Abstract
Purpose
Using quantitative EEG (qEEG) analysis, we investigated sleep EEG microstructure as correlates of neurobehavioural performance after 24 h of extended wakefulness in untreated OSA.
Methods
Eight male OSA patients underwent overnight polysomnography (PSG) at baseline followed by 40 h awake with repeated performance testing (psychomotor vigilance task [PVT] and AusEd driving simulator). EEG slowing during REM and spindle density during NREM sleep were calculated using power spectral analysis and a spindle detection algorithm at frontal and central electrode sites. Correlations between sleep EEG microstructure measures and performance after 24-h awake were assessed.
Results
Greater EEG slowing during REM sleep was associated with slower PVT reaction times (rho = − 0.79,
p
= 0.02), more PVT lapses (rho = 0.87,
p
= 0.005) and more AusEd crashes (rho = 0.73,
p
= 0.04). Decreased spindle density in NREM sleep was also associated with slower PVT reaction times (rho = 0.89,
p
= 0.007). Traditional PSG measures of disease severity were not consistent correlates of neurobehavioural performance in OSA.
Conclusions
Sleep EEG microstructure measures recorded during routine PSG are associated with impaired vigilance in OSA patients after sleep deprivation.
Significance
Quantitative brain oscillatory (or EEG)–based measures of sleep may better reflect the deleterious effects of untreated OSA than traditional PSG metrics in at-risk individuals.
Trial Registration ACTRN12606000066583