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Acute Stress Facilitates Cognitive Control in Healthy Men: an fNIRS Study. 急性应激促进健康男性的认知控制:一项fNIRS研究。
IF 2.9 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-12-18 DOI: 10.1007/s10548-025-01164-5
Xiaoman Wang, Heming Gao, Mingming Qi

Inhibitory control is crucial for humans to select useful information from the complex environment. The bilateral DLPFC, which is implicated in inhibitory control, was activated under psychological stress. The present study investigated the influence of acute psychological stress on inhibitory control process using the color-word Stroop task. The stress was induced by the Trier Social Stress Task (TSST). After TSST (stress group) or placebo TSST (control group), the male participants performed a color-word Stroop task, and their brain activity was measured using functional near-infrared spectroscopy (fNIRS). The results showed that elevated subjective stress, heart rate, and salivary cortisol were found in the stress than control groups, indicating that the stress had been induced successfully. Reduced RT Stroop effect (RTincongruent - RTcongruent) was found for the stress group compared to the control group. The fNIRS results revealed greater activation in bilateral dorsolateral prefrontal cortex (DLPFC) in the stress than control groups. In addition, the activation in left DLPFC was increased for the stress than control groups in incongruent trials, but not in the congruent trials, resulting in a larger magnitude of the activation Stroop effect (activationincongruent - activationcongruent) in the stress group. These results demonstrate that acute psychological stress may potentially improve inhibitory control in healthy men.

抑制控制是人类从复杂环境中选择有用信息的关键。与抑制控制有关的双侧DLPFC在心理压力下被激活。本研究采用色字Stroop任务研究急性心理应激对抑制控制过程的影响。应激是通过Trier社会应激任务(TSST)诱发的。在压力组(TSST)或安慰剂组(对照组)后,男性参与者执行颜色单词Stroop任务,并使用功能近红外光谱(fNIRS)测量他们的大脑活动。结果显示,应激组的主观应激、心率和唾液皮质醇均高于对照组,提示应激诱导成功。与对照组相比,应激组的RT Stroop效应(RTincongruent - RTcongruent)有所降低。fNIRS结果显示,与对照组相比,应激组双侧背外侧前额叶皮层(DLPFC)的激活更大。此外,应激组左侧DLPFC的激活在不一致试验中比对照组增加,而在一致试验中没有增加,导致应激组的激活Stroop效应(激活不一致-激活一致)的幅度更大。这些结果表明,急性心理应激可能潜在地改善健康男性的抑制控制。
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引用次数: 0
Exploring Brain Network Dynamics in Suicide Attempt Survivors Using EEG Microstate Analysis. 利用脑电图微状态分析探索自杀未遂幸存者的脑网络动态。
IF 2.9 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-12-18 DOI: 10.1007/s10548-025-01167-2
Qin Liu, Xingqu Wu, Peng Fang, Zhao Song, Jiaxi Peng, Danmin Miao

Accumulating evidence has revealed deviations in neural network connectivity among individuals with suicidal ideation (SI). We sought to explore the neural network dynamics of suicide attempt (SA) survivors. We recruited 31 SA survivors, 33 individuals with SI, and 33 normal people controls (NP). To investigate brain network dynamics, we collected 64-channel resting-state EEG recordings and conducted microstate analysis on all participants. Compared to the NP group, both SA survivors and SI group displayed greater coverage and occurrence of microstates A and B. Notably, relative to the SI group, a marked elevation in the occurrence of microstates D and E and a significant increased coverage of microstate E, were observed in the SA group. The SA group exhibited significantly shorter durations of microstates C, D, and E, along with reduced occurrence and coverage of microstate C, compared to the SI group. The SA group exhibited significantly greater transition probabilities from microstate E to any other microstate compared to the SI group. Furthermore, higher suicide risk scores significantly correlated increased occurrence of microstate D, occurrence of microstate E, and coverage of microstate E. A key limitation is the cross-sectional design, which restricts the capacity to establish whether microstate dynamics can serve as predictors of future suicidal behavior. The present results imply that the microstate dynamics of SA survivors are distinct from those of individuals with SI. These results indicate that microstate dynamics could potentially act as neurobiomarkers for distinguishing suicidal behavior and SI.

