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Volumetric and functional connectivity changes of the thalamic nuclei in different stages of Alzheimer’s disease 阿尔茨海默病不同阶段丘脑核的体积和功能连接变化
IF 3.7 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-07-09 DOI: 10.1016/j.clinph.2024.06.018

Objective

Memory processes known to be impaired in Alzheimer’s disease (AD) are maintained by a large-scale neurocognitive network with subcortical components, including the thalamus. Therefore, we aimed to examine the volumetric and functional changes of the thalamic nuclei at different scales across AD stages.

Methods

MRI data of patients diagnosed with 20 AD dementia (ADD), 30 amnestic mild cognitive impairment (MCI), and 30 subjective cognitive impairment (SCI) were used. Volumetric and functional connectivity analyzes were performed by dividing the thalamus into anterior, medial, posterior, lateral and intralaminar nucleus groups and their specific subnuclei.

Results

In the course of AD, the volume of the medial group nuclei, especially the mediodorsal medial magnocellular (MDm) nucleus, decreases. Medial group nuclei and MDm functional connectivity with frontal areas were decreased both in ADD and MCI compared to SCI group, while both of them increased their functional connectivity with visual areas in the ADD group compared to the MCI group.

Conclusions

Our study suggests that the medial group of the thalamus, and specifically the MDm, may be affected in AD.

Significance

Specific thalamic nuclei may be a critical anatomical region for investigating structural and functional changes in AD.

目的已知阿尔茨海默病(AD)中受损的记忆过程是由包括丘脑在内的皮层下成分组成的大规模神经认知网络维持的。因此,我们旨在研究丘脑核团在 AD 不同阶段不同尺度上的体积和功能变化。方法我们使用了 20 例 AD 痴呆(ADD)、30 例失忆性轻度认知障碍(MCI)和 30 例主观认知障碍(SCI)患者的 MRI 数据。通过将丘脑分为前核、内侧核、后核、外侧核和椎板内侧核群及其特定亚核,对丘脑的体积和功能连接性进行了分析。结论我们的研究表明,丘脑内侧核团,特别是 MDm,可能在 AD 中受到影响。意义特定丘脑核团可能是研究 AD 结构和功能变化的关键解剖区域。
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引用次数: 0
Significance of small sharp spikes in mesial temporal lobe epilepsy 中颞叶癫痫小尖峰的意义
IF 3.7 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-07-09 DOI: 10.1016/j.clinph.2024.06.016
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引用次数: 0
Non-cephalic electrodes are not inactive in terms of EEG activity 非脑电极在脑电图活动方面并非不活跃
IF 3.7 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-07-09 DOI: 10.1016/j.clinph.2024.07.003
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引用次数: 0
Premotor cortex involvement in faciobrachial dystonic seizures: A contribution from MEG-EMG study in a case of anti-LGI1 encephalitis 运动前皮层参与面肌强直性发作:对一例抗 LGI1 脑炎病例的 MEG-EMG 研究的贡献
IF 3.7 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-07-09 DOI: 10.1016/j.clinph.2024.07.002
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引用次数: 0
Letter to the Editor: Announcement of a Call for Proposals for biomedical waveform coding 致编辑的信生物医学波形编码提案征集公告
IF 3.7 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-07-02 DOI: 10.1016/j.clinph.2024.06.010
J.J. Halford, G. Campobello, B.H. Brinkmann, M. Stead, S. Rampp, J. Rémi, K.B. Nilsen, J. Dauwels, M. Galanti, B.C. Dean, S. Winkler, J.A. Ehrenberg, J. Pfaff, G.J. Sullivan
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引用次数: 0
Individual-based morphological brain network changes in children with Rolandic epilepsy 罗兰氏癫痫患儿基于个体的脑形态网络变化
IF 3.7 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-06-29 DOI: 10.1016/j.clinph.2024.06.013
Yu Yin , Xiaofan Qiu , Lisha Nie , Fuqin Wang , Xinyu Luo , Chunfeng Zhao , Haoyue Yu , Dan Luo , Jinhui Wang , Heng Liu

Objective

To investigate the local cortical morphology and individual-based morphological brain networks (MBNs) changes in children with Rolandic epilepsy (RE).

