author_facet Tatum, William O.
DiCiaccio, Benedetto
Kipta, Joseph A.
Yelvington, Kirsten H.
Stein, Michael A.
Tatum, William O.
DiCiaccio, Benedetto
Kipta, Joseph A.
Yelvington, Kirsten H.
Stein, Michael A.
author Tatum, William O.
DiCiaccio, Benedetto
Kipta, Joseph A.
Yelvington, Kirsten H.
Stein, Michael A.
spellingShingle Tatum, William O.
DiCiaccio, Benedetto
Kipta, Joseph A.
Yelvington, Kirsten H.
Stein, Michael A.
Journal of Clinical Neurophysiology
The Texting Rhythm: A Novel EEG Waveform Using Smartphones
Physiology (medical)
Neurology (clinical)
Neurology
Physiology
author_sort tatum, william o.
spelling Tatum, William O. DiCiaccio, Benedetto Kipta, Joseph A. Yelvington, Kirsten H. Stein, Michael A. 0736-0258 Ovid Technologies (Wolters Kluwer Health) Physiology (medical) Neurology (clinical) Neurology Physiology http://dx.doi.org/10.1097/wnp.0000000000000250 <jats:sec> <jats:title>Introduction:</jats:title> <jats:p>We report a unique EEG phenomenon in patients with paroxysmal neurological events undergoing video EEG monitoring.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods:</jats:title> <jats:p>Two epilepsy centers analyzed the interictal scalp EEG in patients using personal electronic devices during epilepsy monitoring. The texting rhythm (TR) was defined as a reproducible, stimulus-evoked, generalized frontocentral monomorphic burst of 5–6 Hz theta consistently induced by active text messaging. An independent prospective and retrospective cohort was analyzed and compared from two sites in Florida and Illinois. We assessed age, gender, diagnosis, epilepsy classification, MRI, and EEG to compare patients with a TR. Analysis was performed with statistical significance set at <jats:italic toggle="yes">P</jats:italic> &lt; 0.05.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>We identified 24 of 98 evaluable patients with a TR in a prospective arm at one center and 7 of 31 patients in a retrospective arm at another totaling 31/129 (24.0%). The waveform prevalence was similar at both centers independent of location. TR was highly specific to active texting. A similar waveform during independent cognitive, speech or language, motor activation and audio cellular telephone use was absent (<jats:italic toggle="yes">P</jats:italic> &lt; 0.0001). It appeared to be increased in patients with epilepsy in one cohort (<jats:italic toggle="yes">P</jats:italic> = 0.03) and generalized seizures in the other (<jats:italic toggle="yes">P</jats:italic> = 0.025). Age, gender, epilepsy type, MRI results, and EEG lateralization in patients with focal epileptic seizures did not bear a relationship to the presence of a TR in either arm of the study (<jats:italic toggle="yes">P</jats:italic> = NS).</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions:</jats:title> <jats:p>The TR is a novel waveform time-locked to text messaging and associated with active use of smartphones. Electroencephalographers should be aware of the TR to separate it from an abnormality in patients undergoing video EEG monitoring. Larger sample sizes and additional research may help define the significance of this unique cognitive-visual-cognitive-motor network that is technology-related and task-specific with implications in communication research and transportation safety.</jats:p> </jats:sec> The Texting Rhythm: A Novel EEG Waveform Using Smartphones Journal of Clinical Neurophysiology
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series Journal of Clinical Neurophysiology
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title The Texting Rhythm: A Novel EEG Waveform Using Smartphones
title_unstemmed The Texting Rhythm: A Novel EEG Waveform Using Smartphones
title_full The Texting Rhythm: A Novel EEG Waveform Using Smartphones
title_fullStr The Texting Rhythm: A Novel EEG Waveform Using Smartphones
title_full_unstemmed The Texting Rhythm: A Novel EEG Waveform Using Smartphones
title_short The Texting Rhythm: A Novel EEG Waveform Using Smartphones
title_sort the texting rhythm: a novel eeg waveform using smartphones
topic Physiology (medical)
Neurology (clinical)
Neurology
Physiology
url http://dx.doi.org/10.1097/wnp.0000000000000250
publishDate 2016
physical 359-366