越来越多的证据揭示了自杀意念个体的神经网络连接存在偏差。我们试图探索自杀未遂(SA)幸存者的神经网络动力学。我们招募了31名SA幸存者,33名SI患者和33名正常人对照(NP)。为了研究脑网络动力学,我们收集了64通道静息状态脑电图记录,并对所有参与者进行了微状态分析。与NP组相比,SA幸存者和SI组都显示出更高的微状态A和b的覆盖率和发生率。值得注意的是,相对于SI组,SA组观察到微状态D和E的发生率显著升高,微状态E的覆盖率显著增加。与SI组相比,SA组表现出明显较短的微状态C、D和E持续时间,同时微状态C的发生和覆盖范围也有所减少。与SI组相比,SA组表现出更大的从微态E到任何其他微态的转变概率。此外,较高的自杀风险得分与微状态D、微状态E的发生率和微状态E的覆盖率显著相关。一个关键的限制是横截面设计,这限制了确定微状态动力学是否可以作为未来自杀行为的预测因子的能力。目前的结果表明,SA幸存者的微观状态动力学与SI个体不同。这些结果表明,微状态动力学可能作为区分自杀行为和自杀的神经生物标志物。
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引用次数: 0
Investigating the Variability of Physiological Response Functions across Individuals and Brain Regions in Functional Magnetic Resonance Imaging. 在功能磁共振成像中研究个体和脑区生理反应功能的变异性。
IF 2.9 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-12-18 DOI: 10.1007/s10548-025-01166-3
Laura B Carlton, Georgios D Mitsis, Michalis Kassinopoulos

Functional magnetic resonance imaging (fMRI) is a valuable neuroimaging tool for studying brain function and connectivity. However, the blood oxygen level dependent (BOLD) signal used in fMRI is affected by various physiological factors, such as cardiac and respiratory activity, which can influence functional connectivity patterns. As such, physiological noise correction is a crucial preprocessing step in fMRI data analysis. When concurrent physiological recordings are available, researchers often generate nuisance regressors to account for the effect of heart rate and respiratory variations by convolving physiological response functions (PRF) with the corresponding physiological signals. However, it has been suggested that the PRF characteristics may vary across subjects and different regions of the brain, as well as across scans of the same subject. To explore this variability, we examine the performance of several different PRF models, in terms of BOLD variance explained, using resting-state fMRI data from the Human Connectome Project (N = 100). We examined both one-input (heart rate or respiration) and two-input (heart rate and respiration) PRF models and show that allowing PRFs to vary across subjects and brain regions generally improves PRF model performance. For one-input models, the improvement in model performance gained by allowing spatial variability was most prominent for respiration, particularly for a subset of the subjects (about a third) examined. Subject-specific or regional variability in cardiac response only enhanced performance when using two-input models. Overall, our results highlight the importance of considering spatial and subject-specific variability in PRFs when analyzing fMRI data, particularly regarding respiratory-related fluctuations.

功能磁共振成像(fMRI)是研究大脑功能和连通性的一种有价值的神经成像工具。然而,功能磁共振成像中使用的血氧水平依赖(BOLD)信号受到各种生理因素的影响,如心脏和呼吸活动,这些生理因素会影响功能连接模式。因此,生理噪声校正是功能磁共振成像数据分析中至关重要的预处理步骤。当有并发的生理记录时,研究人员通常会通过将生理反应函数(PRF)与相应的生理信号卷积来产生有害的回归因子,以解释心率和呼吸变化的影响。然而,有人认为,不同的受试者、大脑的不同区域以及对同一受试者的不同扫描,其PRF特征可能会有所不同。为了探索这种可变性,我们使用来自人类连接组项目(N = 100)的静息状态fMRI数据,根据BOLD方差解释,检查了几种不同PRF模型的性能。我们检查了单输入(心率或呼吸)和双输入(心率和呼吸)PRF模型,并表明允许PRF在受试者和大脑区域之间变化通常可以提高PRF模型的性能。对于单输入模型,通过允许空间变异性而获得的模型性能的改进在呼吸方面最为突出,特别是对于被检查的受试者子集(约三分之一)。当使用双输入模型时,心脏反应的受试者特异性或区域变异性仅增强了性能。总的来说,我们的结果强调了在分析fMRI数据时考虑PRFs的空间和受试者特异性变异性的重要性,特别是在呼吸相关波动方面。
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引用次数: 0
Neurophysiological Markers of Cancer-Related Fatigue Derived from High-Density EEG. 高密度脑电图显示癌症相关疲劳的神经生理指标。
IF 2.9 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-12-05 DOI: 10.1007/s10548-025-01158-3
Vikram Shenoy Handiru, Easter S Suviseshamuthu, Haiyan Su, Guang H Yue

