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Front Psychiatry. 2019 Nov 15;10:826. doi: 10.3389/fpsyt.2019.00826. eCollection 2019.

Altered Electroencephalographic Resting-State Large-Scale Brain Network Dynamics in Euthymic Bipolar Disorder Patients.

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Functional Brain Mapping Laboratory, Campus Biotech, Department of Basic Neurosciences, University of Geneva, Geneva, Switzerland.
Department of Psychiatry, Faculty of Medicine, Masaryk University and University Hospital Brno, Brno, Czechia.
Service of Psychiatric Specialties, Mood Disorders, Department of Psychiatry, Geneva University Hospital, Geneva, Switzerland.
Department of Psychiatry, University of Geneva, Geneva, Switzerland.
Lemanic Biomedical Imaging Centre (CIBM), Geneva, Switzerland.


Background: Neuroimaging studies provided evidence for disrupted resting-state functional brain network activity in bipolar disorder (BD). Electroencephalographic (EEG) studies found altered temporal characteristics of functional EEG microstates during depressive episode within different affective disorders. Here we investigated whether euthymic patients with BD show deviant resting-state large-scale brain network dynamics as reflected by altered temporal characteristics of EEG microstates. Methods: We used high-density EEG to explore between-group differences in duration, coverage, and occurrence of the resting-state functional EEG microstates in 17 euthymic adults with BD in on-medication state and 17 age- and gender-matched healthy controls. Two types of anxiety, state and trait, were assessed separately with scores ranging from 20 to 80. Results: Microstate analysis revealed five microstates (A-E) in global clustering across all subjects. In patients compared to controls, we found increased occurrence and coverage of microstate A that did not significantly correlate with anxiety scores. Conclusion: Our results provide neurophysiological evidence for altered large-scale brain network dynamics in BD patients and suggest the increased presence of A microstate to be an electrophysiological trait characteristic of BD.


bipolar disorder; dynamic brain activity; electroencephalographic microstate; high-density electroencephalography; large-scale brain networks; resting state

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