description <jats:sec> <jats:title>Introduction:</jats:title> <jats:p>We report a unique EEG phenomenon in patients with paroxysmal neurological events undergoing video EEG monitoring.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods:</jats:title> <jats:p>Two epilepsy centers analyzed the interictal scalp EEG in patients using personal electronic devices during epilepsy monitoring. The texting rhythm (TR) was defined as a reproducible, stimulus-evoked, generalized frontocentral monomorphic burst of 5–6 Hz theta consistently induced by active text messaging. An independent prospective and retrospective cohort was analyzed and compared from two sites in Florida and Illinois. We assessed age, gender, diagnosis, epilepsy classification, MRI, and EEG to compare patients with a TR. Analysis was performed with statistical significance set at <jats:italic toggle="yes">P</jats:italic> &lt; 0.05.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>We identified 24 of 98 evaluable patients with a TR in a prospective arm at one center and 7 of 31 patients in a retrospective arm at another totaling 31/129 (24.0%). The waveform prevalence was similar at both centers independent of location. TR was highly specific to active texting. A similar waveform during independent cognitive, speech or language, motor activation and audio cellular telephone use was absent (<jats:italic toggle="yes">P</jats:italic> &lt; 0.0001). It appeared to be increased in patients with epilepsy in one cohort (<jats:italic toggle="yes">P</jats:italic> = 0.03) and generalized seizures in the other (<jats:italic toggle="yes">P</jats:italic> = 0.025). Age, gender, epilepsy type, MRI results, and EEG lateralization in patients with focal epileptic seizures did not bear a relationship to the presence of a TR in either arm of the study (<jats:italic toggle="yes">P</jats:italic> = NS).</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions:</jats:title> <jats:p>The TR is a novel waveform time-locked to text messaging and associated with active use of smartphones. Electroencephalographers should be aware of the TR to separate it from an abnormality in patients undergoing video EEG monitoring. Larger sample sizes and additional research may help define the significance of this unique cognitive-visual-cognitive-motor network that is technology-related and task-specific with implications in communication research and transportation safety.</jats:p> </jats:sec>
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author Tatum, William O., DiCiaccio, Benedetto, Kipta, Joseph A., Yelvington, Kirsten H., Stein, Michael A.
author_facet Tatum, William O., DiCiaccio, Benedetto, Kipta, Joseph A., Yelvington, Kirsten H., Stein, Michael A., Tatum, William O., DiCiaccio, Benedetto, Kipta, Joseph A., Yelvington, Kirsten H., Stein, Michael A.
author_sort tatum, william o.
container_issue 4
container_start_page 359
container_title Journal of Clinical Neurophysiology
container_volume 33
description <jats:sec> <jats:title>Introduction:</jats:title> <jats:p>We report a unique EEG phenomenon in patients with paroxysmal neurological events undergoing video EEG monitoring.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods:</jats:title> <jats:p>Two epilepsy centers analyzed the interictal scalp EEG in patients using personal electronic devices during epilepsy monitoring. The texting rhythm (TR) was defined as a reproducible, stimulus-evoked, generalized frontocentral monomorphic burst of 5–6 Hz theta consistently induced by active text messaging. An independent prospective and retrospective cohort was analyzed and compared from two sites in Florida and Illinois. We assessed age, gender, diagnosis, epilepsy classification, MRI, and EEG to compare patients with a TR. Analysis was performed with statistical significance set at <jats:italic toggle="yes">P</jats:italic> &lt; 0.05.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>We identified 24 of 98 evaluable patients with a TR in a prospective arm at one center and 7 of 31 patients in a retrospective arm at another totaling 31/129 (24.0%). The waveform prevalence was similar at both centers independent of location. TR was highly specific to active texting. A similar waveform during independent cognitive, speech or language, motor activation and audio cellular telephone use was absent (<jats:italic toggle="yes">P</jats:italic> &lt; 0.0001). It appeared to be increased in patients with epilepsy in one cohort (<jats:italic toggle="yes">P</jats:italic> = 0.03) and generalized seizures in the other (<jats:italic toggle="yes">P</jats:italic> = 0.025). Age, gender, epilepsy type, MRI results, and EEG lateralization in patients with focal epileptic seizures did not bear a relationship to the presence of a TR in either arm of the study (<jats:italic toggle="yes">P</jats:italic> = NS).