An example method includes receiving monitoring data representing one or more substantially real time electrical signals based on measurements from one or more respective electrodes. The method also includes selecting at least one signal of interest (SOI) from the monitoring data, each selected SOI being associated with a respective anatomical location and storing SOI data in memory corresponding to each selected SOI. The method also includes quantifying changes between signal characteristics of real time signals acquired for one or more respective anatomical locations and the at least one SOI that is associated with each of the respective anatomical locations. An output can be generated based on the quantifying to characterize spatially local signal changes with respect to each of the respective anatomical locations.