Unraveling the Brain’s Electric Symphony in Multiple Sclerosis

Published on June 29, 2023

Imagine the brain as a symphony orchestra. Each neuron plays its own instrument, creating a complex network of signals. To understand how multiple sclerosis (MS) affects this symphony, scientists have turned to a nonlinear dynamics approach. By analyzing electroencephalogram (EEG) signatures, they can uncover hidden patterns and chaotic measures within the brain’s activity. In a systematic review and bibliographic analysis, researchers compiled studies that utilized chaos theory techniques to study MS patients. This shift from traditional diagnostic methods like magnetic resonance imaging to EEG analysis has opened up new avenues for understanding and treating MS. The review included 17 studies, exploring both resting-state and task-based conditions. Fractal dimension, recurrence quantification analysis, mutual information, and coherence were among the most commonly used nonlinear dynamics analyses. These approaches provided unique insights into the intricate workings of the MS-affected brain. While more research is needed and limitations are acknowledged, nonlinear analyses offer a promising direction for unraveling the mysteries of MS in unprecedented detail.

BackgroundConsidering that brain activity involves communication between millions of neurons in a complex network, nonlinear analysis is a viable tool for studying electroencephalography (EEG). The main objective of this review was to collate studies that utilized chaotic measures and nonlinear dynamical analysis in EEG of multiple sclerosis (MS) patients and to discuss the contributions of chaos theory techniques to understanding, diagnosing, and treating MS.MethodsUsing the preferred reporting items for systematic reviews and meta-analysis (PRISMA), the databases EbscoHost, IEEE, ProQuest, PubMed, Science Direct, Web of Science, and Google Scholar were searched for publications that applied chaos theory in EEG analysis of MS patients.ResultsA bibliographic analysis was performed using VOSviewer software keyword co-occurrence analysis indicated that MS was the focus of the research and that research on MS diagnosis has shifted from conventional methods, such as magnetic resonance imaging, to EEG techniques in recent years. A total of 17 studies were included in this review. Among the included articles, nine studies examined resting-state, and eight examined task-based conditions.ConclusionAlthough nonlinear EEG analysis of MS is a relatively novel area of research, the findings have been demonstrated to be informative and effective. The most frequently used nonlinear dynamics analyses were fractal dimension, recurrence quantification analysis, mutual information, and coherence. Each analysis selected provided a unique assessment to fulfill the objective of this review. While considering the limitations discussed, there is a promising path forward using nonlinear analyses with MS data.

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