</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions:</jats:title> <jats:p>The TR is a novel waveform time-locked to text messaging and associated with active use of smartphones. Electroencephalographers should be aware of the TR to separate it from an abnormality in patients undergoing video EEG monitoring. Larger sample sizes and additional research may help define the significance of this unique cognitive-visual-cognitive-motor network that is technology-related and task-specific with implications in communication research and transportation safety.</jats:p> </jats:sec>
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spelling Tatum, William O. DiCiaccio, Benedetto Kipta, Joseph A. Yelvington, Kirsten H. Stein, Michael A. 0736-0258 Ovid Technologies (Wolters Kluwer Health) Physiology (medical) Neurology (clinical) Neurology Physiology http://dx.doi.org/10.1097/wnp.0000000000000250 <jats:sec> <jats:title>Introduction:</jats:title> <jats:p>We report a unique EEG phenomenon in patients with paroxysmal neurological events undergoing video EEG monitoring.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods:</jats:title> <jats:p>Two epilepsy centers analyzed the interictal scalp EEG in patients using personal electronic devices during epilepsy monitoring. The texting rhythm (TR) was defined as a reproducible, stimulus-evoked, generalized frontocentral monomorphic burst of 5–6 Hz theta consistently induced by active text messaging. An independent prospective and retrospective cohort was analyzed and compared from two sites in Florida and Illinois. We assessed age, gender, diagnosis, epilepsy classification, MRI, and EEG to compare patients with a TR. Analysis was performed with statistical significance set at <jats:italic toggle="yes">P</jats:italic> &lt; 0.05.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>We identified 24 of 98 evaluable patients with a TR in a prospective arm at one center and 7 of 31 patients in a retrospective arm at another totaling 31/129 (24.0%). The waveform prevalence was similar at both centers independent of location. TR was highly specific to active texting. A similar waveform during independent cognitive, speech or language, motor activation and audio cellular telephone use was absent (<jats:italic toggle="yes">P</jats:italic> &lt; 0.0001). It appeared to be increased in patients with epilepsy in one cohort (<jats:italic toggle="yes">P</jats:italic> = 0.03) and generalized seizures in the other (<jats:italic toggle="yes">P</jats:italic> = 0.025). Age, gender, epilepsy type, MRI results, and EEG lateralization in patients with focal epileptic seizures did not bear a relationship to the presence of a TR in either arm of the study (<jats:italic toggle="yes">P</jats:italic> = NS).</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions:</jats:title> <jats:p>The TR is a novel waveform time-locked to text messaging and associated with active use of smartphones. Electroencephalographers should be aware of the TR to separate it from an abnormality in patients undergoing video EEG monitoring. Larger sample sizes and additional research may help define the significance of this unique cognitive-visual-cognitive-motor network that is technology-related and task-specific with implications in communication research and transportation safety.</jats:p> </jats:sec> The Texting Rhythm: A Novel EEG Waveform Using Smartphones Journal of Clinical Neurophysiology
spellingShingle Tatum, William O., DiCiaccio, Benedetto, Kipta, Joseph A., Yelvington, Kirsten H., Stein, Michael A., Journal of Clinical Neurophysiology, The Texting Rhythm: A Novel EEG Waveform Using Smartphones, Physiology (medical), Neurology (clinical), Neurology, Physiology
title The Texting Rhythm: A Novel EEG Waveform Using Smartphones
title_full The Texting Rhythm: A Novel EEG Waveform Using Smartphones
title_fullStr The Texting Rhythm: A Novel EEG Waveform Using Smartphones
title_full_unstemmed The Texting Rhythm: A Novel EEG Waveform Using Smartphones
title_short The Texting Rhythm: A Novel EEG Waveform Using Smartphones
title_sort the texting rhythm: a novel eeg waveform using smartphones
title_unstemmed The Texting Rhythm: A Novel EEG Waveform Using Smartphones
topic Physiology (medical), Neurology (clinical), Neurology, Physiology
url http://dx.doi.org/10.1097/wnp.0000000000000250