Cancer-related fatigue (CRF) significantly diminishes the quality of life of cancer survivors; however, objective diagnostic markers and the underlying neurophysiological mechanisms remain unclear. This study aimed to identify noninvasive EEG-based biomarkers of CRF by examining cortical activity and functional connectivity. We recorded resting-state and task-related [repetitive submaximal elbow flexions (EFs) until self-perceived exhaustion] high-density electroencephalography (EEG) from 10 cancer survivors with CRF and 14 healthy controls (HC). In our analysis, task-induced fatigue was categorized as mild, moderate, and severe, corresponding to the level of fatigue perceived at the beginning, middle, and end of the task period. Our study revealed the following significant findings: (1) Linear mixed-effects modeling of event-related desynchronization (ERD) EEG analysis during the EF task demonstrated significant effects of group and fatigue levels in the alpha band (8-12 Hz). (2) EF task-specific functional connectivity was estimated using the debiased weighted phase-lag index (dwPLI), which demonstrated reduced inter-regional connectivity in the M1 and prefrontal regions in the CRF group compared with the HC group. (3) The dwPLI analysis identified significantly reduced alpha-band connectivity strength in the CRF group, particularly between the right supramarginal gyrus and other brain regions during mild fatigue. (4) Additionally, resting-state EEG exhibited globally elevated delta-band (1-4 Hz) activity in CRF survivors than HC, potentially reflecting chronic fatigue. These observations emphasize the clinical relevance of resting-state EEG, motor activity-related ERD and functional brain connectivity as potential CRF biomarkers. Future research should validate these findings in larger cohorts and provide insights into more objective CRF diagnosis and the development of personalized interventions for alleviating CRF.

癌症相关疲劳(CRF)显著降低癌症幸存者的生活质量;然而,客观的诊断指标和潜在的神经生理机制仍不清楚。本研究旨在通过检查皮质活动和功能连通性来鉴定基于脑电图的非侵入性CRF生物标志物。我们记录了10例CRF癌症幸存者和14例健康对照(HC)的静息状态和与任务相关的高密度脑电图(EEG)[重复性次最大肘关节屈曲(EFs)直到自我感觉疲劳]。在我们的分析中,任务引起的疲劳分为轻度、中度和重度,对应于任务期开始、中期和结束时的疲劳程度。结果表明:(1)事件相关去同步(ERD)脑电分析的线性混合效应模型表明,组和疲劳水平在α波段(8-12 Hz)有显著影响。(2)使用去偏加权相位滞后指数(dwPLI)估计EF任务特异性功能连通性,结果表明与HC组相比,CRF组M1和前额叶区域的区域间连通性降低。(3) dwPLI分析发现,在轻度疲劳时,CRF组的α波段连接强度显著降低,特别是在右边缘上回与其他大脑区域之间。(4)此外,与HC相比,CRF幸存者的静息状态脑电图整体上显示出更高的δ带(1-4 Hz)活动,可能反映了慢性疲劳。这些观察结果强调了静息状态EEG、运动活动相关ERD和功能性脑连接作为潜在CRF生物标志物的临床相关性。未来的研究应该在更大的队列中验证这些发现,并为更客观的CRF诊断和减轻CRF的个性化干预措施的发展提供见解。
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引用次数: 0
Cortical Representation of Auditory Selective Attention in a Dichotic Listening Task: A Functional Near-Infrared Spectroscopy Study. 听觉选择性注意在二元听力任务中的皮层表征:功能近红外光谱研究。
IF 2.9 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-12-05 DOI: 10.1007/s10548-025-01162-7
Takumu Yamaguchi, Ryu-Ichiro Hashimoto, Hiroki Sato

