Matteo Carpi, Veronica Henao Isaza, Giuseppe Noce, Enrico Michele Salamone, Claudio Del Percio, Susanna Lopez, Filippo Carducci, Roberta Lizio, Mina De Bartolo, Dharmendra Jakhar, Antonio Pio Afragola, Chiara Rossi, Lorenc Barjami, Andrea Soricelli, Marco Salvatore, Franco Giubilei, Bahar Güntekin, Görsev Yener, Federico Massa, Dario Arnaldi, Francesco Famà, Matteo Pardini, Raffaele Ferri, Bartolo Lanuzza, Fabrizio Stocchi, Laura Vacca, Chiara Coletti, Moira Marizzoni, John-Paul Taylor, Lutfu Hanoğlu, Harun Yırıkoğulları, Giovanni B Frisoni, Sofia Cuoco, Arianna Cappiello, Paolo Barone, Laura Bonanni, Anita D’Anselmo, Roberta Biundo, Simone Cauzzo, Eleonora Fiorenzato, Angelo Antonini, Fabrizia D’Antonio, Giuseppe Bruno, Francesco Infarinato, Simone Marziali, Maria Francesca De Pandis, Claudio Babiloni.
Alzheimer’s disease (AD) dementia is associated with marked disruptions in resting-state eyes-closed electroencephalographic (rsEEG) rhythms, particularly in the periodic alpha band (8–12 Hz), suggesting impaired vigilance regulation. In contrast, the aperiodic rsEEG component, reflecting global cortical arousal, has been reported to remain unchanged. This exploratory study examined periodic and aperiodic EEG activity in patients with mild cognitive impairment due to AD (ADMCI) during transitions from quiet wakefulness to light sleep. EEG datasets (∼30 min) from 19 ADMCI patients and 18 matched cognitively unimpaired older adults (control) were analyzed. Vigilance stages were scored using a reduced version of Hori’s system, distinguishing the alpha-dominant wakefulness stage and the theta-dominant light sleep (ripples) stage. EEG spectra were parameterized using the specparam algorithm. ADMCI participants showed reduced reactivity of individual alpha power between the wakefulness and ripples stages compared to the control group. Conversely, both groups exhibited comparable increases in fronto-central theta power and steepening of the aperiodic slope and offset. No group differences emerged in aperiodic exponent and offset, although statistical power was limited by modest sample size. Overall, EEG alpha rhythms reflecting vigilance regulation are disrupted in prodromal AD, while periodic and aperiodic signatures of sleep onset are relatively preserved, suggesting selective vulnerability of attentional thalamocortical systems.