Methods

Based on the structural MRI data of 56 children with RE and 56 healthy controls (HC), we constructed four types of individual-based MBNs using morphological indices (cortical thickness [CT], fractal dimension [FD], gyrification index [GI], and sulcal depth [SD]). The global and nodal properties of the brain networks were analyzed using graph theory. The between-group difference in local morphology and network topology was estimated, and partial correlation analysis was further analyzed.

Results

Compared with the HC, children with RE showed regional GI increases in the right posterior cingulate gyrus and SD increases in the right anterior cingulate gyrus and medial prefrontal cortex. Regarding the network level, RE exhibited increased characteristic path length in CT-based and FD-based networks, while decreased FD-based network node efficiency in the right inferior frontal gyrus. No significant correlation between altered morphological features and clinical variables was found in RE.

Conclusions

These findings indicated that children with RE have disrupted morphological brain network organization beyond local morphology changes.

Significance

The present study could provide more theoretical basis for exploring the neuropathological mechanisms in RE.

方法基于56名RE患儿和56名健康对照组(HC)的结构磁共振成像数据,利用形态学指标(皮质厚度[CT]、分形维度[FD]、回旋化指数[GI]和沟深度[SD])构建了四种基于个体的脑形态学网络(MBN)。利用图论分析了大脑网络的全局和节点特性。结果与HC相比,RE患儿右侧扣带回后部的GI增加,右侧扣带回前部和内侧前额叶皮层的SD增加。在网络水平上,RE 在基于 CT 和基于 FD 的网络中表现出特征路径长度增加,而在右侧额叶下回则表现出基于 FD 的网络节点效率降低。结论本研究结果表明,RE患儿除局部形态学改变外,还存在形态学脑网络组织破坏。
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引用次数: 0
Bilateral median nerve stimulation and High-Frequency Oscillations unveil interhemispheric inhibition of primary sensory cortex 双侧正中神经刺激和高频振荡揭示了初级感觉皮层的半球间抑制作用
IF 3.7 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-06-29 DOI: 10.1016/j.clinph.2024.06.011

Objective

This study aimed at investigating the effect of median nerve stimulation on ipsilateral cortical potentials evoked by contralateral median nerve electrical stimulation.

Methods

We recorded somatosensory-evoked potentials (SEPs) from the left parietal cortex in 15 right-handed, healthy subjects. We administered bilateral median nerve stimulation, with the ipsilateral stimulation preceding the stimulation on the contralateral by intervals of 5, 10, 20, or 40 ms. We adjusted these intervals based on each individual’s N20 latency. As a measure of S1 excitability, the amplitude of the N20 and the area of the High Frequency Oscillation (HFO) burst were analyzed for each condition.

Results

The results revealed significant inhibition of N20 amplitude by ipsilateral median nerve stimulation at interstimulus intervals (ISIs) between 5 and 40 ms. Late HFO burst was suppressed at short ISIs of 5 and 10 ms, pointing to a transcallosal inhibitory effect on S1 intracortical circuits.

Conclusions

Findings suggest interhemispheric interaction between the primary somatosensory areas, supporting the existence of transcallosal transfer of tactile information.

Significance

This study provides valuable insights into the interhemispheric connections between primary sensory areas and underscore the potential role of interhemispheric interactions in somatosensory processing.

方法 我们记录了 15 名右手健康受试者左顶叶皮层的体感诱发电位(SEPs)。我们对受试者进行了双侧正中神经刺激,同侧刺激与对侧刺激的时间间隔为 5、10、20 或 40 毫秒。我们根据每个人的 N20 潜伏期调整这些间隔。作为 S1 兴奋性的测量指标,我们分析了每种情况下 N20 的振幅和高频振荡(HFO)爆发的面积。结论研究结果表明,初级躯体感觉区之间存在半球间相互作用,支持触觉信息存在跨胼胝体传递。意义这项研究为初级感觉区之间的半球间联系提供了宝贵的见解,强调了半球间相互作用在躯体感觉处理中的潜在作用。
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引用次数: 0
Saccades, pupil response and blink abnormalities in Huntington’s disease patients during free viewing 亨廷顿氏病患者在自由观看时的视线移动、瞳孔反应和眨眼异常
IF 3.7 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-06-29 DOI: 10.1016/j.clinph.2024.06.012

Objective

Video-based eye tracking was used to investigate saccade, pupil, and blink abnormalities among patients with Huntington’s disease (HD) who watched sequences of short videos. HD, an autosomal dominant neurodegenerative disorder resulting from a CAG mutation on chromosome 4, produces motor and cognitive impairments including slow or irregular eye movements, which have been studied using structured tasks.

