Abnormal topography of EEG microstates in Gilles de la Tourette syndrome

  • A. Stevens
  • W. Günther
  • W. Lutzenberger
  • M. Bartels
  • N. Müller
Original Paper

Abstract

Quantitative analysis of scalp EEGs was performed on 13 patients with Gilles de la Tourette syndrome (GTS) and 25 matched controls. The analysis method was adaptive segmentation, which describes the topography and sequence of brain electric fields in continuous EEG. The GTS patients showed an abnormal increase in fields with a right-frontal/left-posterior configuration. The GTS patient's EEGs did not differ from normal controls in the average duration of the brain electric microstates, field stability and EEG carrier frequency. To find out whether the abnormal activity is similar to movement-related activity a simple and a complex motor task were performed. Both tasks led to distinct changes of brain electric activity, but not to an increase in right-frontal-/left-posterior-oriented patterns. Motor-related activity was contrasted with two auditory tasks. We conclude that GTS patient's EEG show abnormal topographic patterns of brain electric activity. Unlike other psychiatric disorders, the temporal descriptors of the EEG aspects are unaffected. The abnormal EEG patterns in GTS patients are not similar to those elicited by simple or complex movements; thus, the presence of abnormally facilitated, near-threshold motor activity in GTS patients seems not a likely explanation.

