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. 2019 Feb 13;90(9):1011–1020. doi: 10.1136/jnnp-2018-319581

Table 1.

Established neurophysiological changes in neurodegeneration, their clinical utility and discrimination ability

Neurodegeneration Method Neurophysiological change Clinical application Discrimination
statistics
References
Alzheimer’s disease
Dementia with Lewy bodies
EEG/
MEG
  • ↓ Posterior α power

  • ↑ Parietal δ and θ power

  • Prodromal differential diagnosis

  • Diagnostic biomarker

  • Differential diagnosis of AD and DLB

  • Sensitivity −78.3%

  • Specificity - 66.7%

  • AUROC – 72%

  • AUROC=0.97 (log δ) and 0.93 (log θ)

  • AUROC=0.879 (log δ) and 0.75 (log θ)

Andersson et al, Babiloni et al 36 43
Frontotemporal dementia EEG
  • Combined 25 rsEEG measures

  • Differential diagnosis between ADD, PDD, DLB and bvFTD

  • AUROC=100%

  • Specificity=100%

  • Selectivity=100%

Garn et al 55
Parkinson’s disease EEG
  • ↑β power

  • ↑300 Hz power

  • Differential diagnosis

  • Thresholding of DBS

  • CT antikinetic measure

  • CT prokinetic outcome measure

  • To be determined.

Assenza et al,
Little et al,
Muthuraman et al,
Assenza et al 48 52
Amyotrophic lateral sclerosis TMS
  • ↓Short intracortical inhibition

  • Differential diagnosis from mimic disorders

  • Prodromal biomarker

  • CT outcome measure

  • Sensitivity - 73.21%

  • Specificity - 80.88%

Vucic et al, Menon et al,
NCT02450552, NCT027814544 28
Multiple sclerosis EEG +TMS
  • Multimodal ERPs

  • Prognosis

  • CT outcome measure

  • Sensitivity - 56.7%

  • Specificity - 88.3%

  • Positive predictive value - 70.8 %

Giffroy et al,
NCT0176536118

ADD, Alzheimer’s disease dementia; AUROC, area under the receiver operating characteristics curve; CT, clinical trial; DLB, dementia with Lewy bodies; ERP, event-related potential; PDD, Parkinson’s disease dementia; bvFTD, behavioural variant frontotemporal dementia; rsEEG, resting state electroencephalography.