Altered Spatiotemporal Dynamics of the Resting Brain in Mild Cognitive Impairment with Lewy Bodies

Mov Disord. 2021 Oct;36(10):2435-2440. doi: 10.1002/mds.28741. Epub 2021 Aug 3.

Abstract

Background: Electrophysiological markers of prodromal dementia with Lewy bodies were described in the spectral domain. The sub-second temporal resolution may provide additional information.

Objective: To evaluate electroencephalography (EEG) microstates in patients with mild cognitive impairment with Lewy bodies and to assess the association between their temporal dynamics and the spectral marker.

Methods: Temporal parameters of microstates were compared between 21 patients with mild cognitive impairment with Lewy bodies and 21 healthy controls. The dominant alpha frequency was correlated with microstate parameters.

Results: Microstates A-D showed higher occurrence in the patient group. Microstate B additionally revealed shorter mean duration and increased time coverage; its occurrence correlated with the dominant alpha frequency in the patient group.

Conclusions: Temporal dynamics of all EEG microstates were altered in medication-naïve subjects with prodromal dementia with Lewy bodies. Longitudinal follow-up may reveal how EEG microstates reflect progression of brain function deficits and effects of treatment manipulations. © 2021 International Parkinson and Movement Disorder Society.

Keywords: EEG microstates; MCI-LB; medication-naïve; prodromal DLB; synucleinopathy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brain
  • Cognitive Dysfunction* / etiology
  • Electroencephalography
  • Humans
  • Lewy Bodies
  • Lewy Body Disease*
  • Rest