Quantitative electroencephalography power and coherence in Alzheimer's disease and mild cognitive impairment.

V Jelic, M Shigeta, P Julin, O Almkvist, B Winblad, L O Wahlund
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引用次数: 226

Abstract

In this study the best combination of quantitative electroencephalographic variables (qEEG) for the discrimination of groups with mild to moderate Alzheimer's disease (AD), mild cognitive impairment and healthy subjects was defined and related to neuropsychological performance. The study population included 18 patients with mild to moderate probable AD, 19 subjects with objective memory disturbance, 17 subjects with subjective memory complaints who did not have clinical evidence of memory disturbance, and 16 healthy controls. AD patients had significantly increased theta and decreased alpha relative power, mean frequency, and temporoparietal coherence. There was no significant difference in the mean frequency in the left temporal region between AD patients and subjects with objective memory disturbances. Temporoparietal coherence appeared as a discriminant variable together with alpha and theta relative power only between AD patients and controls giving 77.8% sensitivity and 100% specificity. Significant correlations between regional changes in qEEG variables and cognitive functions were found.

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阿尔茨海默病和轻度认知障碍的定量脑电图功率和一致性。
本研究定义了定量脑电图变量(qEEG)的最佳组合,以区分轻至中度阿尔茨海默病(AD)、轻度认知障碍和健康受试者,并将其与神经心理表现相关联。研究人群包括18名轻度至中度可能的阿尔茨海默病患者,19名有客观记忆障碍的患者,17名有主观记忆抱怨但没有记忆障碍临床证据的患者,以及16名健康对照。AD患者的θ波相对功率、平均频率和颞顶相干性显著增加,α波相对功率显著降低。AD患者与客观记忆障碍受试者左颞区的平均频率无显著差异。颞顶相干性与α和θ相对功率仅作为区分变量出现在AD患者和对照组之间,灵敏度为77.8%,特异性为100%。qEEG变量的区域变化与认知功能之间存在显著相关性。
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