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Task-switching mechanisms under methamphetamine cravings: sex differences in cued and voluntary task-switching. 甲基苯丙胺渴求下的任务转换机制:提示任务转换和自愿任务转换的性别差异。
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-30 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1462157
Huan Jiang, BinJie Yang, HanZhi Huang, Dong Zhao, HuiLing Li, ZhiYing Chen, Shengyi Jin, Qiang Zhou

Introduction: This study explored the effects of task-switching type and sex on the task-switching ability of methamphetamine abstainers, as well as the differences in brain mechanisms under drug cravings under drug cravings using near-infrared spectroscopy.

Methods: Craving-inducing videos were used to arouse 20 methamphetamine abstainers (including 10 men), whose switching ability was then assessed using voluntary and cued task-switching exercises.

Results: During task-switching under methamphetamine cravings, the activation of the premotor cortex (PMC), supplementary motor area (SMA), frontal eye field (FEF), and dorsolateral prefrontal cortex (DLPFC) in women was significantly stronger than in men, while the activation of FEF in men was significantly stronger than in women. Voluntary task-switching induced stronger FEF activation than cued task-switching. During the latter, women exhibited stronger activation in the anterior prefrontal cortex (aPFC) than men.

Discussion: Both men and women showed brain lateralization during task-switching under methamphetamine cravings. Men tended to adopt proactive control and use a top-down dominant strategy to start a new task. Women, however, tend to use a bottom-up strategy focusing on inhibiting old tasks and emotional switching. Moreover, in cued task-switching, the result shows women paid more attention to emotional processing than did men, which suggests that different task-switching training programs should be developed according to sex.

简介本研究利用近红外光谱技术探讨了任务转换类型和性别对甲基苯丙胺戒断者任务转换能力的影响,以及毒品渴求下大脑机制的差异:方法:使用渴求诱导视频唤醒20名甲基苯丙胺戒断者(包括10名男性),然后使用自愿和提示任务转换练习评估他们的任务转换能力:结果:在甲基苯丙胺渴求下进行任务转换时,女性运动前皮层(PMC)、辅助运动区(SMA)、额叶眼区(FEF)和背外侧前额叶皮层(DLPFC)的激活明显强于男性,而男性额叶眼区的激活明显强于女性。自愿任务转换比提示任务转换引起的 FEF 激活更强。在后者的过程中,女性前额叶皮层(aPFC)比男性表现出更强的激活:讨论:在甲基苯丙胺渴求下的任务转换过程中,男性和女性都表现出大脑侧化。男性倾向于采取主动控制,并使用自上而下的主导策略开始新任务。而女性则倾向于使用自下而上的策略,侧重于抑制旧任务和情绪转换。此外,在有提示的任务转换中,结果显示女性比男性更注重情绪处理,这表明应根据性别制定不同的任务转换训练计划。
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引用次数: 0
Case report: Double mutations in a patient with early-onset Alzheimer's disease in China, PSEN2 and IDE variants. 病例报告:中国一名早发性阿尔茨海默病患者的 PSEN2 和 IDE 双变异。
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-30 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1423892
Zhongzheng Chang, Zhiyang Wang, Lele Luo, Zhaohong Xie, Caibin Yue, Xianli Bian, Hui Yang, Ping Wang

Alzheimer's disease (AD) is a progressive neurodegenerative disease characterized by gradual cognitive decline. Early-onset Alzheimer's disease (EOAD) is defined as AD occurring before age 65. The main pathogenic gene variants associated with EOAD include PSEN1, PSEN2, and APP. IDE gene has been identified as a risk factor in the pathogenesis of AD. In this study, we report a 33-year-old male with mutations in the PSEN2 gene (c.640G > T, p.V214L) and IDE gene (c.782G > A, p.R261Q). PSEN2 V214L has been reported in five previous cases, and no reported cases have carried IDE R261Q. He had progressive memory decline, his sister carried the same gene mutations but had no clinical manifestations. Neuroimaging revealed mild cortical atrophy. The concentration of Aβ42 in cerebrospinal fluid (CSF) was obviously decreased. In silico predictive models suggested that these mutations are damaging. Our findings indicate that mutations in the PSEN2 and IDE genes may disrupt the normal functioning of their respective proteins, contributing to the pathogenesis of AD.