Methods

To explore how HD affects eye movements under instruction free conditions, we assessed 22 HD patients and their age matched controls in a 10-minute video-based free viewing task.

Results

Patients with HD experienced a significant reduction in saccade exploration rate following video clip transitions, an increase in pupil reactions to luminance changes after clip transitions, and a significant higher blink rate throughout the task compared to the control group.

Conclusions

These results show that HD has a significant impact on how patients visually explore and respond to their environment under unconstrained and ecologically natural conditions.

Significance

Eye tracking in HD patients revealed saccadic, pupil, and blink abnormalities in early HD patients, suggestive of brain circuitry abnormalities that probably involve brain stem deficits. Further research should explore the impact of these changes on the quality of life of the patients affected by the disease.

目的通过基于视频的眼动跟踪研究亨廷顿氏病(HD)患者在观看短视频序列时的眼球运动、瞳孔和眨眼异常。HD是一种常染色体显性神经退行性疾病,由第4号染色体上的CAG突变引起,会产生运动和认知障碍,包括眼球运动缓慢或不规则,这些问题已通过结构化任务进行了研究。方法为了探索HD如何影响无指令条件下的眼球运动,我们对22名HD患者及其年龄匹配的对照组进行了10分钟的视频自由观看任务评估。结果与对照组相比,HD 患者在视频片段转换后的囊状移动探索率明显降低,片段转换后瞳孔对亮度变化的反应增加,整个任务过程中的眨眼率明显升高。这些结果表明,在无限制的生态自然条件下,HD 会对患者的视觉探索和对环境的反应产生重大影响。意义HD 患者的眼球追踪显示,早期 HD 患者的囊回、瞳孔和眨眼异常,提示大脑回路异常,可能涉及脑干缺陷。进一步的研究应探讨这些变化对该病患者生活质量的影响。
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引用次数: 0
Effects of attentional deployment training for relieving negative emotion in individuals with subthreshold depression 注意力调配训练对缓解阈值下抑郁症患者负面情绪的影响
IF 3.7 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-06-29 DOI: 10.1016/j.clinph.2024.06.009
Shuyu Li , Shuang Li , Tao Ding , Sijia Liu , Xiuyan Guo , Zhiyuan Liu

Objective

As a prodromal stage to major depressive disorder (MDD), subthreshold depression (StD) has a higher prevalence in the population, resulting in a greater healthcare burden. StD individuals’ current negative emotion could be moderated by attentional deployment. However, it remains unclear whether attentional deployment training can mitigate subsequent negative emotion in StD individuals.

Methods

Based on 160 participants, we combined decision task (Experiment 1, N = 69), eye-tracking (Experiment 2, N = 40), and EEG (Experiment 3, N = 51) techniques to investigate how one-week attentional deployment (gain-focus, GF) training modulated the emotional processing of negative stimulus and its underlying neural correlates in StD individuals.

Results

After one-week GF training, StD individuals significantly reduced the first fixation time and total fixation time on the negative part (missed opportunities) of decision outcome and showed a decrease in emotional sensitivity to missed opportunities. An increase in N1 and decrease in P3 and LPP (late positive potentials) amplitudes, as well as a decrease in alpha oscillation, were observed when StD individuals faced missed opportunities after training. Additionally, the extent of reduction in StD individuals’ emotional sensitivity to missed opportunities could be significantly predicted by the degree of decrease in alpha oscillation.

Conclusion

One-week attentional deployment training could modulate negative emotion in StD individuals and the degree of change in alpha oscillation might act as an objective indicator for the effectiveness of training.

