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The Functional Aspects of Resting EEG Microstates: A Systematic Review. 静息脑电图微状态的功能方面:系统回顾。
IF 2.3 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-03-01 Epub Date: 2023-05-10 DOI: 10.1007/s10548-023-00958-9
Povilas Tarailis, Thomas Koenig, Christoph M Michel, Inga Griškova-Bulanova

A growing body of clinical and cognitive neuroscience studies have adapted a broadband EEG microstate approach to evaluate the electrical activity of large-scale cortical networks. However, the functional aspects of these microstates have not yet been systematically reviewed. Here, we present an overview of the existing literature and systematize the results to provide hints on the functional role of electrical brain microstates. Studies that evaluated and manipulated the temporal properties of resting-state microstates and utilized questionnaires, task-initiated thoughts, specific tasks before or between EEG session(s), pharmacological interventions, neuromodulation approaches, or localized sources of the extracted microstates were selected. Fifty studies that met the inclusion criteria were included. A new microstate labeling system has been proposed for a comprehensible comparison between the studies, where four classical microstates are referred to as A-D, and the others are labeled by the frequency of their appearance. Microstate A was associated with both auditory and visual processing and links to subjects' arousal/arousability. Microstate B showed associations with visual processing related to self, self-visualization, and autobiographical memory. Microstate C was related to processing personally significant information, self-reflection, and self-referential internal mentation rather than autonomic information processing. In contrast, microstate E was related to processing interoceptive and emotional information and to the salience network. Microstate D was associated with executive functioning. Microstate F is suggested to be a part of the Default Mode Network and plays a role in personally significant information processing, mental simulations, and theory of mind. Microstate G is potentially linked to the somatosensory network.

越来越多的临床和认知神经科学研究采用宽带脑电图微状态方法来评估大规模皮层网络的电活动。然而,这些微状态的功能方面尚未得到系统的回顾。在此,我们对现有文献进行了综述,并对结果进行了系统整理,以提供有关脑电微状态功能作用的提示。我们选取了对静息态微状态的时间特性进行评估和操作的研究,并利用了问卷调查、任务引发的思考、脑电图会话之前或之间的特定任务、药物干预、神经调节方法或提取微状态的局部来源。符合纳入标准的研究有 50 项。为了便于比较研究结果,我们提出了一个新的微状态标记系统,其中四个经典微状态被称为 A-D,其他微状态则根据出现频率进行标记。微状态 A 与听觉和视觉处理相关,并与受试者的唤醒/唤醒性相关。微状态 B 与自我、自我想象和自传体记忆相关的视觉处理有关。微状态 C 与个人重要信息处理、自我反思和自我内部思维有关,而不是与自主信息处理有关。相比之下,微状态 E 与内感知信息和情感信息的处理以及显著性网络有关。微状态 D 与执行功能有关。微态 F 被认为是默认模式网络的一部分,在个人重要信息处理、心理模拟和心智理论中发挥作用。微状态 G 可能与体感网络有关。
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引用次数: 0
Normative Temporal Dynamics of Resting EEG Microstates. 静息脑电图微状态的规范时间动态
IF 2.3 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-03-01 Epub Date: 2023-09-13 DOI: 10.1007/s10548-023-01004-4
Anthony P Zanesco

The large-scale electrophysiological events known as electroencephalographic microstates provide an important window into the intrinsic activity of whole-brain neuronal networks. The spontaneous activity of coordinated brain networks, including the ongoing temporal dynamics expressed by microstates, are thought to reflect individuals' neurocognitive functioning, and predict development, disease progression, and psychological differences among varied populations. A comprehensive understanding of human brain function therefore requires characterizing typical and atypical patterns in the temporal dynamics of microstates. But population-level estimates of normative microstate temporal dynamics are still unknown. To address this gap, I conducted a systematic search of the literature and accompanying meta-analysis of the average dynamics of microstates obtained from studies investigating spontaneous brain activity in individuals during periods of eyes-closed and eyes-open rest. Meta-analyses provided estimates of the average temporal dynamics of microstates across 93 studies totaling 6583 unique individual participants drawn from diverse populations. Results quantified the expected range of plausible estimates of average microstate dynamics across study samples, as well as characterized heterogeneity resulting from sampling variability and systematic differences in development, clinical diagnoses, or other study methodological factors. Specifically, microstate dynamics significantly differed for samples with specific developmental differences or clinical diagnoses, relative to healthy, typically developing samples. This research supports the notion that microstates and their dynamics reflect functionally relevant properties of large-scale brain networks, encoding typical and atypical neurocognitive functioning.