To advance the application of functional near-infrared spectroscopy (fNIRS) in brain-computer interface (BCI) technology, we investigated cortical activation patterns associated with auditory selective attention. Using a dichotic listening paradigm, participants were presented with simultaneous music and reading sounds to the left or right ear. During fNIRS recordings, they were instructed to selectively attend to the sound attribute (music vs. reading) or the spatial location (left vs. right ear). Cortical activity differences related to attentional targets were analyzed using a two-way analysis of variance (ANOVA), with sound attribute and spatial information as factors. Our results revealed a significant main effect of the sound attribute factor across multiple measurement channels. Notably, the right parietal region exhibited consistently greater activation when attention was directed toward music compared to reading sounds. Conversely, bilateral dorsolateral prefrontal cortex (DLPFC) channels showed higher activation when participants attended to reading sounds than to music. These findings indicate that cortical activation patterns are modulated by auditory attentional states based on sound attributes. Furthermore, preliminary classification analyses achieved an accuracy of 73.7% in discriminating attentional targets (music vs. reading sounds), demonstrating the feasibility of fNIRS-based BCI applications.

为了促进功能近红外光谱(fNIRS)在脑机接口(BCI)技术中的应用,我们研究了与听觉选择性注意相关的皮层激活模式。使用二分聆听范式,参与者的左耳或右耳同时播放音乐和阅读声音。在fNIRS录音过程中,他们被指示选择性地关注声音属性(音乐与阅读)或空间位置(左耳与右耳)。以声音属性和空间信息为影响因素,采用双因素方差分析(ANOVA)对不同注意目标的皮层活动差异进行分析。我们的研究结果揭示了声音属性因子在多个测量通道中的显著主效应。值得注意的是,与阅读声音相比,当注意力集中在音乐上时,右顶叶区域始终表现出更大的激活。相反,当参与者听朗读时,双侧背外侧前额叶皮层(DLPFC)通道比听音乐时显示出更高的激活。这些发现表明,皮层的激活模式是由基于声音属性的听觉注意状态调节的。此外,初步分类分析在区分注意目标(音乐与阅读声音)方面的准确率达到73.7%,证明了基于fnir的脑机接口应用的可行性。
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引用次数: 0
Movement Related Beta-Band Modulation with OPM-MEG: A Pilot Study. 运动相关的β波段调制与OPM-MEG:一个试点研究。
IF 2.9 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-12-01 DOI: 10.1007/s10548-025-01150-x
Tobias Sevelsted Stærmose, Jakob Udby Blicher, Sarang S Dalal

Optically pumped magnetometers (OPMs) represent a significant advancement in magnetoencephalography (MEG), offering high sensitivity without cryogenic cooling and enabling flexible sensor placement. In this pilot study, we evaluated whether a small, zero-contact 16-channel OPM array can capture movement-related beta-band modulation (event-related desynchronization/synchronization; ERD/ERS) in healthy participants and explored feasibility in a single patient with amyotrophic lateral sclerosis (ALS). MEG responses to visually cued active and passive finger movements were recorded in a magnetically shielded room with the OPM array and separately with 306-channel superconducting quantum interference device (SQUID). Time-frequency analyses focused on beta-band activity across baseline, ERD, and ERS periods. In healthy participants, both OPM and SQUID successfully captured movement-related beta oscillations, with no significant differences between active and passive conditions or between measurement systems, based on non-parametric tests. In the ALS patient, movement-related responses were attenuated and more affected by artifacts in the OPM data compared with SQUID, limiting interpretability. Although movement artifacts were noted, the OPM system provided group-level results in healthy controls comparable to SQUID-based MEG, demonstrating its viability and potential for rapid, flexible deployment. These findings indicate that a compact zero-contact OPM array can reliably measure movement-related cortical beta activity and may offer a cost-effective alternative to cryogenic MEG systems. In ALS, however, the present results should be interpreted strictly as a feasibility demonstration, and larger patient cohorts will be required to establish reliability and clinical utility.