Key words

Gilles de la Tourette syndrome EEG Adaptive segmentation Physiology Functional neuroimaging 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Alexander GE, De Long MR, Strick PL (1986) Parallel organisation of functionally segregated circuits linking basal banglia and cortex. Annu Rev Neurosci 9:357–381Google Scholar
  2. American Psychiatric Association (1987) Diagnostic and statistical manual of mental disorders (DSM-III-R), 3rd ed, revised. American Psychiatric Association, Washington, DCGoogle Scholar
  3. Baxter L, Schwartz J, Maziotta J, Phelps ME, Pahl JJ, Buze BE, Fairbanks L (1988) Cerebral glucose metabolic rates in nondepressed patients with obsessive-compulsive disorder. Am J Psychiatry 145:1560–1563Google Scholar
  4. Beech HR, Ciesielski KT, Gordon PK (1983) Further observations of evoked potential in obsessional patients. Br J Psychiatry 142: 605–609Google Scholar
  5. Bonnet KA (1982) Neurobiological dissection of Tourette syndrome: a neurochemical focus on a human neuroanatomical model. In: Friedhoff AJ, Chase TN (eds) Gilles de la Tourette syndrome. Raven Press, New York, pp 77–82Google Scholar
  6. Buzsaki G, Chrobak JJ (1995) Temporal structure in spatially organized neuronal ensembles: a role for interneuronal networks. Curr Opin Neurobiol 5:504–510Google Scholar
  7. Destexhe A, Babloyantz A (1991) Deterministic chaos in a model of the thalamo-cortical system. In: Babloyantz A (ed) Self-organization, emerging properties and learning. Plenum Press, New York, pp 127–150Google Scholar
  8. Drake ME Jr, Hietter SA, Padamadan H, Bogner JE, Andrews JM, Weate S (1992) Auditory evoked potentials in Gilles de la Tourette syndrome. Clin Electroencephalogr 23:19–23Google Scholar
  9. Eapen V, Pauls DL, Robertson MM (1993) Evidence for autosomal transmission in Tourette's syndrome. United Kingdom cohort study. Br J Psychiatry 162:593–596Google Scholar
  10. Erenberg G, Cruse RP, Rothner AD (1987) The natural history of Tourette's syndrome: a follow-up study. Ann Neurol 22:383–385Google Scholar
  11. Gerorge MS, Trimble MR, Costa DC, Robertson MM, Ring HA, Ell PJ (1992) Elevated frontal blood flow in Gilles de la Tourette syndrome: a99Tcm-HMPAO SPECT study. Psychiatry Res 45:143–151Google Scholar
  12. Gratton G, Coles M, Donchin E (1983) A new method for off-line removal of ocular artfact. Electroencephalogr Clin Neurophysiol 44:735–741Google Scholar
  13. Günther W, Müller N, Trapp W, Haag C, Putz A, Straube A (1996) Quantitative EEG analysis during motor function and music preception in Tourette's syndrome. Eur Arch Psychiatry Clin Neurosci 246:197–202Google Scholar
  14. Harcherik DF, Leckman JF, Detlor J, Cohen DJ (1984) A new instrument for clinical studies of Tourette's syndrome. J Am Acad Child Psychiatry 23:153–160Google Scholar
  15. Hyde TM, Emsellem HA, Randolph C, Rickler KC, Weinberger DR (1994) Electroencephalographic abnormalities in monozygotic twins with Tourette's syndrome. Br J Psychiatry 164: 811–817Google Scholar
  16. IFSCEN (1974) A glossary of terms commonly used by clinical electroencephalographers. Electroencephalogr Clin Neurophysiol 37:538–548Google Scholar
  17. Insel TR (1992) Toward a neuroanatomy of obsessive-compulsive disorder. Arch Gen Psychiatry 49:739–744Google Scholar
  18. Koukkou M, Lehmann D, Strik WK, Merlo MC (1994) Maps of microstate of spontaneous EEG in never-treated acute schizophrenia. Brain Topogr 6:251–252Google Scholar
  19. Krumholz A, Singer HS, Niedermeyer E, Burnite R, Harris K (1983) Electrophysiological studies in Tourette's syndrome. Ann Neurol 14:638–641Google Scholar
  20. Lang AE (1993) Premonitory (“sensory”) experiences. In: Kurlan R (ed) Handbook of Tourette's syndrome and related tic and behavioural disorders. Dekker, New York, pp 17–26Google Scholar
  21. Leckman JF, Riddle MA, Hardin MT et al. (1989) The Yale Global Tic Severity Scale: initial testing of a clinician-rated scale of tic severity. J Am Acad Child Psychiatry 28:566–573Google Scholar
  22. Leckman JF, Goodman WK, Anderson GM, Riddle MA, Chappell PB (1995) Cerebrospinal fluid biogenic amines in obsessive-compulsive disorder, Tourette's syndrome and healthy controls. Neuropsychopharmacology 12:73–86Google Scholar
  23. Lehmann D, Ozaki H, Pal I (1987) EEG alpha map series: brain micro-states by space-oriented adaptive segmenation. Electroencephalogr Clin Neurophysiol 67:271–288Google Scholar
  24. Lopes da Silva FH (1991) Neural mechanisms underlying brain waves: from neural membranes to networks. Electroencephalogr Clin Neurophysiol 79:81–89Google Scholar
  25. Lopes da Silva FH, Storm van Leeuwen W (1977) The cortical source of the alpha rhythm. Neurosci Lett 6:237–241Google Scholar
  26. Malison RT, McDougle CJ, van-Dyck CH, Scahill L, Baldwin RM, Seibl JP, Price LH, Leckmann JF, Innis RB (1995) 123beta-CIT SPECT imaging of striatal dopamine transporter binding in Tourette's disorder. Am J Psychiatry 152:1359–1361Google Scholar
  27. Merzenich MM, Schreiner C, Jenkins W, Wang X (1993) Neural mechanism underlying temporal integration, segmentation and input sequence representation: some implications for the origin of learning disabilities. In: Tallal P, Galaburda AM, Llinas RR, Euler C von (eds) Temporal information processing in the nervous system: special reference to dyslexia and dysphasia. Ann NY Acad Sci 682:1–22Google Scholar