被称为脑电微状态的大规模电生理事件为了解全脑神经元网络的内在活动提供了一个重要窗口。协调的大脑网络的自发活动,包括微状态所表达的持续时间动态,被认为可以反映个体的神经认知功能,并预测不同人群的发育、疾病进展和心理差异。因此,要全面了解人类大脑功能,就必须描述微观状态时间动态的典型和非典型模式。但是,对正常微观状态时间动态的人群水平估计仍是未知数。为了填补这一空白,我对文献进行了系统性检索,并对调查闭眼和睁眼休息期间个体自发大脑活动的研究中获得的微状态平均动态进行了相应的荟萃分析。荟萃分析提供了 93 项研究中微状态平均时间动态的估计值,这些研究共涉及 6583 名来自不同人群的个体参与者。研究结果量化了各研究样本中平均微状态动态可信估计值的预期范围,并描述了由抽样变异和发育、临床诊断或其他研究方法因素的系统性差异导致的异质性。具体来说,与健康、发育正常的样本相比,有特定发育差异或临床诊断的样本的微状态动态存在显著差异。这项研究支持这样一种观点,即微观状态及其动态反映了大规模大脑网络的功能相关特性,编码了典型和非典型的神经认知功能。
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引用次数: 0
Cortical Correlates of Visuospatial Switching Processes Between Egocentric and Allocentric Frames of Reference: A fNIRS Study 视觉空间参照系在 "以我为中心 "和 "以他为中心 "之间切换过程的皮层相关性:fNIRS 研究
IF 2.7 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-02-05 DOI: 10.1007/s10548-023-01032-0

Abstract

Human beings represent spatial information according to egocentric (body-to-object) and allocentric (object-to-object) frames of reference. In everyday life, we constantly switch from one frame of reference to another in order to react effectively to the specific needs of the environment and task demands. However, to the best of our knowledge, no study to date has investigated the cortical activity of switching and non-switching processes between egocentric and allocentric spatial encodings. To this aim, a custom-designed visuo-spatial memory task was administered and the cortical activities underlying switching vs non-switching spatial processes were investigated. Changes in concentrations of oxygenated and deoxygenated haemoglobin were measured using functional near-infrared spectroscopy (fNIRS). Participants were asked to memorize triads of geometric objects and then make two consecutive judgments about the same triad. In the non-switching condition, both spatial judgments considered the same frame of reference: only egocentric or only allocentric. In the switching condition, if the first judgment was egocentric, the second one was allocentric (or vice versa). The results showed a generalized activation of the frontal regions during the switching compared to the non-switching condition. Additionally, increased cortical activity was found in the temporo-parietal junction during the switching condition compared to the non-switching condition. Overall, these results illustrate the cortical activity underlying the processing of switching between body position and environmental stimuli, showing an important role of the temporo-parietal junction and frontal regions in the preparation and switching between egocentric and allocentric reference frames.

摘要 人类根据以自我为中心(身体到物体)和以分配为中心(物体到物体)的参照系来表示空间信息。在日常生活中,我们不断地从一种参照系切换到另一种参照系,以便对环境和任务的特定需求做出有效反应。然而,据我们所知,迄今为止还没有研究调查过在自我中心和分配中心空间编码之间切换和非切换过程的大脑皮层活动。为此,我们进行了一项专门设计的视觉空间记忆任务,并调查了切换与非切换空间过程的大脑皮层活动。使用功能性近红外光谱(fNIRS)测量了氧合血红蛋白和脱氧血红蛋白浓度的变化。参与者被要求记忆几何物体的三元组,然后对同一三元组做出两个连续的判断。在非转换条件下,两次空间判断均考虑同一参照系:仅以自我为中心或仅以分配为中心。在转换条件下,如果第一个判断是以自我为中心,那么第二个判断就是以分配为中心(反之亦然)。结果表明,与非转换条件相比,在转换条件下,额叶区域被普遍激活。此外,与非转换条件相比,转换条件下颞顶交界处的皮层活动有所增加。总之,这些结果说明了在身体位置和环境刺激之间进行切换时的大脑皮层活动,显示了颞顶交界处和额叶区在准备和切换以自我为中心的参照框架和以分配为中心的参照框架中的重要作用。
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引用次数: 0
Disruption of Resting-State Functional Connectivity in Acute Ischemic Stroke: Comparisons Between Right and Left Hemispheric Insults 急性缺血性脑卒中静息状态功能连通性的破坏:左右半球损伤的比较
IF 2.7 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-02-01 DOI: 10.1007/s10548-024-01033-7