光泵磁强计(OPMs)代表了脑磁图(MEG)的重大进步,提供高灵敏度,无需低温冷却,并实现灵活的传感器放置。在这项初步研究中,我们评估了一个小型的、零接触的16通道OPM阵列是否可以在健康参与者中捕获运动相关的β波段调制(事件相关的去同步/同步;ERD/ERS),并探讨了在单个肌萎缩性侧索硬化症(ALS)患者中的可行性。采用OPM阵列和306通道超导量子干涉装置(SQUID)分别在磁屏蔽室内记录了视觉提示的主动和被动手指运动的脑磁图响应。时频分析侧重于基线、ERD和ERS期间的β波段活动。在健康参与者中,基于非参数测试,OPM和SQUID都成功捕获了与运动相关的β振荡,在主动和被动条件之间或测量系统之间没有显着差异。在ALS患者中,与SQUID相比,OPM数据中的运动相关反应减弱,更受伪影影响,限制了可解释性。虽然注意到运动伪影,但OPM系统提供了与基于squid的MEG相当的健康控制组级结果,证明了其快速、灵活部署的可行性和潜力。这些发现表明,紧凑的零接触OPM阵列可以可靠地测量与运动相关的皮层β活动,并可能提供一种具有成本效益的替代低温MEG系统。然而,在ALS中,目前的结果应严格地解释为可行性论证,需要更大的患者队列来建立可靠性和临床实用性。
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引用次数: 0
Mapping the Causal Correlates of Risky and Ambiguous Decision-Making: Evidence from tES Research. 绘制风险和模糊决策的因果关系:来自tES研究的证据。
IF 2.9 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-12-01 DOI: 10.1007/s10548-025-01160-9
Amin Tavakolipour, Maedeh Haghvirdinezhad, Reza Kazemi, Mehrasa Elahian, Amir-Homayun Hallajian

Transcranial electrical stimulation (tES) is one of the most widely used non-invasive brain stimulation (NIBS) methods employed to investigate the causal relationship between brain regions and cognitive functions. tES has been utilized in numerous studies to explore the role of brain regions involved in decision-making. The present study aims to review tES studies conducted to examine the causal relationship of neural regions involved in ambiguous and risky decision-making. A systematic review was conducted based on the PRISMA guidelines (PROSPERO record: CRD42024571443). A systematic search was performed in the PubMed database from 1985 to 2024. The search results were screened for eligibility based on inclusion and exclusion criteria. In addition to the qualitative synthesis, a random-effects meta-analysis was performed on eligible studies reporting sufficient statistical detail. This systematic review examined 19 studies involving 837 participants (351 men and 486 women) with an average age of 23.15 years, investigating the role of different brain regions in risky and ambiguous decision-making. Qualitative synthesis showed that the DLPFC has the strongest association with risky decision-making, particularly with significant changes observed after anodal stimulation in the right hemisphere and cathodal stimulation in the left hemisphere. Limited evidence also suggested roles for frontal asymmetry, the right orbitofrontal cortex (rOFC), and the dorsal anterior cingulate cortex (dACC) in risky decision-making. In the domain of ambiguous decision-making, only a few studies demonstrated the effect of anodal stimulation of the right DLPFC (RDLPFC). The only study using transcranial alternating current stimulation (tACS) also showed a connection between the beta frequency band and the DLPFC in risky decision-making. Complementing these results, the quantitative synthesis of 6 studies (14 effect sizes, n = 378) showed no significant overall effect of tES on decision-making, though subgroup analyses revealed polarity- and site-specific patterns, with cathodal stimulation of the dACC showing the most robust effect. The combined qualitative and quantitative evidence supports a causal role of prefrontal and cingulate regions in risky decision-making, with effects shaped by stimulation polarity and cortical target. Given the limited number of studies conducted, future research should focus on ambiguous decision-making. The use of neuroimaging techniques and simulations may enhance the results obtained.