阿尔茨海默病(AD)是一种进行性神经退行性疾病,其特征是认知能力逐渐下降。早发性阿尔茨海默病(EOAD)是指在 65 岁之前发生的阿尔茨海默病。与 EOAD 相关的主要致病基因变异包括 PSEN1、PSEN2 和 APP。IDE基因已被确定为AD发病机制中的一个风险因素。在这项研究中,我们报告了一名 33 岁男性的 PSEN2 基因(c.640G > T, p.V214L)和 IDE 基因(c.782G > A, p.R261Q)突变。PSEN2 V214L 在之前的五个病例中均有报道,而 IDE R261Q 则没有报道。他有进行性记忆力衰退,他的姐姐也携带相同的基因突变,但没有临床表现。神经影像学检查发现他的大脑皮层轻度萎缩。脑脊液(CSF)中的Aβ42浓度明显下降。硅学预测模型表明,这些突变具有损伤性。我们的研究结果表明,PSEN2和IDE基因突变可能会破坏各自蛋白的正常功能,从而导致AD的发病。
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引用次数: 0
Integrating subject-specific workspace constraint and performance-based control strategy in robot-assisted rehabilitation. 在机器人辅助康复中整合特定对象工作空间约束和基于性能的控制策略。
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-30 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1473755
Qing Miao, Song Min, Cui Wang, Yi-Feng Chen

Introduction: The robot-assistive technique has been widely developed in the field of neurorehabilitation for enhancement of neuroplasticity, muscle activity, and training positivity. To improve the reliability and feasibility in this patient-robot interactive context, motion constraint methods and adaptive assistance strategies have been developed to guarantee the movement safety and promote the training effectiveness based on the user's movement information. Unfortunately, few works focus on customizing quantitative and appropriate workspace for each subject in passive/active training mode, and how to provide the precise assistance by considering movement constraints to improve human active participation should be further delved as well.

Methods: This study proposes an integrated framework for robot-assisted upper-limb training. A human kinematic upper-limb model is built to achieve a quantitative human-robot interactive workspace, and an iterative learning-based repulsive force field is developed to balance the compliant degrees of movement freedom and constraint. On this basis, a radial basis function neural network (RBFNN)-based control structure is further explored to obtain appropriate robotic assistance. The proposed strategy was preliminarily validated for bilateral upper-limb training with an end-effector-based robotic system.

Results: Experiments on healthy subjects are enrolled to validate the safety and feasibility of the proposed framework. The results show that the framework is capable of providing personalized movement workspace to guarantee safe and natural motion, and the RBFNN-based control structure can rapidly converge to the appropriate robotic assistance for individuals to efficiently complete various training tasks.

Discussion: The integrated framework has the potential to improve outcomes in personalized movement constraint and optimized robotic assistance. Future studies are necessary to involve clinical application with a larger sample size of patients.

简介机器人辅助技术已在神经康复领域得到广泛应用,以增强神经可塑性、肌肉活动和训练的积极性。为了提高这种病人-机器人互动情境的可靠性和可行性,人们开发了运动约束方法和自适应辅助策略,以保证运动安全,并根据用户的运动信息提高训练效果。遗憾的是,很少有研究关注在被动/主动训练模式下为每个受试者定制定量和合适的工作空间,而如何通过考虑运动约束提供精确辅助以提高人类的主动参与度也有待进一步深入研究:本研究提出了机器人辅助上肢训练的综合框架。方法:本研究提出了机器人辅助上肢训练的综合框架,通过建立人体上肢运动学模型来实现定量的人机交互工作空间,并开发了基于迭代学习的排斥力场来平衡顺应运动自由度和约束。在此基础上,进一步探索了基于径向基函数神经网络(RBFNN)的控制结构,以获得适当的机器人辅助。在使用基于末端执行器的机器人系统进行双侧上肢训练时,对所提出的策略进行了初步验证:对健康受试者进行了实验,以验证所提框架的安全性和可行性。结果表明,该框架能够提供个性化的运动工作空间,保证运动的安全性和自然性,基于 RBFNN 的控制结构能够快速收敛到适当的机器人辅助,帮助个体高效地完成各种训练任务:综合框架有望提高个性化运动约束和优化机器人辅助的效果。未来的研究有必要以更大的患者样本量进行临床应用。
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引用次数: 0
Augmenting mindfulness training through neurofeedback: a pilot study of the pre-post changes on resting-state functional connectivity in typically developing adolescents. 通过神经反馈强化正念训练:一项关于典型发育期青少年静息状态功能连接前后变化的试验性研究。
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-30 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1397234
Kelly T Cosgrove, Aki Tsuchiyagaito, Zsofia P Cohen, Gabe Cochran, Xiaoqian Yu, Masaya Misaki, Robin L Aupperle, Manpreet K Singh, Martin P Paulus, Namik Kirlic