Significance

Our study provides a convenient and effective approach to alleviate the negative emotion of StD individuals.

目的 作为重度抑郁障碍(MDD)的前驱阶段,阈下抑郁(StD)在人群中的发病率较高,造成了更大的医疗负担。阈下抑郁症患者当前的负面情绪可能会受到注意调配的调节。方法我们以160名参与者为基础,结合决策任务(实验1,69人)、眼动追踪(实验2,40人)和脑电图(实验3,51人)技术,研究了为期一周的注意力调配(增益-聚焦,GF)训练如何调节StD个体对负面刺激的情绪处理及其潜在的神经相关性。结果经过一周的 GF 训练后,StD 人在决策结果的负面部分(错失机会)上的首次固定时间和总固定时间明显减少,对错失机会的情绪敏感度也有所下降。训练后,当 StD 患者面对错过的机会时,他们的 N1 波幅增加,P3 和 LPP(晚期正电位)波幅减少,α 振荡也有所减少。结论为期一周的注意力调配训练可以调节 StD 患者的负面情绪,而阿尔法振荡的变化程度可以作为衡量训练效果的客观指标。
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引用次数: 0
Test-retest reliability of intrahemispheric dorsal premotor and primary motor cortex dual-site TMS connectivity measures 半球内背侧前运动皮层和初级运动皮层双部位 TMS 连接测量的测试-再测可靠性。
IF 3.7 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-06-19 DOI: 10.1016/j.clinph.2024.06.006
Robin E. Heemels , Sian Ademi , Melina Hehl

Objective

Investigating the optimal interstimulus interval (ISI) and the 24-hour test–retest reliability for intrahemispheric dorsal premotor cortex (PMd) – primary motor cortex (M1) connectivity using dual-site transcranial magnetic stimulation (dsTMS).

Methods

In 21 right-handed adults, left intrahemispheric PMd–M1 connectivity has been investigated with a stacked-coil dsTMS setup (conditioning stimulus: 75% of resting motor threshold; test stimulus: eliciting MEPs of 1–1.5 mV) at ISIs of 3, 5–8, and 10 ms. Additionally, M1–M1 short-interval intracortical inhibition (SICI) and intracortical facilitation (ICF) were investigated to assess comparability to standard paired-pulse setups.

Results

Conditioning PMd led to significant inhibition of M1 output at ISIs of 3 and 5 ms, whereas 10 ms resulted in facilitation (all, p < 0.001), with a fair test–retest reliability for 3 (ICC: 0.47) and 6 ms (ICC: 0.44) ISIs. Replication of SICI (p < 0.001) and ICF (p = 0.017) was successful, with excellent test–retest reliability for SICI (ICC: 0.81).

Conclusion

This dsTMS setup can probe the inhibitory and facilitatory PMd–M1 connections, as well as reliably replicate SICI and ICF paradigms.

Significance

The stacked-coil dsTMS setup for investigating intrahemispheric PMd–M1 connectivity offers promising possibilities to better understand motor control.

研究目的使用双部位经颅磁刺激(dsTMS)研究半球内背侧前运动皮层(PMd)-初级运动皮层(M1)连接的最佳刺激间隔(ISI)和24小时测试-重复可靠性:方法:在21名惯用右手的成年人中,使用堆叠线圈dsTMS设置(条件刺激:静息运动阈值的75%;测试刺激:引起1-1.5 mV的MEPs),在3、5-8和10 ms的ISIs下,对左侧半球内PMd-M1连接性进行了研究。此外,还研究了M1-M1短间隔皮层内抑制(SICI)和皮层内促进(ICF),以评估与标准配对脉冲设置的可比性:结果:在 ISI 为 3 和 5 毫秒时,条件 PMd 导致 M1 输出的显著抑制,而在 10 毫秒时则导致促进(均为 p 结论):这种 dsTMS 设置可探测 PMd-M1 的抑制性和促进性连接,并可靠地复制 SICI 和 ICF 范式:意义:用于研究大脑半球内 PMd-M1 连接的堆叠线圈 dsTMS 装置为更好地了解运动控制提供了可能。
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引用次数: 0
期刊
Clinical Neurophysiology
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