Abstract

Few resting-state functional magnetic resonance imaging (RS-fMRI) studies evaluated the impact of acute ischemic changes on cerebral functional connectivity (FC) and its relationship with functional outcomes after acute ischemic stroke (AIS), considering the side of lesions. To characterize alterations of FC of patients with AIS by analyzing 12 large-scale brain networks (NWs) with RS-fMRI. Additionally, we evaluated the impact of the side (right (RH) or left (LH) hemisphere) of insult on the disruption of brain NWs. 38 patients diagnosed with AIS (17 RH and 21 LH) who performed 3T MRI scans up to 72 h after stroke were compared to 44 healthy controls. Images were processed and analyzed with the software toolbox UF2C with SPM12. For the first level, we generated individual matrices based on the time series extraction from 70 regions of interest (ROIs) from 12 functional NWs, constructing Pearson’s cross-correlation; the second-level analysis included an analysis of covariance (ANCOVA) to investigate differences between groups. The statistical significance was determined with p < 0.05, after correction for multiple comparisons with false discovery rate (FDR) correction. Overall, individuals with LH insults developed poorer clinical outcomes after six months. A widespread pattern of lower FC was observed in the presence of LH insults, while a contralateral pattern of increased FC was identified in the group with RH insults. Our findings suggest that LH stroke causes a severe and widespread pattern of reduction of brain networks’ FC, presumably related to the impairment in their long-term recovery.

摘要 很少有静息态功能磁共振成像(RS-fMRI)研究评估急性缺血性改变对大脑功能连通性(FC)的影响及其与急性缺血性卒中(AIS)后功能预后的关系(考虑病变侧)。我们利用 RS-fMRI 分析了 12 个大规模脑网络(NW),以确定急性缺血性脑卒中患者的功能连通性变化特征。此外,我们还评估了损伤侧(右(RH)或左(LH)半球)对大脑网络破坏的影响。我们将中风后 72 小时内进行 3T MRI 扫描的 38 名确诊为 AIS 的患者(17 名右侧半球患者和 21 名左侧半球患者)与 44 名健康对照者进行了比较。我们使用带有 SPM12 的软件工具盒 UF2C 对图像进行了处理和分析。在第一级分析中,我们根据从 12 个功能性 NW 的 70 个感兴趣区(ROI)中提取的时间序列生成单个矩阵,构建皮尔逊交叉相关;第二级分析包括协方差分析(ANCOVA),以研究组间差异。经假发现率(FDR)校正进行多重比较后,以 p < 0.05 为统计学意义。总体而言,LH损伤患者在6个月后的临床结果较差。在 LH 受损的人群中,FC 普遍降低,而在 RH 受损的人群中,FC 反而升高。我们的研究结果表明,LH 中风会导致大脑网络 FC 严重而广泛的降低,这可能与其长期恢复能力受损有关。
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引用次数: 0
Altered EEG Microstates Dynamics in Individuals with Subthreshold Depression When Generating Negative Future Events. 当产生负面的未来事件时,阈下抑郁症患者脑电微观状态变化的动力学。
IF 2.7 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 Epub Date: 2023-10-09 DOI: 10.1007/s10548-023-01011-5
Zhuoya Yang, Lei Xia, Yixiao Fu, Yingcan Zheng, Mengxue Zhao, Zhengzhi Feng, Chunmeng Shi

Negative bias in prospection may play a crucial role in driving and maintaining depression. Recent research suggests abnormal activation and functional connectivity in regions of the default mode network (DMN) during future event generation in depressed individuals. However, the neural dynamics during prospection in these individuals remain unknown. To capture network dynamics at high temporal resolution, we employed electroencephalogram (EEG) microstate analysis. We examined microstate properties during both positive and negative prospection in 35 individuals with subthreshold depression (SD) and 35 controls. We identified similar sets of four canonical microstates (A-D) across groups and conditions. Source analysis indicated that each microstate map partially overlapped with a subsystem of the DMN (A: verbal; B: visual-spatial; C: self-referential; and D: modulation). Notably, alterations in EEG microstates were primarily observed in negative prospection of individuals with SD. Specifically, when generating negative future events, the coverage, occurrence, and duration of microstate A increased, while the coverage and duration of microstates B and D decreased in the SD group compared to controls. Furthermore, we observed altered transitions, particularly involving microstate C, during negative prospection in the SD group. These altered dynamics suggest dysconnectivity between subsystems of the DMN during negative prospection in individuals with SD. In conclusion, we provide novel insights into the neural mechanisms of negative bias in depression. These alterations could serve as specific markers for depression and potential targets for future interventions.

