Related Experiment Video
Updated: May 19, 2026

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Brain State-dependent Brain Stimulation with Real-time Electroencephalography-Triggered Transcranial Magnetic Stimulation
Published on: August 20, 2019
EEG microstates reveal differential network dynamics under constant current and oscillatory brain stimulation
Inga Griškova-Bulanova1, Povilas Tarailis1, Marko Živanović2
1Faculty of Medicine, Vilnius University, Translational Health Research Institute, Žaliųjų ež. str. 2, Vilnius LT-08406, Lithuania.
Neuroimage
|May 17, 2026
Summary
Transcranial electrical stimulation (tES) differentially modulates EEG microstates. Oscillatory tDCS (otDCS) showed the most significant effects on brain network dynamics, suggesting microstates as biomarkers for neuromodulation.
Area of Science:
- Neuroscience
- Brain-Computer Interfaces
- Neuromodulation
Background:
- EEG microstates are brief scalp topographies reflecting large-scale brain network dynamics.
- They may sensitively capture the effects of transcranial electrical stimulation (tES).
Purpose of the Study:
- To evaluate the differential effects of transcranial direct current stimulation (tDCS), transcranial alternating current stimulation (tACS), and oscillatory tDCS (otDCS) on canonical EEG microstates (A-D).
Main Methods:
- A randomized, sham-controlled, crossover study with 42 healthy adults.
- Participants underwent four sessions: tDCS, tACS, otDCS, and sham, with 20-minute stimulation.
- Resting-state EEG was recorded pre- and post-intervention, with microstates (A-D) analyzed for duration, occurrence, and contribution.
Main Results:
- Four canonical microstates explained ~80% of EEG variance.
- All active tES protocols increased microstate A (sensory/arousal), with otDCS showing the strongest effect.
- Microstate B (visual-autobiographical) was suppressed by all active protocols, most by otDCS.
- Microstate C (self-referential) decreased with oscillatory stimulation (tACS, otDCS).
- Microstate D (executive/attention) was enhanced by tACS and otDCS but reduced by tDCS.
- otDCS demonstrated the most widespread and robust modulation, integrating tDCS and tACS effects.
Conclusions:
- Resting-state EEG microstates serve as a sensitive assay for tES aftereffects.
- Constant and oscillatory current waveforms modulate brain network states distinctly.
- otDCS exhibits the most comprehensive modulation, supporting microstates as biomarkers for neuromodulation strategies.