经颅电刺激(Transcranial electrical stimulation, tES)是一种应用最广泛的非侵入性脑刺激(non-invasive brain stimulation, NIBS)方法,用于研究脑区与认知功能之间的因果关系。tES在许多研究中被用于探索参与决策的大脑区域的作用。本研究旨在回顾tES研究,以检查涉及模糊和风险决策的神经区域的因果关系。根据PRISMA指南(PROSPERO记录:CRD42024571443)进行系统评价。从1985年到2024年,在PubMed数据库中进行了系统搜索。根据纳入和排除标准对检索结果进行筛选。除了定性综合外,还对符合条件的研究进行了随机效应荟萃分析,报告了足够的统计细节。这项系统综述调查了19项研究,涉及837名参与者(351名男性和486名女性),平均年龄为23.15岁,调查了大脑不同区域在风险和模糊决策中的作用。定性综合表明,DLPFC与风险决策的关联最强,尤其是在右半球阳极刺激和左半球阴极刺激后观察到的显著变化。有限的证据也表明,额叶不对称、右眼窝前额皮质(rOFC)和背前扣带皮层(dACC)在风险决策中的作用。在模糊决策领域,只有少数研究证实了阳极刺激右DLPFC (RDLPFC)的影响。唯一一项使用经颅交流电刺激(tACS)的研究也显示了β频段与DLPFC在风险决策中的联系。与这些结果相辅相成的是,6项研究(14个效应量,n = 378)的定量综合显示tES对决策的总体影响不显著,尽管亚组分析揭示了极性和位点特异性模式,其中dACC的阴极刺激显示出最强大的影响。综合定性和定量证据支持前额叶和扣带区域在风险决策中的因果作用,其影响受刺激极性和皮层目标的影响。鉴于进行的研究数量有限,未来的研究应侧重于模糊决策。使用神经成像技术和模拟可以增强所获得的结果。
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引用次数: 0
Microstate-based Neurofeedback in Attention Deficit Hyperactivity Disorder Population: A Randomized Controlled Crossover Trial. 注意缺陷多动障碍人群基于微状态的神经反馈:一项随机对照交叉试验。
IF 2.9 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-12-01 DOI: 10.1007/s10548-025-01161-8
Victor Férat, Marie-Pierre Deiber, Roland Hasler, Abele Michela, Christoph M Michel, Nader Perroud, Tomas Ros

Neurofeedback (NFB) therapy based on spectral neuromarkers of Attention-Deficit/Hyperactivity Disorder (ADHD) has faced challenges regarding its efficacy and replicability. In this study, we investigate whether a microstate-based EEG marker, recently implicated in ADHD, could serve as a novel target for neurofeedback. Emerging research suggests that ADHD patients often exhibit an excess of microstate D, a state characterized by fronto-central cortical activity linked to attentional functions. This study aims to assess whether neurofeedback training can effectively modulate microstate D in adult ADHD patients, along with its short-term neurobehavioral correlates. We employed a within-subject, crossover design with 19 adults with ADHD, who participated in two counterbalanced neurofeedback sessions: one aimed at upregulating microstate D percent time coverage, and the other at downregulating it. While patients were able to volitionally increase microstate D during the upregulation session, no significant change was observed during the downregulation session. Direct comparison between the two sessions revealed that online control of microstate D was specific to the closed-loop feedback, rather than merely task engagement. No short-term effects of the neurofeedback sessions were observed. No moderate nor major adverse effects were reported. Despite lack of statistical power, this study provides controlled indicationfor the specificity and safety of neurofeedback training based on microstate D in adult ADHD patients. Although the short-term design did not yield clinical improvements, the findings demonstrate the feasibility of microstate-based neurofeedback protocols in a clinical population and offer valuable technical and methodological insights for designing futur studies.