前瞻性的负面偏见可能在驱动和维持抑郁症方面发挥着至关重要的作用。最近的研究表明,在抑郁个体的未来事件生成过程中,默认模式网络(DMN)区域的异常激活和功能连接。然而,这些个体在前瞻性研究期间的神经动力学仍然未知。为了以高时间分辨率捕捉网络动态,我们采用了脑电图(EEG)微观状态分析。我们检测了35名阈下抑郁症(SD)患者和35名对照组在阳性和阴性前瞻期间的微观状态特性。我们在不同的组和条件下确定了四个典型微观状态(A-D)的相似集合。来源分析表明,每个微观状态图都与DMN的一个子系统部分重叠(a:言语;B:视觉空间;C:自我参照;D:调节)。值得注意的是,脑电微观状态的变化主要在SD患者的负面前瞻中观察到。特别是,与对照组相比,当产生负面未来事件时,SD组微观状态A的覆盖率、发生率和持续时间增加,而微观状态B和D的覆盖率和持续期减少。此外,我们观察到SD组在消极前瞻期间发生了转变,特别是涉及微观状态C的转变。这些改变的动力学表明,在SD患者的负面前瞻过程中,DMN的子系统之间存在连接障碍。总之,我们为抑郁症负面偏见的神经机制提供了新的见解。这些改变可以作为抑郁症的特定标志物和未来干预的潜在目标。
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引用次数: 0
White and Gray Matter Abnormalities in Young Adult Females with Dependent Personality Disorder: A Diffusion-Tensor Imaging and Voxel-Based Morphometry Study. 依赖性人格障碍年轻成年女性的白质和灰质异常:一项基于张量成像和体素的形态学研究。
IF 2.7 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 Epub Date: 2023-10-13 DOI: 10.1007/s10548-023-01013-3
Zhixia Cui, Liangliang Meng, Qing Zhang, Jing Lou, Yuan Lin, Yueji Sun

We applied diffusion-tensor imaging (DTI) including measurements of fractional anisotropy (FA), a parameter of neuronal fiber integrity, mean diffusivity (MD), a parameter of brain tissue integrity, as well as voxel-based morphometry (VBM), a measure of gray and white matter volume, to provide a basis to improve our understanding of the neurobiological basis of dependent personality disorder (DPD). DTI was performed on young girls with DPD (N = 17) and young female healthy controls (N = 17). Tract-based spatial statistics (TBSS) were used to examine microstructural characteristics. Gray matter volume differences between the two groups were investigated using voxel-based morphometry (VBM). The Pearson correlation analysis was utilized to examine the relationship between distinct brain areas of white matter and gray matter and the Dy score on the MMPI. The DPD had significantly higher fractional anisotropy (FA) values than the HC group in the right retrolenticular part of the internal capsule, right external capsule, the corpus callosum, right posterior thalamic radiation (include optic radiation), right cerebral peduncle (p < 0.05), which was strongly positively correlated with the Dy score of MMPI. The volume of gray matter in the right postcentral gyrus and left cuneus in DPD was significantly increased (p < 0.05), which was strongly positively correlated with the Dy score of MMPI (r1,2= 0.467,0.353; p1,2 = 0.005,0.04). Our results provide new insights into the changes in the brain structure in DPD, which suggests that alterations in the brain structure might implicate the pathophysiology of DPD. Possible visual and somatosensory association with motor nerve circuits in DPD.

