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3.5 Conclusion<br />

In this chapter I described the use <strong>of</strong> quantitative parameters dened from the Gabor<br />

Transform applied to the <strong>analysis</strong> <strong>of</strong> <strong>EEG</strong> <strong>signals</strong>. These parameters give an accurate<br />

description <strong>of</strong> the time evolution <strong>of</strong> <strong>EEG</strong> rhythms, something dicult to perform from<br />

the spectrograms. Spectrograms are more suitable for the <strong>analysis</strong> <strong>of</strong> long recordings<br />

in which only large scale variations, <strong>of</strong> the order <strong>of</strong> minutes or hours, are relevant (see<br />

examples <strong>of</strong> spectrogram <strong>analysis</strong> in Lopes da Silva, 1993b Gotman, 1990a). In this<br />

context, spectrograms are for example very useful for discriminating between dierent<br />

sleep stages, due to the slow variation <strong>of</strong> the <strong>frequency</strong> patterns. However, as showed in<br />

sec. x3.3.2, spectrograms are not so suitable for the <strong>analysis</strong> epileptic seizures, in which<br />

<strong>frequency</strong> patterns change in the order <strong>of</strong> seconds.<br />

On the other h<strong>and</strong>, the quantication by means <strong>of</strong> the RIR allowed the performance<br />

<strong>of</strong> a statistical <strong>analysis</strong> <strong>of</strong> the <strong>frequency</strong> content <strong>of</strong> Gr<strong>and</strong> Mal seizures, by studying 20<br />

scalp seizure recordings. This <strong>analysis</strong> showed marked decreases <strong>of</strong> the delta b<strong>and</strong> during<br />

the seizure due to the dominance <strong>of</strong> alpha <strong>and</strong> theta b<strong>and</strong> at this stage. Since intracranial<br />

recordings are nearly free <strong>of</strong> artifacts, the fact that the same pattern was seen in both<br />

situations reinforces the idea that the results obtained with scalp electrodes were not<br />

an spurious eect <strong>of</strong> muscle activity, or<strong>of</strong>the procedure achieved for their elimination.<br />

The introduction <strong>of</strong> the mean <strong>and</strong> maximum b<strong>and</strong> frequencies allowed the study <strong>of</strong><br />

the time evolution <strong>of</strong> <strong>frequency</strong> patterns within each <strong>frequency</strong> b<strong>and</strong>. It is interesting<br />

to note that with this <strong>analysis</strong> it was possible to establish the presence <strong>of</strong> a well dened<br />

delta oscillation during the seizure, in spite <strong>of</strong> the fact that its energy was very low <strong>and</strong><br />

remained latent until the ending <strong>of</strong> the seizure, when it reached very high amplitudes<br />

<strong>and</strong> dominated the <strong>EEG</strong>.<br />

Other interesting point to note is that although the grouping in <strong>frequency</strong> b<strong>and</strong>s<br />

implies a loose <strong>of</strong> <strong>frequency</strong> resolution, it can be more useful than the study <strong>of</strong> single<br />

frequencies or peaks, due to the relations between <strong>frequency</strong> b<strong>and</strong>s <strong>and</strong> functions or<br />

sources <strong>of</strong> the brain.<br />

The use <strong>of</strong> the present time-<strong>frequency</strong> <strong>analysis</strong>, together with the clinical patient<br />

history <strong>and</strong> the visual assessment <strong>of</strong> the <strong>EEG</strong>, can contribute to the identication <strong>of</strong> the<br />

source <strong>of</strong> epileptic seizures <strong>and</strong> to a better underst<strong>and</strong>ing <strong>of</strong> its dynamic.<br />

Certainly, Gabor Transform is not intended to replace conventional <strong>EEG</strong> <strong>analysis</strong>,<br />

but rather to complement it <strong>and</strong> also to provide further insights into the underlying<br />

mechanisms <strong>of</strong> ictal patterns. In this context, RIR allows a fast interpretation <strong>of</strong> several<br />

minutes <strong>of</strong> <strong>frequency</strong> variations in a single display, something dicult to perform with<br />

traditional scalp <strong>EEG</strong>.<br />

35

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