Background: Mindfulness training has been shown to promote positive mental health outcomes and related changes in neural networks such as the default mode network, which has a central node in the posterior cingulate cortex (PCC). Previous work from our group reported on the impact of a novel, neurofeedback augmented mindfulness training (NAMT) task on regulation of PCC hemodynamic activity in typically developing adolescents. The present pilot study aimed to expand on this finding by examining the pre-post changes of the NAMT task on resting-state functional connectivity of the PCC.

Methods: Thirty-one typically developing adolescents (14.77 ± 1.23 years; 45% female) underwent a resting-state functional magnetic resonance imaging scan both before and after completing the NAMT task. A linear mixed effects model was used to assess for changes in functional connectivity of the PCC across the two resting-state runs.

Results: Data did not support the hypothesized decrease in connectivity between the PCC seed and other DMN regions from pre- to post-NAMT task. However, we observed a significant increase in functional connectivity between the PCC and a cluster encompassing the left hippocampus and amygdala following completion of the NAMT task (run 1 Fisher's Z = 0.16; run 2 Fisher's Z = 0.26).

Conclusion: Although preliminary, this finding suggests NAMT has the potential to strengthen connectivity between default mode and salience regions. We speculate that such changed connectivity may facilitate enhanced self-referential and emotional processing in adolescents.

Clinical trial registration: https://clinicaltrials.gov/, identifier NCT04053582.

背景正念训练已被证明能促进积极的心理健康结果和神经网络的相关变化,如默认模式网络,该网络的中心节点位于后扣带回皮层(PCC)。我们小组之前的工作报告了一项新颖的、神经反馈增强正念训练(NAMT)任务对典型发育青少年扣带回皮层血流动力学活动调节的影响。本试验研究旨在通过考察 NAMT 任务对 PCC 静息态功能连接的前后变化来扩展这一发现:31名发育典型的青少年(14.77 ± 1.23岁;45%为女性)在完成NAMT任务前后接受了静息态功能磁共振成像扫描。采用线性混合效应模型评估了两次静息状态扫描中 PCC 功能连接的变化:数据并不支持PCC种子与其他DMN区域之间的连接性从NAMT任务前到任务后下降的假设。然而,我们观察到,在完成 NAMT 任务后,PCC 与包含左侧海马和杏仁核的集群之间的功能连通性显著增加(运行 1 Fisher's Z = 0.16;运行 2 Fisher's Z = 0.26):尽管是初步的,但这一发现表明 NAMT 有可能加强默认模式和显著性区域之间的连接。我们推测,这种连接性的改变可能会促进青少年自我参照和情绪处理能力的增强。临床试验注册:https://clinicaltrials.gov/,标识符 NCT04053582。
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引用次数: 0
Corrigendum: Classification of autism spectrum disorder using electroencephalography in Chinese children: a cross- sectional retrospective study. 更正:利用脑电图对中国儿童自闭症谱系障碍进行分类:一项横断面回顾性研究。
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-29 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1501782
Si Yang Ke, Huiwen Wu, Haoqi Sun, Aiqin Zhou, Jianhua Liu, Xiaoyun Zheng, Kevin Liu, M Brandon Westover, Haiqing Xu, Xue-Jun Kong

[This corrects the article DOI: 10.3389/fnins.2024.1330556.].

