Class A to Class B and fewer to Class C.
  • These findings indicate unstable microstates and altered transition probabilities in VSS.

Conclusions:

  • VSS is a complex disorder characterized by widespread neural network activity disturbances.
  • EEG microstate analysis reveals unstable microstates and aberrant transition probabilities in VSS.
  • Microstate dynamics analysis offers high temporal resolution insights into VSS pathophysiology and may inform future treatments.