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Resting state cortical electroencephalographic rhythms and white matter vascular lesions in subjects with Alzheimer's disease: an Italian multicenter study
Authors:Babiloni Claudio  Lizio Roberta  Carducci Filippo  Vecchio Fabrizio  Redolfi Alberto  Marino Silvia  Tedeschi Gioacchino  Montella Patrizia  Guizzaro Antonio  Esposito Fabrizio  Bozzao Alessandro  Giubilei Franco  Orzi Francesco  Quattrocchi Carlo C  Soricelli Andrea  Salvatore Elena  Baglieri Annalisa  Bramanti Placido  Cavedo Enrica  Ferri Raffaele  Cosentino Filomena  Ferrara Michelangelo  Mundi Ciro  Grilli Gianpaolo  Pugliese Silvia  Gerardi Gianluca  Parisi Laura  Vernieri Fabrizio  Triggiani Antonio I  Pedersen Jan T  Hårdemark Hans-Göran  Rossini Paolo M  Frisoni Giovanni B
Affiliation:Department of Biomedical Sciences, University of Foggia, Foggia, Italy Department of Imaging, SAN RAFFAELE Cassino, Italy. c.babiloni@unifg.it
Abstract:Resting state electroencephalographic (EEG) rhythms do not deteriorate with the increase of white matter vascular lesion in amnesic mild cognitive impairment (MCI) subjects [1], although white matter is impaired along Alzheimer's disease (AD). Here we tested whether this is true even in AD subjects. Closed-eye resting state EEG data were recorded in 40 healthy elderly (Nold), 96 amnesic MCI, and 83 AD subjects. White matter vascular lesions were indexed by magnetic resonance imaging recorded in the MCI and AD subjects (about 42% of cases following ADNI standards). The MCI subjects were divided into two sub-groups based on the median of the white matter lesion, namely MCI+ (people with highest vascular load; n = 48) and MCI- (people with lowest vascular load; n = 48). The same was true for the AD subjects (AD+, n = 42; AD-, n = 41). EEG rhythms of interest were delta (2-4 Hz), theta (4-8 Hz), alpha1 (8-10.5 Hz), alpha2 (10.5-13 Hz), beta1 (13-20 Hz), beta2 (20-30 Hz), and gamma (30-40 Hz). LORETA software estimated cortical EEG sources. When compared to Nold group, MCI and AD groups showed well known abnormalities of delta and alpha sources. Furthermore, amplitude of occipital, temporal, and limbic alpha 1 sources were higher in MCI+ than MCI- group. As a novelty, amplitude of occipital delta sources was lower in AD+ than AD- group. Furthermore, central, parietal, occipital, temporal, and limbic alpha sources were higher in amplitude in AD+ than AD- group. Amplitude of these sources was correlated to global cognitive status (i.e., Mini Mental State Evaluation score). These results suggest that in amnesic MCI and AD subjects, resting state posterior delta and alpha EEG rhythms do not deteriorate with the increase of white-matter vascular lesion. These rhythms might be more sensitive to AD neurodegenerative processes and cognitive status rather than to concomitant lesions to white matter.
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