[This corrects the article DOI: 10.3389/fnins.2024.1330556.].
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引用次数: 0
Altered intrinsic neural activity and its molecular analyses in first-episode schizophrenia with auditory verbal hallucinations. 伴有听觉言语幻觉的首发精神分裂症患者内在神经活动的改变及其分子分析。
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-29 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1478963
Ziyu Wang, Kangkang Xue, Yimeng Kang, Zijun Liu, Jingliang Cheng, Yan Zhang, Yarui Wei

Background: Auditory verbal hallucinations (AVHs) are one of the signature positive symptoms of schizophrenia, affecting a substantial portion of patients with schizophrenia. These hallucinations seriously impact the lives of patients, resulting in a substantial social burden. Recent studies have shown a significant correlation between abnormal local brain activity and the neurobiological mechanisms of AVHs. However, it is not fully clear whether altered intrinsic brain activity in schizophrenia patients with AVHs is correlated with specific neurotransmitter systems.

Methods: We included 50 first-episode, drug-naïve schizophrenia patients with AVHs, 50 patients without AVHs (NAVHs), and 50 age- and sex-matched healthy controls (HCs). The amplitude of low-frequency fluctuation (ALFF) was utilized to explore the altered intrinsic brain activity in the AVH group. Subsequently, we spatially correlated the altered ALFF with neurotransmitter maps using JuSpace.

Results: In our study, compared to HCs, the AVH group exhibited significantly reduced ALFF in multiple brain regions, mainly including the left precuneus, bilateral supplementary motor areas, bilateral paracentral lobules, bilateral precentral gyri, and bilateral postcentral gyri. The NAVH group showed significantly reduced ALFF in the left inferior occipital gyrus, left calcarine gyrus, and left lingual gyrus compared to HCs. Furthermore, the AVH group showed higher ALFF in the right inferior frontal gyrus compared to the NAVH group. Additionally, these ALFF alterations in the AVH group were closely related to three neurotransmitters, including dopamine, serotonin and norepinephrine.

Conclusion: We link neurotransmitters to abnormal intrinsic brain activity in first-episode, drug-naïve schizophrenia patients with AVHs, contributing to a comprehensive understanding of the pathophysiological processes and treatment pathways underlying AVHs.

背景:幻听(AVHs)是精神分裂症的特征性阳性症状之一,影响着相当一部分精神分裂症患者。这些幻觉严重影响患者的生活,造成巨大的社会负担。最近的研究表明,局部大脑活动异常与 AVHs 的神经生物学机制之间存在显著的相关性。然而,目前尚不完全清楚患有 AVHs 的精神分裂症患者大脑固有活动的改变是否与特定的神经递质系统相关:方法:我们纳入了 50 名首次发病、未服药的精神分裂症患者(AVHs)、50 名无 AVHs 患者(NAVHs)和 50 名年龄与性别匹配的健康对照组(HCs)。我们利用低频波动振幅(ALFF)来探究 AVH 组固有大脑活动的改变。随后,我们利用 JuSpace 将改变的 ALFF 与神经递质图进行了空间关联:在我们的研究中,与 HCs 相比,AVH 组在多个脑区的 ALFF 明显降低,主要包括左侧楔前叶、双侧辅助运动区、双侧中央小叶旁、双侧中央前回和双侧中央后回。与HCs相比,NAVH组在左枕下回、左钙回和左舌回的ALFF明显减少。此外,与 NAVH 组相比,AVH 组在右额叶下回显示出更高的 ALFF。此外,AVH 组的这些 ALFF 改变与三种神经递质密切相关,包括多巴胺、5-羟色胺和去甲肾上腺素:我们将神经递质与首次发病、药物治疗无效的精神分裂症患者的异常脑内活动联系起来,有助于全面了解AVHs的病理生理过程和治疗途径。
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引用次数: 0
Automated home cage monitoring of an aging colony of mice-Implications for welfare monitoring and experimentation. 对老化小鼠群落进行家庭笼舍自动监测--对福利监测和实验的启示
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-29 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1489308
Joanna L Moore, James Kennedy, Abdul-Azim Hassan

Introduction: Our understanding of laboratory animal behavior and the implications of husbandry activities on their wellbeing remains incomplete. This is especially relevant with an aging colony as their activity patterns may change as they mature. Home Cage Monitoring (HCM) provides valuable insights into mouse activity within the animal's own environment and can shed light on acclimatization periods and responses to husbandry activities such as cage changing. The aim of this study was to monitor and explore changes in the activity and rest disturbance (RDI) patterns of an aging colony of male and female C57/BL6 mice.