我们应用了扩散张量成像(DTI),包括分数各向异性(FA)、神经元纤维完整性参数、平均扩散率(MD)、脑组织完整性参数的测量,以及基于体素的形态计量学(VBM)、灰质和白质体积的测量,为进一步了解依赖性人格障碍(DPD)的神经生物学基础提供依据。对患有DPD的年轻女孩进行DTI(N = 17) 和年轻女性健康对照组(N = 17) 。基于区域的空间统计学(TBSS)被用于检验微观结构特征。使用基于体素的形态计量学(VBM)研究两组之间的灰质体积差异。Pearson相关分析用于检查脑白质和灰质的不同区域与MMPI上的Dy评分之间的关系。DPD在内囊的右透镜状后部分、右外囊、胼胝体、右丘脑后辐射(包括光辐射)、右脑脚的各向异性分数(FA)值显著高于HC组(p 1,2=0.4670.353;p1,2=0.005,0.04)。我们的结果为DPD中大脑结构的变化提供了新的见解,这表明大脑结构的改变可能与DPD的病理生理学有关。DPD患者的视觉和体感可能与运动神经回路有关。
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引用次数: 0
An Effective Hybrid Deep Learning Model for Single-Channel EEG-Based Subject-Independent Drowsiness Recognition. 一种基于单通道脑电图的有效混合深度学习模型。
IF 2.7 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 Epub Date: 2023-11-23 DOI: 10.1007/s10548-023-01016-0
Y Rama Muni Reddy, P Muralidhar, M Srinivas

Nowadays, road accidents pose a severe risk in cases of sleep disorders. We proposed a novel hybrid deep-learning model for detecting drowsiness to address this issue. The proposed model combines the strengths of discrete wavelet long short-term memory (DWLSTM) and convolutional neural networks (CNN) models to classify single-channel electroencephalogram (EEG) signals. Baseline models such as support vector machine (SVM), linear discriminant analysis (LDA), back propagation neural networks (BPNN), CNN, and CNN merged with LSTM (CNN+LSTM) did not fully utilize the time sequence information. Our proposed model incorporates a majority voting between LSTM layers integrated with discrete wavelet transform (DWT) and the CNN model fed with spectrograms as images. The features extracted from sub-bands generated by DWT can provide more informative & discriminating than using the raw EEG signal. Similarly, spectrogram images fed to CNN learn the specific patterns and features with different levels of drowsiness. Furthermore, the proposed model outperformed state-of-the-art deep learning techniques and conventional baseline methods, achieving an average accuracy of 74.62%, 77.76% (using rounding, F1-score maximization approach respectively for generating labels) on 11 subjects for leave-one-out subject method. It achieved high accuracy while maintaining relatively shorter training and testing times, making it more desirable for quicker drowsiness detection. The performance metrics (accuracy, precision, recall, F1-score) are evaluated after 100 randomized tests along with a 95% confidence interval for classification. Additionally, we validated the mean accuracies from five types of wavelet families, including daubechis, symlet, bi-orthogonal, coiflets, and haar, merged with LSTM layers.

如今,道路交通事故给睡眠障碍患者带来了严重的风险。为了解决这个问题,我们提出了一种新的混合深度学习模型来检测困倦。该模型结合离散小波长短期记忆(DWLSTM)和卷积神经网络(CNN)模型的优势,对单通道脑电图(EEG)信号进行分类。支持向量机(SVM)、线性判别分析(LDA)、反向传播神经网络(BPNN)、CNN、CNN与LSTM合并(CNN+LSTM)等基线模型没有充分利用时间序列信息。我们提出的模型结合了离散小波变换(DWT)集成的LSTM层和以谱图作为图像馈送的CNN模型之间的多数投票。从小波变换生成的子带中提取的特征比使用原始脑电信号提供了更丰富的信息量和更强的识别力。同样,输入CNN的频谱图图像可以学习不同程度困倦的特定模式和特征。此外,所提出的模型优于最先进的深度学习技术和传统的基线方法,在11个科目上的平均准确率为74.62%,77.76%(分别使用舍入和f1分数最大化方法生成标签)。它在保持相对较短的训练和测试时间的同时实现了较高的准确性,使其更适合快速检测困倦。性能指标(准确度、精密度、召回率、f1分数)在100次随机测试后进行评估,并采用95%的置信区间进行分类。此外,我们验证了五种类型的小波族,包括daubechis, symlet,双正交,coiflet和haar,与LSTM层合并的平均精度。
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引用次数: 0
Evoked EEG Responses to TMS Targeting Regions Outside the Primary Motor Cortex and Their Test-Retest Reliability. 经颅磁刺激对初级运动皮层外靶区的诱发脑电图反应及其重测信度。
IF 2.7 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 Epub Date: 2023-11-23 DOI: 10.1007/s10548-023-01018-y
Yufei Song, Pedro C Gordon, Johanna Metsomaa, Maryam Rostami, Paolo Belardinelli, Ulf Ziemann

