Quantitative EEG asymmetry correlates with clinical severity in unilateral Sturge-Weber syndrome

Laura A. Hatfield, Nathan E. Crone, Eric H. Kossoff, Joshua B. Ewen, Paula L. Pyzik, Doris D.M. Lin, Thomas M. Kelley, Anne M. Comi

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: Sturge-Weber syndrome (SWS) is a neurocutaneous disorder with vascular malformations of the skin, brain, and eye. SWS results in ischemic brain injury, seizures, and neurologic deficits. We hypothesized that a decrease in quantitative EEG (qEEG) power, on the affected side, correlates with clinical severity in subjects with SWS. Methods: Fourteen subjects had 16-channel scalp EEG recordings. Data were analyzed using fast Fourier transform and calculation of power asymmetry. Blinded investigators assigned scores for clinical neurological status and qualitative assessment of MRI and EEG asymmetry. Results: The majority of subjects demonstrated lower total power on the affected side, usually involving all four frequency bands (delta, theta, alpha, and beta). qEEG asymmetry correlated strongly with neurologic clinical severity scores and MRI asymmetry scores. qEEG data generally agreed with the MRI evidence of regional brain involvement. In MRI-qEEG comparisons that did not agree, decreased power on qEEG in a brain region not affected on MRI was more likely to occur in subjects with more severe neurologic deficits. Conclusions: qEEG provides an objective measure of EEG asymmetry that correlates with clinical status and brain asymmetry seen on MRI. These findings support the conclusion that qEEG reflects the degree and extent of brain involvement and dysfunction in SWS. qEEG may potentially be a useful tool for early diagnosis and monitoring of disease progression in SWS. qEEG may prove useful, in severely affected individuals with SWS, for determining regions of brain dysfunction.

Original languageEnglish (US)
Pages (from-to)191-195
Number of pages5
JournalEpilepsia
Volume48
Issue number1
DOIs
StatePublished - Jan 2007

Keywords

  • Clinical severity
  • Quantitative EEG
  • Sturge-Weber syndrome

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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