Methods: The mice were housed in the Digitally Ventilated Cage® system, for up to 18 months of age. Data was then downloaded to investigate how the activity patterns and RDI of the mice changed over time. Habituation, aging and cage change assessments were conducted using linear mixed models, while cage separation and stereotypic behavior investigations were conducted by visual inspection of the data.

Results: As expected during the study, mice were less active during the light phase compared to the dark phase. However, on arrival mice displayed heightened activity and RDI during the light phase and reduced activity and RDI during the dark phase, taking several days to adjust to baseline "acclimatized" patterns. With age, overall activity significantly decreased from 5 months until 14 months of age, after which it increased back toward baseline levels. We also observed activity spikes during our monitoring of this colony. Prolonged housing can lead to alarming stereotypic behaviors in animals. Cages of mice flagged for potential stereotypy displayed sustained activity spikes in the light and dark phases. Spikes in activity during the dark phase were much more pronounced than in the light phase. Cage changing led to an increase in the light phase activity and RDI compared to the previous day, with no observed difference in the dark phase post-cage change. This effect remained consistent as the animals aged.

Discussion: This study explores changes in the activity patterns of an aging colony of male and female C57/BL6 mice housed in the Digitally Ventilated Cage® system. We identified distinct aging phases concerning activity and RDI differences and a potential new welfare application for the DVC®, specifically for early detection of stereotypy. In conclusion, the adoption of HCM systems should be considered for long-term animal housing from both a welfare and behavioral perspective.

介绍:我们对实验动物的行为以及饲养活动对其健康的影响的了解仍不全面。这一点与老龄化鼠群尤其相关,因为它们的活动模式可能会随着成熟而改变。家庭笼养监测(HCM)为了解小鼠在动物自身环境中的活动提供了宝贵的信息,并能揭示适应期和对饲养活动(如换笼)的反应。本研究的目的是监测和探索老龄雌雄 C57/BL6 小鼠群体的活动和休息干扰(RDI)模式的变化:方法:将小鼠饲养在数字通风笼®系统中长达18个月。然后下载数据,研究小鼠的活动模式和 RDI 随时间的变化情况。习惯化、老化和笼子变化评估采用线性混合模型进行,而笼子分离和刻板行为调查则通过目测数据进行:正如研究期间所预期的那样,与黑暗阶段相比,小鼠在光照阶段的活动较少。然而,小鼠到达后,在光照阶段表现出更高的活动量和RDI,而在黑暗阶段则表现出更低的活动量和RDI,需要几天时间才能调整到基线 "适应 "模式。随着年龄的增长,小鼠的总体活动量在 5 个月到 14 个月期间明显减少,之后又恢复到基线水平。我们在对该鸟群进行监测时还观察到了活动高峰。长期饲养会导致动物出现令人震惊的刻板行为。被标记为可能出现刻板行为的小鼠笼子在光照和黑暗阶段都显示出持续的活动尖峰。黑暗阶段的活动峰值比光照阶段明显得多。与前一天相比,换笼会导致明相活动和 RDI 的增加,而在换笼后的暗相活动中没有观察到差异。随着动物年龄的增长,这种效应保持不变:本研究探讨了饲养在数字通风笼®系统中的雌雄 C57/BL6 小鼠老化群体活动模式的变化。我们确定了有关活动和 RDI 差异的不同衰老阶段,以及 DVC® 的潜在新福利应用,特别是用于早期检测刻板行为。总之,从福利和行为的角度来看,长期饲养动物时应考虑采用 HCM 系统。
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引用次数: 0
Editorial: Noncoding RNAs in neurodegenerative disorders: from current insights and future directions to translational modeling and therapeutic approaches. 社论:神经退行性疾病中的非编码 RNA:从当前见解和未来方向到转化模型和治疗方法。
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-29 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1497673
Yujing Li, Akshay Bhinge, Satoshi Inoue, Gonçalo Garcia
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引用次数: 0
Editorial: Biocompatibility of implanted devices, modulation, and repair in the nervous system. 社论:植入设备的生物兼容性、神经系统的调节和修复。
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1505912
Michael B Christensen, Xinyan T Cui, Loren Rieth, David J Warren
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引用次数: 0
Increased cerebellar vermis volume following repetitive transcranial magnetic stimulation in drug-resistant epilepsy: a voxel-based morphometry study. 重复经颅磁刺激后耐药性癫痫患者的小脑蚓部体积增大:基于体素的形态计量学研究。
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-25 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1421917
Mingyeong So, Jooheon Kong, Young-Tak Kim, Keun-Tae Kim, Hayom Kim, Jung Bin Kim

