Topographic electroencephalographic study of cerebral infarction using computed mapping of the EEG.

Computed mapping of the electroencephalogram (CME) is a newly developed method using a microcomputer system that displays the scalp topograph as the square roots of the average power spectra over each EEG frequency band on a color television screen. This new device has been employed in an examination of functional lesions in 20 patients with aphasia due to cerebral infarction. The results were compared with those of computer tomography (CT) and regional cerebral blood flow (rCBF) studies using intracarotid 133Xe. A high-voltage focus of slow components and an asymmetrical distribution of alpha activity were regarded as signs of functional lesions on CME. Twelve patients showed high-voltage foci and six showed asymmetrical alpha activity on CME, which correlated well with the lesions on CT and/or rCBF studies. Especially in patients with motor aphasia, CME demonstrated the abnormality in advance of the appearance of a low-density area on CT. Compared with conventional EEG interpretation, CME is very useful in topographic and objective diagnosis of functional lesions, although the source of the data is the same as for the conventional EEG.