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Review| Volume 107, P67-70, April 2023

The EEG pen-on-paper sound: History and recent advances

  • Davide Norata
    Correspondence
    Corresponding author.
    Affiliations
    Neurological Clinic and Stroke Unit, Department of Experimental and Clinical Medicine (DiMSC), Marche Polytechnic University, Via Conca 71, Ancona 60020, Italy
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  • Serena Broggi
    Affiliations
    Neurological Clinic and Stroke Unit, Department of Experimental and Clinical Medicine (DiMSC), Marche Polytechnic University, Via Conca 71, Ancona 60020, Italy
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  • Lara Alvisi
    Affiliations
    Dipartimento di Scienze Biomediche e Neuromotorie, University of Bologna, Bologna, Italy

    IRCCS Istituto delle Scienze Neurologiche di Bologna, Epilepsy Center (full member of the European Reference Network EpiCARE), Bologna, Italy
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  • Simona Lattanzi
    Affiliations
    Neurological Clinic and Stroke Unit, Department of Experimental and Clinical Medicine (DiMSC), Marche Polytechnic University, Via Conca 71, Ancona 60020, Italy
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  • Francesco Brigo
    Affiliations
    Department of Neurology, Hospital of Merano (SABES-ASDAA), Merano-Meran, Italy
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  • Paolo Tinuper
    Affiliations
    Dipartimento di Scienze Biomediche e Neuromotorie, University of Bologna, Bologna, Italy

    IRCCS Istituto delle Scienze Neurologiche di Bologna, Epilepsy Center (full member of the European Reference Network EpiCARE), Bologna, Italy
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  • on behalf of theStudy Group on the History of Neurology of the Italian Neurological Society

      Highlights

      • The EEG is one of the most useful technologies for brain research and clinical neurology.
      • The acquired traces are visibly displayed, but various studies investigate the translation of brain waves in sound.
      • The analog EEG was equipped with an auditory output, the pen-on-paper noise made by the writer unit, useful to facilitate the diagnosis of epileptic disorders.
      • Early digital EEG devices could be equipped with special software to duplicate the pen-on-paper noise digitally.
      • Nowadays, auditory neurofeedback has applications in therapeutic interventions, cognitive improvement, and basic research.

      Abstract

      The electroencephalogram (EEG) is one of the most useful technologies for brain research and clinical neurology, characterized by non-invasiveness and high time resolution.
      The acquired traces are visibly displayed, but various studies investigate the translation of brain waves in sound (i.e., a process called sonification).
      Several articles have been published since 1934 about the sonification of EEG traces, in the attempt to identify the "brain-sound." However, for a long time this sonification technique was not used for clinical purposes. The analog EEG was in fact already equipped with an auditory output, although rarely mentioned in scientific papers: the pen-on-paper noise made by the writer unit. EEG technologists often relied on the sound that pens made on paper to facilitate the diagnosis.
      This article provides a sample of analog video-EEG recordings with audio support representing the strengths of a combined visual-and-auditory detection of different types of seizures.
      The purpose of the present article is to illustrate how the analog EEG "sounded," as well as to highlight the advantages of this pen-writing noise. It was considered so useful that early digital EEG devices could be equipped with special software to duplicate it digitally. Even in the present days, the sonification can be considered as an attempt to modify the EEG practice using auditory neurofeedback with applications in therapeutic interventions, cognitive improvement, and basic research.

      Keywords

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