Transcranial magnetic stimulation (TMS)-evoked electroencephalography (EEG) potentials (TEPs) provide unique insights into cortical excitability and connectivity. However, confounding EEG signals from auditory and somatosensory co-stimulation complicate TEP interpretation. Our optimized sham procedure established with TMS of primary motor cortex (Gordon in JAMA 245:118708, 2021) differentiates direct cortical EEG responses to TMS from those caused by peripheral sensory inputs. Using this approach, this study aimed to investigate TEPs and their test-retest reliability when targeting regions outside the primary motor cortex, specifically the left angular gyrus, supplementary motor area, and medial prefrontal cortex. We conducted three identical TMS-EEG sessions one week apart involving 24 healthy participants. In each session, we targeted the three areas separately using a figure-of-eight TMS coil for active TMS, while a second coil away from the head produced auditory input for sham TMS. Masking noise and electric scalp stimulation were applied in both conditions to achieve matched EEG responses to peripheral sensory inputs. High test-retest reliability was observed in both conditions. However, reliability declined for the 'cleaned' TEPs, resulting from the subtraction of evoked EEG response to the sham TMS from those to the active, particularly for latencies > 100 ms following the TMS pulse. Significant EEG differences were found between active and sham TMS at latencies < 90 ms for all targeted areas, exhibiting distinct spatiotemporal characteristics specific to each target. In conclusion, our optimized sham procedure effectively reveals EEG responses to direct cortical activation by TMS in brain areas outside primary motor cortex. Moreover, we demonstrate the impact of peripheral sensory inputs on test-retest reliability of TMS-EEG responses.

经颅磁刺激(TMS)诱发脑电图(EEG)电位(TEPs)提供了对皮质兴奋性和连通性的独特见解。然而,来自听觉和体感共刺激的混淆脑电图信号使TEP的解释复杂化。我们利用初级运动皮层经颅磁刺激(Gordon in JAMA 245: 118708,2021)建立了优化的假手术,将经颅磁刺激引起的直接皮层脑电图反应与由外周感觉输入引起的脑电图反应区分开来。使用这种方法,本研究旨在研究TEPs及其测试-重测的可靠性,当目标区域在初级运动皮层之外,特别是左角回、辅助运动区和内侧前额叶皮层。我们进行了三个相同的TMS-EEG会话,间隔一周,涉及24名健康参与者。在每次实验中,我们分别使用8字形经颅磁刺激线圈对活动经颅磁刺激进行定位,而另一个远离头部的线圈对假经颅磁刺激进行听觉输入。在这两种情况下,掩蔽噪声和头皮电刺激都可以获得与周围感觉输入相匹配的脑电图响应。在两种情况下均观察到较高的重测信度。然而,对于“清洁”的tep,可靠性下降了,这是由于对假经颅磁刺激的诱发脑电图反应从对活动的反应中减去了,特别是在经颅磁刺激脉冲后潜伏期> 100 ms的情况下。激活和假经颅磁刺激在潜伏期上有显著的脑电图差异
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引用次数: 0
Sleep Spindle Generation Before and After Epilepsy Surgery: A Source Imaging Study in Children with Drug-Resistant Epilepsy. 癫痫手术前后睡眠纺锤体的生成:耐药癫痫儿童的源影像学研究。
IF 2.7 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 Epub Date: 2023-09-22 DOI: 10.1007/s10548-023-01007-1
Assia Chericoni, Lorenzo Ricci, Georgios Ntolkeras, Roberto Billardello, Scellig S D Stone, Joseph R Madsen, Christos Papadelis, P Ellen Grant, Phillip L Pearl, Fabrizio Taffoni, Alexander Rotenberg, Eleonora Tamilia

Introduction: Literature lacks studies investigating the cortical generation of sleep spindles in drug-resistant epilepsy (DRE) and how they evolve after resection of the epileptogenic zone (EZ). Here, we examined sleep EEGs of children with focal DRE who became seizure-free after focal epilepsy surgery, and aimed to investigate the changes in the spindle generation before and after the surgery using low-density scalp EEG and electrical source imaging (ESI).

Methods: We analyzed N2-sleep EEGs from 19 children with DRE before and after surgery. We identified slow (8-12 Hz) and fast spindles (13-16 Hz), computed their spectral features and cortical generators through ESI and computed their distance from the EZ and irritative zone (IZ). We performed two-way ANOVA testing the effect of spindle type (slow vs. fast) and surgical phase (pre-surgery vs. post-surgery) on each feature.

Results: Power, frequency and cortical activation of slow spindles increased after surgery (p < 0.005), while this was not seen for fast spindles. Before surgery, the cortical generators of slow spindles were closer to the EZ (57.3 vs. 66.2 mm, p = 0.007) and IZ (41.3 vs. 55.5 mm, p = 0.02) than fast spindle generators.

