Alpha desynchronization/synchronization during working memory testing is compromised in acute mild traumatic brain injury (mTBI
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Diagnosing and monitoring recovery of patients with mild traumatic brain injury (mTBI) is challenging because of the lack of objective, quantitative measures. Diagnosis is based on description of injuries often not witnessed, subtle neurocognitive symptoms, and neuropsychological testing. Since working memory (WM) is at the center of cognitive functions impaired in mTBI, this study was designed to define objective quantitative electroencephalographic (qEEG) measures of WM processing that may correlate with cognitive changes associated with acute mTBI. First-time mTBI patients and mild peripheral (limb) trauma controls without head injury were recruited from the emergency department. WM was assessed by a continuous performance task (N-back). EEG recordings were obtained during N-back testing on three occasions: within five days, two weeks, and one month after injury. Compared with controls, mTBI patients showed abnormal induced and evoked alpha activity including event-related desynchronization (ERD) and synchronization (ERS). For induced alpha power, TBI patients had excessive frontal ERD on their first and third visit. For evoked alpha, mTBI patients had lower parietal ERD/ERS at the second and third visits. These exploratory qEEG findings offer new and non-invasive candidate measures to characterize the evolution of injury over the first month, with potential to provide much-needed objective measures of brain dysfunction to diagnose and monitor the consequences of mTBI.
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EEG studies have demonstrated differences in ERP amplitude, increased alpha power, and poor fronto-parietal coherence during verbal and visuospatial working memory tasks in mTBI.
“Using EEG, differences in the amplitude of event-related potentials (ERPs) (Bernstein, 2002;Ozen, Itier, Preston, & Fernandes, 2013), increased alpha power (Arakaki et al., 2018) and poor coherence (the temporal dependence of neuronal activity across brain regions) between fronto-parietal regions during verbal and visuospatial working memory tasks has also been demonstrated in mTBI (Cudmore, 2000;”
From Investigation of neurobiological responses to theta burst stimulation during recovery from mild traumatic brain injury (mTBI) (2023) · cites this paper as Arakaki et al., 2018
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- Authors
- Arakaki, X., Shoga, M., Li, L., Zouridakis, G., Tran, T., Fonteh, A. N., Dawlaty, J., Goldweber, R., Pogoda, J. M., & Harrington, M. G.
- Affiliations
- Huntington Medical Research Institutes (US)
- University of Houston (US)
- Huntington Hospital (US)
- Corresponding author
- Arakaki, Xianghong
- ORCID
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2018-02-14
- Volume
- 13
- Issue
- 2
- Pages
- e0188101
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC5812562
- OpenAlex
- W2793620415
- Cited by
- 23
- References
- 92
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 2 · 2023: 6 · 2022: 3 · 2021: 3 · 2020: 3 · 2019: 1
- FWCI
- 1.37
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Funders
- U.S. Department of Defense (W81XWH-13-1-0005)
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Keywords
- mild traumatic brain injury, working memory, alpha desynchronization, alpha synchronization, event-related desynchronization, event-related synchronization, quantitative EEG, n-back task, frontal alpha power
- MeSH terms
- Brain Injuries, Traumatic, Acute Disease, Adult, Electroencephalography, Female, Humans, Male, Memory, Short-Term, Severity of Illness Index, Young Adult
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