  28. Moriarty J, Costa DC, Schmitz B, Trimble MR, Ell PJ, Robertson MM (1995) Brain perfusion abnormalities in Gilles de la Tourette's syndrome. Br J Psychiatry 167:249–254Google Scholar
  29. Murthy VN, Fetz EE (1992) Coherent 25-to 30-Hz oscillations in the sensorimotor cortex of awake behaving monkeys. Proc Natl Acad Sci USA 89:5670–5674Google Scholar
  30. Nashmi R, Mendonca AJ, MacKay WA (1994) EEG rhythms of the sensorimotor region during hand movements. Electroencephalgr Clin Neurophysiol 91:456–467Google Scholar
  31. Obeso JA, Rothwell JC, Marsden CD (1981) Simple tics in Gilles de la Tourette's syndrome are not prefaced by a normal premovement EEG potential. J Neurol Neurosurg Psychiatry 44: 735–738Google Scholar
  32. Pauls DL, Towbin KE, Leckman JF, Zahner GEP, Cohen DJ (1986) Gilles de la Tourette syndrome and obsessive-compulsive disorder: evidence supporting an etiological relationship. Arch Gen Psychiatry 43:1180–1182Google Scholar
  33. Peterson B, Riddle MA, Cohen DJ, Katz LD, Smith JC, Hardin MT, Leckman JF (1993) Reduced basal ganglia volumes in Tourette's syndrome using three-dimensional reconstruction techniques from magnetic resonance images. Neurology 43: 941–949Google Scholar
  34. Pfurtscheller G, Neuper C (1992) Simultaneous EEG 10-Hz desynchronization and 40-Hz synchronization during finger movements. NeuroReport 3:1057–1060Google Scholar
  35. Riddle MA, Rasmusson AM, Woods SW, Hoffer PB (1992) SPECT imaging of cerebral blood flow in Tourette syndrome. Adv Neurol 58:207–211Google Scholar
  36. Robertson MM, Trimble MR, Lees AJ (1988) The psychopathology of the Gilles de la Tourette syndrome. Br. J Psychiatry 152:383–390Google Scholar
  37. Robertson MM, Yakeley JW (1993) Obsessive-compulsive disorder and self-injurious behavior. In: Kurlan R (ed) Handbook of Tourette's syndrome and related tic and behavioural disorders. Dekker, New York, pp 45–88Google Scholar
  38. Rubin RT, Villanueva-Meyer J, Ananth J, Trajmar PG, Mena I (1992) Regional xenon 133 cerebral blood flow and cerebral technetium Tx 99m-HMPAO uptake in unmedicated patients with obsessive-compulsive disorder and matched normal control subjects: determination by high-resolution single-photonemission computed tomography. Arch Gen Psychiatry 49: 695–702Google Scholar
  39. Shagass C, Roemer RA, Straumanis JJ, Josiassen RC (1984a) Distinctive somatosensory evoked potential featues in obsessivecompulsive disorder. Biol Psychiatry 19:1507–1524Google Scholar
  40. Shagass C, Roemer RA, Straumanis JJ, Josiassen RC (1984b) Evoked potentials in obsessive-compulsive disorder. Adv Biol Psychiatry 15:69–75Google Scholar
  41. Singer HS, Reiss AL, Brown JE et al. (1993) Volumetric MRI changes in basal ganglia of children with Tourette's syndrome. Neurology 43:950–956Google Scholar
  42. Steriade M, Dossi C, Oakson G (1991) Fast oscillations (20–40 Hz) in thalamocortical systems and their potentiation by mesopontine cholinergic nuclei in the cat. Proc Natl Acad Sci USA 88:4396–4400Google Scholar
  43. Stevens A, Lutzenberger W, Bartels M, Strik W, Lindner K. Increased duration and altered topography of EEG microstates during cognitive tasks in chronic schizophrenia. Psychiatry Res (in press)Google Scholar
  44. Strik WK, Lehmann D (1993) Data-determined window size and space-oriented segmentation of spontaneous EEG map series. Electroencephalogr Clin Neurophysiol 87:169–174Google Scholar
  45. Strik WK, Dierks T, Becker T (1995) Larger topographical variance and increased duration of brain electric microstates in depression. J Neural Transm (GenSect) 99:213–222Google Scholar
  46. Swedo SE, Schapiro MB, Grady CL, Cheslow DL, Leonard HL, Kumar A, Friedland R, Rappoport SI, Pappoport JL (1989) Cerebral glucose metabolism in childhood-onset obsessive-compulsive disorder. Arch Gen Psychiatry 46:518–523Google Scholar
  47. Towbin KE, Riddle MA (1993) Attention deficit hyperactivity disorder. In: Kurlan R (ed) Handbook of Tourette's syndrome and related tic and behavioural disorders. Dekker, New York, pp 89–110Google Scholar
  48. Towey JP, Tenke CE, Bruder GE, Leite P, Friedman D, Liebowitz M, Hollander E (1994) Brain event-related potential correlates of overfocused attention in obsessive-compulsive disorder. Psychophysiol 31:535–543Google Scholar
  49. Verma NP, Syrigou-Papavasiliou A, LeWitt PA (1986) Electroencephalographic findings in unmedicated, neurologically and intellectually intact Tourette syndrome patients. Electroencephalogr Clin Neurophysiol 564:12–20Google Scholar
  50. Volkmar FR, Leckman JF, Detlor J et al. (1984) EEG abnormalities in Tourette's syndrome. J Am Acad Child Adolesc Psychiatry 23:352–353Google Scholar
  51. Wackermann J, Lehmann D, Michel CM, Strik WK (1993) Adaptive segmentation of spontaneous EEG map series into spatially defined microstates. Int J Psychophysiol 14:269–283Google Scholar

Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • A. Stevens
    • 1
  • W. Günther
    • 2
  • W. Lutzenberger
    • 3
  • M. Bartels
    • 1
  • N. Müller
    • 2
  1. 1.Department of PsychiatryUniversity of TübingenTübingenGermany
  2. 2.Department of PsychiatryMunich and Nervenklinik BambergMunichGermany
  3. 3.Department of Medical Psychology and Behavioral NeurobiologyUniversity of TübingenTübingenGermany

Personalised recommendations