Conclusions: Our data indicate alterations in the EEG slow spindles after resective epilepsy surgery. Fast spindle generation on the contrary did not change after surgery. Although the study is limited by its retrospective nature, lack of healthy controls, and reduced cortical spatial sampling, our findings suggest a spatial relationship between the slow spindles and the epileptogenic generators.

引言:文献缺乏研究抗药性癫痫(DRE)中睡眠纺锤体的皮层生成,以及切除致痫区(EZ)后它们是如何进化的。在此,我们对局灶性DRE患儿的睡眠脑电图进行了检查,这些患儿在局灶性癫痫手术后没有癫痫发作,目的是利用低密度头皮脑电图和电源成像(ESI)研究手术前后纺锤体生成的变化。方法:我们分析了19名DRE患儿手术前后的N2睡眠脑电图。我们确定了慢纺锤体(8-12 Hz)和快纺锤体(13-16 Hz),通过ESI计算了它们的光谱特征和皮层发生器,并计算了它们与EZ和刺激区(IZ)的距离。我们进行了双向方差分析,测试纺锤体类型(慢与快)和手术阶段(术前与术后)对每个特征的影响。结果:手术后慢纺锤体的功率、频率和皮层激活增加(p 结论:我们的数据表明癫痫手术后脑电图慢纺锤波的改变。相反,手术后纺锤体的快速生成没有改变。尽管这项研究受到其回顾性、缺乏健康对照和皮层空间采样减少的限制,但我们的研究结果表明,慢纺锤体和致痫发生器之间存在空间关系。
{"title":"Sleep Spindle Generation Before and After Epilepsy Surgery: A Source Imaging Study in Children with Drug-Resistant Epilepsy.","authors":"Assia Chericoni, Lorenzo Ricci, Georgios Ntolkeras, Roberto Billardello, Scellig S D Stone, Joseph R Madsen, Christos Papadelis, P Ellen Grant, Phillip L Pearl, Fabrizio Taffoni, Alexander Rotenberg, Eleonora Tamilia","doi":"10.1007/s10548-023-01007-1","DOIUrl":"10.1007/s10548-023-01007-1","url":null,"abstract":"<p><strong>Introduction: </strong>Literature lacks studies investigating the cortical generation of sleep spindles in drug-resistant epilepsy (DRE) and how they evolve after resection of the epileptogenic zone (EZ). Here, we examined sleep EEGs of children with focal DRE who became seizure-free after focal epilepsy surgery, and aimed to investigate the changes in the spindle generation before and after the surgery using low-density scalp EEG and electrical source imaging (ESI).</p><p><strong>Methods: </strong>We analyzed N2-sleep EEGs from 19 children with DRE before and after surgery. We identified slow (8-12 Hz) and fast spindles (13-16 Hz), computed their spectral features and cortical generators through ESI and computed their distance from the EZ and irritative zone (IZ). We performed two-way ANOVA testing the effect of spindle type (slow vs. fast) and surgical phase (pre-surgery vs. post-surgery) on each feature.</p><p><strong>Results: </strong>Power, frequency and cortical activation of slow spindles increased after surgery (p < 0.005), while this was not seen for fast spindles. Before surgery, the cortical generators of slow spindles were closer to the EZ (57.3 vs. 66.2 mm, p = 0.007) and IZ (41.3 vs. 55.5 mm, p = 0.02) than fast spindle generators.</p><p><strong>Conclusions: </strong>Our data indicate alterations in the EEG slow spindles after resective epilepsy surgery. Fast spindle generation on the contrary did not change after surgery. Although the study is limited by its retrospective nature, lack of healthy controls, and reduced cortical spatial sampling, our findings suggest a spatial relationship between the slow spindles and the epileptogenic generators.</p>","PeriodicalId":55329,"journal":{"name":"Brain Topography","volume":" ","pages":"88-101"},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41154167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
cTBS to Right DLPFC Modulates Physiological Correlates of Conflict Processing: Evidence from a Stroop task. 右侧DLPFC的cTBS调节冲突处理的生理相关性:来自Stroop任务的证据。
IF 2.7 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 Epub Date: 2023-10-25 DOI: 10.1007/s10548-023-01015-1
Ping Xu, Song Wang, Yulu Yang, Bishal Guragai, Qiuzhu Zhang, Junjun Zhang, Zhenlan Jin, Ling Li