基于谱神经标记物的神经反馈治疗(NFB)的有效性和可重复性面临挑战。在这项研究中,我们研究了最近与多动症有关的基于微状态的EEG标记是否可以作为神经反馈的新靶点。新兴研究表明,多动症患者经常表现出过度的微状态D,这是一种以与注意力功能相关的前额-中枢皮层活动为特征的状态。本研究旨在评估神经反馈训练是否可以有效调节成人ADHD患者的微状态D,以及其短期神经行为相关。我们对19名患有多动症的成年人进行了主题内交叉设计,他们参加了两个平衡的神经反馈会议:一个旨在上调微状态D百分比的时间覆盖率,另一个旨在下调它。虽然患者能够在上调阶段有意识地增加微状态D,但在下调阶段没有观察到显著变化。直接比较两个会话,可以发现微状态D的在线控制是闭环反馈所特有的,而不仅仅是任务参与。没有观察到神经反馈会话的短期效果。没有中度或重度不良反应的报道。尽管缺乏统计能力,但本研究为基于微状态D的神经反馈训练在成人ADHD患者中的特异性和安全性提供了对照指证。虽然短期设计并没有产生临床改善,但研究结果证明了基于微状态的神经反馈方案在临床人群中的可行性,并为设计未来的研究提供了有价值的技术和方法见解。
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引用次数: 0
The Dynamic Interaction between Procedural Learning and Resting-State Functional Connectivity in Self-Limited Focal Epilepsies. 自我限制局灶性癫痫的程序学习与静息状态功能连接的动态相互作用。
IF 2.9 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-12-01 DOI: 10.1007/s10548-025-01153-8
Coralie Rouge, Elodie Juvené, Dorine Van Dyck, Soléane Gander, Odile Feys, Pauline Van Gyseghem, Mathieu Bourguignon, Vincent Wens, Xavier De Tiège, Alec Aeby, Charline Urbain

The functional brain networks related to procedural learning (PL) have never been explored in children with self-limited focal epilepsies of childhood (SeLFE), despite their role in the development of various sequence-related sensorimotor, language, and cognitive abilities that are impaired in this clinical population. Our study fills this gap by investigating PL and its interaction with the rapid reorganisation of resting-state functional connectivity (rsFC) in SeLFE. A serial reaction time task, preceded and followed by resting-state magnetoencephalography (MEG) recordings, was used to assess PL in 10 children with SeLFE and 28 age-, sex- and IQ-matched typically developing (TD) children. Pre- to post-learning rsFC changes were estimated using band-limited power envelope correlation, after regressing interictal epileptic discharges (IEDs) in SeLFE patients. rsFC maps were compared between groups and correlated with PL and IED frequency. Compared to TD peers, children with SeLFE showed atypical pre- to post-learning rsFC changes within widespread antero-posterior brain networks in theta, alpha and low beta bands, as well as reduced PL performance negatively correlated with sleep IED frequency. This MEG study is the first to demonstrate reduced PL abilities combined with atypical post-learning reorganisation of rsFC in children with SeLFE compared to TD peers. These results suggest that the pathophysiology of SeLFE, including the chronic repetition of IEDs during sleep across development, have a detrimental impact on the acquisition of PL brain-behaviour processes in these patients.

与程序学习(PL)相关的功能性脑网络从未在儿童期自限性局灶性癫痫(SeLFE)患儿中进行过探索,尽管它们在这一临床人群中各种序列相关的感觉运动、语言和认知能力的发展中起着重要作用。我们的研究填补了这一空白,通过研究PL及其与SeLFE静息状态功能连接(rsFC)快速重组的相互作用。在静息状态脑磁图(MEG)记录之前和之后进行一系列反应时间任务,用于评估10名SeLFE儿童和28名年龄、性别和智商匹配的典型发育(TD)儿童的PL。在回归SeLFE患者间期癫痫放电(IEDs)后,使用带限功率包络相关估计学习前至学习后的rsFC变化。rsFC图谱在组间比较,并与PL和IED频率相关。与TD同龄人相比,SeLFE儿童在theta、alpha和低beta波段广泛的前后脑网络中表现出非典型的学习前后rsFC变化,并且PL表现下降与睡眠IED频率呈负相关。这项脑磁图研究首次证明了与TD同龄人相比,SeLFE儿童的PL能力下降并伴有非典型的学习后重组。这些结果表明,SeLFE的病理生理学,包括在整个发育过程中睡眠期间慢性重复的ied,对这些患者的PL脑行为过程的习得有不利影响。
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引用次数: 0
Dissociating the Role of Dorsolateral Prefrontal Cortex and Ventrolateral Prefrontal Cortex in Cognitive Control in Depression: A Combined HD-tDCS and fNIRS Study. 背外侧前额叶皮层和腹外侧前额叶皮层在抑郁症认知控制中的分离作用:一项HD-tDCS和fNIRS联合研究。
IF 2.9 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-11-26 DOI: 10.1007/s10548-025-01157-4
Ana Hernández-Sauret, Gonzalo Garcia-Castro, Diego Emilia Redolar-Ripoll

