Tangential and radial epileptic spike activity: different sensitivity in EEG and MEG.

OBJECTIVE

Observations in epileptic patients show that interictal spikes are sometimes only visible in electroencephalography (EEG) and sometimes only in magnetoencephalography (MEG). This observation cannot readily be explained by the theoretical sensitivities of EEG and MEG based on analytical models. In this context, we aimed to study the directional sensitivity of radial and tangential spike activity in numerical simulations using realistic head models.

METHODS

We calculated the signal-to-noise ratio (SNR) of simulated spikes at varying orientations and with varying background activity in 12 brain regions in 4 volunteers. Different levels of background activity were modeled by adjusting the amplitudes of several thousand dipoles distributed in the cortex.

RESULTS

For a fixed realistic background activity, we found a higher SNR for MEG spikes for spike orientations that deviated not > 30° from the tangential direction. In contrast, we found a higher SNR for EEG spikes that deviated not > 45° from the radial direction. When the radial background activity was selectively increased, the sensitivity of EEG for radially oriented spikes decreased; when the tangential background activity selectively increased, the sensitivity of MEG for tangentially oriented spikes was decreased.

CONCLUSIONS

Our simulations provide a possible explanation for the clinically observed differences in epileptic spike detection between EEG and MEG. Epileptic spike detection can be improved by analyzing a combination of EEG and MEG data.