Electroencephalography Microstate Alterations in Otogenic Vertigo: A Potential Disease Marker

ObjectivesA huge population, especially the elderly, suffers from otogenic vertigo. However, the multi-modal vestibular network changes, secondary to periphery vestibular dysfunction, have not been fully elucidated. We aim to identify potential microstate electroencephalography (EEG) signatures for...

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Main Authors: Yi-Ni Li, Wen Lu, Jie Li, Ming-Xian Li, Jia Fang, Tao Xu, Ti-Fei Yuan, Di Qian, Hai-Bo Shi, Shan-Kai Yin
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Aging Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnagi.2022.914920/full
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author Yi-Ni Li
Wen Lu
Jie Li
Ming-Xian Li
Jia Fang
Tao Xu
Ti-Fei Yuan
Di Qian
Hai-Bo Shi
Shan-Kai Yin
author_facet Yi-Ni Li
Wen Lu
Jie Li
Ming-Xian Li
Jia Fang
Tao Xu
Ti-Fei Yuan
Di Qian
Hai-Bo Shi
Shan-Kai Yin
author_sort Yi-Ni Li
collection DOAJ
description ObjectivesA huge population, especially the elderly, suffers from otogenic vertigo. However, the multi-modal vestibular network changes, secondary to periphery vestibular dysfunction, have not been fully elucidated. We aim to identify potential microstate electroencephalography (EEG) signatures for otogenic vertigo in this study.Materials and MethodsPatients with recurrent otogenic vertigo and age-matched healthy adults were recruited. We performed 256-channel EEG recording of all participants at resting state. Neuropsychological questionnaires and vestibular function tests were taken as a measurement of patients’ symptoms and severity. We clustered microstates into four classes (A, B, C, and D) and identified their dynamic and syntax alterations of them. These features were further fed into a support vector machine (SVM) classifier to identify microstate signatures for vertigo.ResultsWe compared 40 patients to 45 healthy adults, finding an increase in the duration of Microstate A, and both the occurrence and time coverage of Microstate D. The coverage and occurrence of Microstate C decreased significantly, and the probabilities of non-random transitions between Microstate A and D, as well as Microstate B and C, also changed. To distinguish the patients, the SVM classifier, which is built based on these features, got a balanced accuracy of 0.79 with a sensitivity of 0.78 and a specificity of 0.8.ConclusionThere are several temporal dynamic alterations of EEG microstates in patients with otogenic vertigo, especially in Microstate D, reflecting the underlying process of visual-vestibular reorganization and attention redistribution. This neurophysiological signature of microstates could be used to identify patients with vertigo in the future.
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spelling doaj.art-3edd49a6136f46ef95d2c7c0c6f5941f2022-12-22T02:28:24ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652022-06-011410.3389/fnagi.2022.914920914920Electroencephalography Microstate Alterations in Otogenic Vertigo: A Potential Disease MarkerYi-Ni Li0Wen Lu1Jie Li2Ming-Xian Li3Jia Fang4Tao Xu5Ti-Fei Yuan6Di Qian7Hai-Bo Shi8Shan-Kai Yin9Department of Otorhinolaryngology Head and Neck Surgery, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Otorhinolaryngology Head and Neck Surgery, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Otorhinolaryngology Head and Neck Surgery, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Otorhinolaryngology Head and Neck Surgery, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Otorhinolaryngology Head and Neck Surgery, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Anesthesiology, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, ChinaShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Otolaryngology, People’s Hospital of Longhua, Shenzhen, ChinaDepartment of Otorhinolaryngology Head and Neck Surgery, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Otorhinolaryngology Head and Neck Surgery, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, ChinaObjectivesA huge population, especially the elderly, suffers from otogenic vertigo. However, the multi-modal vestibular network changes, secondary to periphery vestibular dysfunction, have not been fully elucidated. We aim to identify potential microstate electroencephalography (EEG) signatures for otogenic vertigo in this study.Materials and MethodsPatients with recurrent otogenic vertigo and age-matched healthy adults were recruited. We performed 256-channel EEG recording of all participants at resting state. Neuropsychological questionnaires and vestibular function tests were taken as a measurement of patients’ symptoms and severity. We clustered microstates into four classes (A, B, C, and D) and identified their dynamic and syntax alterations of them. These features were further fed into a support vector machine (SVM) classifier to identify microstate signatures for vertigo.ResultsWe compared 40 patients to 45 healthy adults, finding an increase in the duration of Microstate A, and both the occurrence and time coverage of Microstate D. The coverage and occurrence of Microstate C decreased significantly, and the probabilities of non-random transitions between Microstate A and D, as well as Microstate B and C, also changed. To distinguish the patients, the SVM classifier, which is built based on these features, got a balanced accuracy of 0.79 with a sensitivity of 0.78 and a specificity of 0.8.ConclusionThere are several temporal dynamic alterations of EEG microstates in patients with otogenic vertigo, especially in Microstate D, reflecting the underlying process of visual-vestibular reorganization and attention redistribution. This neurophysiological signature of microstates could be used to identify patients with vertigo in the future.https://www.frontiersin.org/articles/10.3389/fnagi.2022.914920/fullvertigoEEGneural networkmicrostatesupport vector machine (SVM)
spellingShingle Yi-Ni Li
Wen Lu
Jie Li
Ming-Xian Li
Jia Fang
Tao Xu
Ti-Fei Yuan
Di Qian
Hai-Bo Shi
Shan-Kai Yin
Electroencephalography Microstate Alterations in Otogenic Vertigo: A Potential Disease Marker
Frontiers in Aging Neuroscience
vertigo
EEG
neural network
microstate
support vector machine (SVM)
title Electroencephalography Microstate Alterations in Otogenic Vertigo: A Potential Disease Marker
title_full Electroencephalography Microstate Alterations in Otogenic Vertigo: A Potential Disease Marker
title_fullStr Electroencephalography Microstate Alterations in Otogenic Vertigo: A Potential Disease Marker
title_full_unstemmed Electroencephalography Microstate Alterations in Otogenic Vertigo: A Potential Disease Marker
title_short Electroencephalography Microstate Alterations in Otogenic Vertigo: A Potential Disease Marker
title_sort electroencephalography microstate alterations in otogenic vertigo a potential disease marker
topic vertigo
EEG
neural network
microstate
support vector machine (SVM)
url https://www.frontiersin.org/articles/10.3389/fnagi.2022.914920/full
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