Major depressive disorder (MDD) is marked by cognitive and affective dysfunctions associated with altered prefrontal cortical activity. While high-definition transcranial direct current stimulation (HD-tDCS) shows promise in modulating these deficits, little is known about the differential effects of targeting specific prefrontal subregions. This study investigated whether HD-tDCS over the dorsolateral (DLPFC) or ventrolateral (VLPFC) prefrontal cortex produces distinct behavioural and neurophysiological effects in patients with MDD, focusing on cognitive control, mood, and functional brain connectivity. Twenty-six patients with MDD received ten sessions of HD-tDCS over the left DLPFC, left VLPFC, or sham stimulation. Assessments were performed pre-intervention, post-intervention, and at one-month follow-up. Measures included the Beck Depression Inventory (BDI), World Health Organization Quality of Life - BREF (WHOQOL-BREF), and performance on cognitive tasks. A subset underwent resting-state functional near-infrared spectroscopy (fNIRS) to assess changes in prefrontal connectivity. DLPFC stimulation led to early and sustained improvements in depressive symptoms, executive function (e.g., Trail Making Test, Wisconsin Card Sorting Task), and quality of life domains. VLPFC stimulation produced delayed improvements, particularly in inhibitory control (e.g., Attention Network Test). fNIRS revealed no significant within-group changes in global connectivity, but at follow-up, the DLPFC group showed greater prefrontal connectivity than both VLPFC and sham, suggesting lasting functional reorganization. VLPFC stimulation did not alter global connectivity, possibly reflecting more localized or subcortical effects. HD-tDCS can differentially modulate cognitive and affective processes in MDD. DLPFC stimulation promotes broader, earlier, and more durable effects, while VLPFC stimulation may exert more specific, delayed influences. Functional connectivity measures enhance interpretation of neuromodulatory outcomes in clinical research.

重度抑郁症(MDD)以认知和情感功能障碍为特征,与前额皮质活动改变有关。虽然高清晰度经颅直流电刺激(HD-tDCS)在调节这些缺陷方面显示出希望,但针对特定前额叶亚区的不同效果知之甚少。本研究调查了HD-tDCS在背外侧(DLPFC)或腹外侧(VLPFC)前额叶皮层上是否会对MDD患者产生不同的行为和神经生理影响,重点关注认知控制、情绪和功能性脑连接。26例重度抑郁症患者在左侧DLPFC、左侧VLPFC或假刺激上接受了10次HD-tDCS。评估分别在干预前、干预后和1个月随访时进行。测量包括贝克抑郁量表(BDI)、世界卫生组织生活质量-BREF (WHOQOL-BREF)和认知任务的表现。一个子集接受静息状态功能近红外光谱(fNIRS)来评估前额叶连通性的变化。DLPFC刺激导致抑郁症状、执行功能(如轨迹制作测试、威斯康星卡片分类任务)和生活质量领域的早期和持续改善。VLPFC刺激产生延迟的改善,特别是在抑制性控制方面(例如,注意网络测试)。fNIRS显示,组内整体连通性没有显著变化,但在随访中,DLPFC组比VLPFC和sham组表现出更大的前额叶连通性,表明持续的功能重组。VLPFC刺激没有改变全球连通性,可能反映了更多的局部或皮层下效应。HD-tDCS可以对重度抑郁症的认知和情感过程进行差异性调节。DLPFC刺激促进更广泛、更早和更持久的影响,而VLPFC刺激可能产生更具体、更延迟的影响。功能连接测量增强了临床研究中神经调节结果的解释。
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Brain Topography
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