Conflict typically occurs when goal-directed processing competes with more automatic responses. Though previous studies have highlighted the importance of the right dorsolateral prefrontal cortex (rDLPFC) in conflict processing, its causal role remains unclear. In the current study, the behavioral experiment, the continuous theta burst stimulation (cTBS), and the electroencephalography (EEG) were combined to explore the effects of behavioral performance and physiological correlates during conflict processing, after the cTBS over the rDLPFC and vertex (the control condition). Twenty-six healthy participants performed the Stroop task which included congruent and incongruent trials. Although the cTBS did not induce significant changes in the behavioral performance, the cTBS over the rDLPFC reduced the Stroop effects of conflict monitoring-related frontal-central N2 component and theta oscillation, and conflict resolution-related parieto-occipital alpha oscillation, compared to the vertex stimulation. Moreover, a significant hemispheric difference in alpha oscillation was exploratively observed after the cTBS over the rDLPFC. Interestingly, we found the rDLPFC stimulation resulted in significantly reduced Stroop effects of theta and gamma oscillation after response, which may reflect the adjustment of cognitive control for the next trial. In conclusion, our study not only demonstrated the critical involvement of the rDLPFC in conflict monitoring, conflict resolution processing, and conflict adaptation but also revealed the electrophysiological mechanism of conflict processing mediated by the rDLPFC.

冲突通常发生在目标导向的处理与更自动的响应竞争时。尽管先前的研究强调了右背外侧前额叶皮层(rDLPFC)在冲突处理中的重要性,但其因果作用尚不清楚。在本研究中,将行为实验、连续θ突发刺激(cTBS)和脑电图(EEG)相结合,探讨了在rDLPFC和顶点(对照条件)上进行cTBS后,冲突处理过程中行为表现和生理相关性的影响。26名健康参与者执行了Stroop任务,其中包括一致和不一致的试验。尽管cTBS没有引起行为表现的显著变化,但与顶点刺激相比,rDLPFC上的cTBS降低了与冲突监测相关的额中枢N2成分和θ振荡以及与冲突解决相关的顶枕α振荡的Stroop效应。此外,在rDLPFC上的cTBS之后,探索性地观察到α振荡的显著半球差异。有趣的是,我们发现rDLPFC刺激显著降低了反应后θ和γ振荡的Stroop效应,这可能反映了下一次试验对认知控制的调整。总之,我们的研究不仅证明了rDLPFC在冲突监测、冲突解决处理和冲突适应中的关键作用,而且揭示了rDLPFC介导的冲突处理的电生理机制。
{"title":"cTBS to Right DLPFC Modulates Physiological Correlates of Conflict Processing: Evidence from a Stroop task.","authors":"Ping Xu, Song Wang, Yulu Yang, Bishal Guragai, Qiuzhu Zhang, Junjun Zhang, Zhenlan Jin, Ling Li","doi":"10.1007/s10548-023-01015-1","DOIUrl":"10.1007/s10548-023-01015-1","url":null,"abstract":"<p><p>Conflict typically occurs when goal-directed processing competes with more automatic responses. Though previous studies have highlighted the importance of the right dorsolateral prefrontal cortex (rDLPFC) in conflict processing, its causal role remains unclear. In the current study, the behavioral experiment, the continuous theta burst stimulation (cTBS), and the electroencephalography (EEG) were combined to explore the effects of behavioral performance and physiological correlates during conflict processing, after the cTBS over the rDLPFC and vertex (the control condition). Twenty-six healthy participants performed the Stroop task which included congruent and incongruent trials. Although the cTBS did not induce significant changes in the behavioral performance, the cTBS over the rDLPFC reduced the Stroop effects of conflict monitoring-related frontal-central N2 component and theta oscillation, and conflict resolution-related parieto-occipital alpha oscillation, compared to the vertex stimulation. Moreover, a significant hemispheric difference in alpha oscillation was exploratively observed after the cTBS over the rDLPFC. Interestingly, we found the rDLPFC stimulation resulted in significantly reduced Stroop effects of theta and gamma oscillation after response, which may reflect the adjustment of cognitive control for the next trial. In conclusion, our study not only demonstrated the critical involvement of the rDLPFC in conflict monitoring, conflict resolution processing, and conflict adaptation but also revealed the electrophysiological mechanism of conflict processing mediated by the rDLPFC.</p>","PeriodicalId":55329,"journal":{"name":"Brain Topography","volume":" ","pages":"37-51"},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50163857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Brain Topography
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