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Item type:Publication, Patterns of brain activity in choice or instructed go and no-go tasks(Springer Science and Business Media LLC, 2025-02-21) ;Sanaz Attaripour Isfahani ;Patrick McGurrin; Mark HallettThe goal of this study was to investigate the decision making process for choosing what movements to make. We used electroencephalography (EEG) to investigate patterns of the contingent negative variation (CNV) associated with free-choice decisions to move or abstain, comparing them to conditions where actions were commanded. Our primary hypothesis was that choice tasks would differ significantly from each other and exhibit EEG patterns akin to their command-driven counterparts after the decisions were made, at least, in the 50 ms block of time prior to movement. A secondary analysis evaluated post hoc comparisons of time, in 50 ms blocks, to understand the temporal development of the CNV for each condition. We also conducted an exploratory analysis of EEG event-related desynchronization (ERD) to identify patterns of brain activity associated with the decision-making process. This approach was taken due to the exploratory nature of our hypotheses concerning the spatial and temporal characteristics of EEG activity during these free-choice versus commanded tasks. We studied 12 right-handed healthy volunteers (7 women, mean age 53 years, range 39–73 years) with no prior history of neurological or major psychiatric illness. A CNV paradigm encompassing commanded and choice tasks was devised, with a 2500 ms interval between S1 and S2, while recording EEG and electromyography (EMG). S1 provided full information about the upcoming task, which was to be executed at the time of S2. We assessed CNV and explored whole scalp EEG activity, including both voltage as well as power in the alpha and beta frequency ranges. Clear and similar CNVs were observed for command and choice go tasks prior to the movements, contrasting with near-zero CNVs for the command and choice no-go tasks. Separation of CNVs for command go and no-go tasks occurred around 1600 ms post-S1, and choice CNVs separated about 2150 ms post-S1. Exploratory analysis revealed that beta power provided information about decision and preparation processes much earlier. The left dorsolateral prefrontal cortex (DLPFC) exhibited the initial sign of decision approximately 500 ms post-S1 for all tasks, with subsequent preparation for movement or restraint involving distinct activity in various brain regions. The localization of effects in the left DLPFC was determined by visual analysis of the informative electrode sites. The CNVs separate about 2 s after S1, and it appears that this process represents preparation for movement (or no movement). Exploration of the beta activity suggests an earlier decision process which leads eventually to subsequent task preparation and activation. Choice decisions lag slightly behind command decisions, with the CNV apparently reflecting motor implementation rather than the decision-making process. In a simple motor task with an exploratory analysis, both commanded and choice-based decisions are rapidly initiated in the left DLPFC. While the CNV distinguishes between go and no-go conditions, it primarily appears to signify preparation for implementation of the task following the earlier decision. Further controlled studies will be needed to confirm these results.Scopus© Citations 3 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Global Perceptions and Utilization of Clinical Neurophysiology in Movement Disorders(2024) ;Panagiotis Kassavetis ;Robert Chen ;Christos Ganos ;Mark HallettMasashi Hamada<jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>Clinical neurophysiology (CNP) involves the use of neurophysiological techniques to make an accurate clinical diagnosis, to quantify the severity, and to measure the treatment response. Despite several studies showing CNP to be a useful diagnostic tool in Movement Disorders (MD), its more widespread utilization in clinical practice has been limited.</jats:p></jats:sec><jats:sec><jats:title>Objectives</jats:title><jats:p>To better understand the current availability, global perceptions, and challenges for implementation of diagnostic CNP in the clinical practice of MD.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>The International Parkinson and Movement Disorders Society (IPMDS) formed a Task Force on CNP. The Task Force distributed an online survey via email to all the members of the IPMDS between August 5 and 30, 2021. Descriptive statistics were used for analysis of the survey results. Some results are presented by IPMDS geographical sections namely PanAmerican (PAS), European (ES), African (AFR), Asian and Oceanian (AOS).</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Four hundred and ninety‐one IPMDS members (52% males), from 196 countries, responded. The majority of responders from the AFR (65%) and PAS (63%) sections had no formal training in diagnostic CNP (40% for AOS and 37% for ES). The most commonly used techniques are electroencephalography (EEG) (72%) followed by surface EMG (71%). The majority of responders think that CNP is somewhat valuable or very valuable in the assessment of MD. All the sections identified “lack of training” as one of the biggest challenges for diagnostic CNP studies in MD.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>CNP is perceived to be a useful diagnostic tool in MD. Several challenges were identified that prevent widespread utilization of CNP in MD.</jats:p></jats:sec>Scopus© Citations 6 4 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, How to Do an Electrophysiological Study of Myoclonus(2022); ;Shabbir Hussain I. Merchant ;Patrick McGurrinMark Hallett1Scopus© Citations 6 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Electrophysiological Characterization of a <scp><i>MYH7</i></scp> Variant with Tremor Phenotype(2023); ;Patrick McGurrin ;Thomas Osterholt ;Debra J. EhrlichSusan T. IannaconeScopus© Citations 2 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Measuring conduction velocity distributions in peripheral nerves using neurophysiological techniques(2020) ;Zhen Ni; ;Alexandru V. Avram ;Giorgio LeodoriSinisa PajevicScopus© Citations 7 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Physiology of Tremor Reduction by Putting the Hands Together in Essential Tremor(2021) ;Patrick McGurrin; ;Thomas Osterholt ;Gina NoratoImran KhanScopus© Citations 2 9 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Measuring latency distribution of transcallosal fibers using transcranial magnetic stimulation(2020) ;Zhen Ni ;Giorgio Leodori; ;Yong ZhangAlexandru V. AvramScopus© Citations 13 3 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Electrophysiological Evidence for Functional (Psychogenic) Essential
Palatal Tremor(2020); ;Emmanuel Akano ;Sanaz Attaripour ;Patrick McGurrinMark Hallett24Scopus© Citations 14 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Myoclonus: An Electrophysiological Diagnosis(2020) ;Shabbir Hussain I. Merchant; ;Giorgio Leodori ;Jay A. GerpenMark HallettScopus© Citations 35 2 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, How to do an electrophysiological study of tremor(2019); ;Panagiotis Kassavetis ;Shabbir Merchant ;Dietrich HaubenbergerMark HallettScopus© Citations 98 1