Introduction: Voxel-based morphometry (VBM) was applied to explore structural changes induced by repetitive transcranial magnetic stimulation (rTMS) and the relationship with clinical outcomes. Moreover, the relationship between each segmented regional gray matter (GM) volume was investigated to identify circuits involved in the rTMS treatment process in patients with drug-resistant epilepsy (DRE).

Methods: Nineteen patients with DRE were finally included in the analysis. A session of rTMS was applied for 5 consecutive days. Participants received either 1,000 or 3,000 pulses, at a frequency of 0.5 Hz and the intensity was set at 90% of the individual's resting motor threshold. VBM analysis was performed to explore regional GM volume changes 2 months after rTMS application. The regional volume change was correlated with seizure reduction rate. Relationships between changes in GM volume in each anatomically parcellated region were analyzed using a fully-automated segmentation pipeline.

Results: Compared to the baseline, seizure frequency was reduced, and quality of life was improved after rTMS treatment. Regional volume was increased in the cerebellar vermis 2 months after rTMS application. The increased cerebellar vermis volume correlated with the reduced seizure frequency. Regional volume changes in the cerebellar vermis were correlated with changes in the subcortical and cortical GM regions including the thalamus, caudate, and frontal cortex.

Discussion: These results indicate that rTMS treatment effectively reduced seizure frequency in patients with DRE. Increased volume in the cerebellar vermis and activations of the cerebello-thalamo-cortical circuit may be a crucial mechanism underlying the effectiveness of rTMS application in patients with DRE.

简介基于体素的形态计量学(VBM)被用于探索重复经颅磁刺激(rTMS)引起的结构变化及其与临床结果的关系。此外,还研究了各分段区域灰质(GM)体积之间的关系,以确定参与耐药性癫痫(DRE)患者经颅磁刺激治疗过程的回路:方法:19 名 DRE 患者最终被纳入分析。连续5天进行一次经颅磁刺激治疗。参与者接受了 1,000 或 3,000 个脉冲,频率为 0.5 Hz,强度设定为患者静息运动阈值的 90%。在经颅磁刺激应用 2 个月后,进行 VBM 分析以探究区域 GM 体积的变化。区域体积变化与癫痫发作减少率相关。使用全自动分割管道分析了每个解剖学分割区域的 GM 体积变化之间的关系:与基线相比,经颅磁刺激治疗后癫痫发作频率降低,生活质量提高。经颅磁刺激治疗2个月后,小脑蚓部区域体积增大。小脑蚓部体积的增加与癫痫发作频率的降低相关。小脑蚓部的区域体积变化与皮层下和皮层GM区域(包括丘脑、尾状核和额叶皮层)的变化相关:讨论:这些结果表明,经颅磁刺激治疗可有效减少颅内去极化障碍患者的癫痫发作频率。小脑蚓部体积的增加和小脑-丘脑-皮层回路的激活可能是经颅磁刺激治疗对 DRE 患者有效的关键机制。
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引用次数: 0
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