Reorganization of the composition of brain oscillations and their temporal characteristics during opioid withdrawal

Author:

Fingelkurts AlA1,Kähkönen S.2,Fingelkurts AnA3,Kivisaari R.4,Borisov S.5,Puuskari V.6,Jokela O.6,Autti T.4

Affiliation:

1. BM-SCIENCE - Brain and Mind Technologies Research Centre, Espoo, Finland and BioMag Laboratory and Pain Clinic, Department of Anaesthesiology and Intensive Care Medicine, Helsinki University Central Hospital; and Cognitive Brain Research Unit, Department of Psychology, University of Helsinki, Helsinki, Finland,

2. BioMag Laboratory and Pain Clinic, Department of Anaesthesiology and Intensive Care Medicine, Helsinki University Central Hospital; and Cognitive Brain Research Unit, Department of Psychology, University of Helsinki, Helsinki, Finland

3. BM-SCIENCE — Brain and Mind Technologies Research Centre, Espoo, Finland and BioMag Laboratory and Pain Clinic, Department of Anaesthesiology and Intensive Care Medicine, Helsinki University Central Hospital; and Cognitive Brain Research Unit, Department of Psychology, University of Helsinki, Helsinki, Finland

4. Helsinki Medical Imaging Center, Helsinki University Central Hospital, Helsinki, Finland

5. Center for Functional and Molecular Imaging, Georgetown University Medical Center, Georgetown University, Washington, USA

6. Department of Psychiatry, Helsinki University Central Hospital, Helsinki, Finland

Abstract

Majority of the opioid-dependence and withdrawal studies are dominated with many inconsistencies and contradictions. One of the reasons for such inconsistencies may be methodological while performing EEG analysis. To overcome methodological limitations, in the present study we examined the composition of electroencephalographic (EEG) brain oscillations in broad frequency band (0.5—30 Hz) in 13 withdrawal opioid-dependent patients and 14 healthy subjects during resting condition (closed eyes). The exact compositions of brain oscillations and their temporal behaviour were assessed by the probability-classification analysis of short-term EEG spectral patterns (SPs). It was reported that early withdrawal had a generalized effect: the activity in all EEG channels was affected nearly equally. EEG of withdrawal patients was characterized by (a) different dominant SP types (had unique SP types which describe β-frequency band), (b) increased number of SP types observed in each EEG channel, (c) a larger percentage of α2-, β- and poly-rhythmic activity, and by a smaller percentage of δ-, θ- and α1-rhythmic activity, (d) predominantly right-sided asymmetry and (e) longer periods of temporal stabilization for α- and β-brain oscillations and by shorter periods of temporal stabilization for θ-activity when compared with control subjects. When taken together, these findings suggest a considerable reorganization of composition of brain oscillations, which reflects a disorganization process and an allostatic state with neuronal activation in EEG of opioid withdrawal patients.

Publisher

SAGE Publications

Subject

Pharmacology (medical),Psychiatry and Mental health,Pharmacology

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