Analysis of the sleep EEG in the complexity domain

Conventional sleep analysis relies primarily on electroencephalogram (EEG) waveform features assessed in concert with eye movements, respiration and muscle tone. We explore a complementary “complexity domain” approach based on multiscale entropy (MSE) analysis of EEG signals and discuss its relationships to standard sleep analysis and to that based on electrocardiogram (ECG)-derived cardiopulmonary coupling (CPC). We observe a progressive decrease in complexity associated with decreased arousability, as measured by both conventional sleep scoring and CPC analysis. Furthermore, complexity analysis supports the contention that stage 2 non-REM sleep has distinct sub-phases that map to CPC high- and low-frequency coupled dynamics.