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Disrupting the Dorsolateral Prefrontal Cortex Attenuates the Difference in Decision-Making for Altruistic Punishment Between the Gain and Loss Contexts. 干扰前额叶皮层背外侧可减轻利他惩罚决策在收益和损失情境中的差异
IF 2.3 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2024-01-10 DOI: 10.1007/s10548-023-01029-9
Yingjie Liu, Hongbo Xing, Yuan Gao, Xiaohua Bian, Xin Fu, Baxter DiFabrizio, He Wang

Altruistic punishment is a primary response to social norms violations; its neural mechanism has also attracted extensive research attention. In the present studies, we applied a low-frequency repetitive transcranial magnetic stimulation (rTMS) to the bilateral dorsolateral prefrontal cortex (DLPFC) while participants engaged in a modified Ultimatum Game (Study 1) and third-party punishment game (Study 2) to explore how the bilateral DLPFC disruption affects people's perception of violation of fairness norms and altruistic punishment decision in the gain and loss contexts. Typically, punishers intervene more often against and show more social outrage towards Dictators/Proposers who unfairly distribute losses than those who unfairly share gains. We found that disrupting the function of the left DLPFC in the second-party punishment and the bilateral DLPFC in the third-party punishment with rTMS effectively obliterated this difference, making participants punish unfairly shared gains as often as they usually would punish unfairly shared losses. In the altruistic punishment of maintaining the social fairness norms, the inhibition of the right DLPFC function will affect the deviation of individual information integration ability; the inhibition of the left DLPFC function will affect the assessment of the degree of violation of fairness norms and weaken impulse control, leading to attenuate the moderating effect of gain and loss contexts on altruistic punishment. Our findings emphasize that DLPFC is closely related to altruistic punishment and provide causal neuroscientific evidence.

利他主义惩罚是对违反社会规范行为的一种主要反应;其神经机制也引起了广泛的研究关注。在本研究中,我们在参与者进行改良的 "最后通牒游戏"(研究1)和 "第三方惩罚游戏"(研究2)时,对双侧背外侧前额叶皮层(DLPFC)进行了低频重复经颅磁刺激(rTMS),以探讨双侧DLPFC干扰如何影响人们对违反公平准则的感知以及在收益和损失情境下的利他惩罚决策。通常情况下,惩罚者对不公平分配损失的独裁者/提案者比对不公平分享收益的独裁者/提案者更频繁地进行干预,并表现出更多的社会愤怒。我们发现,通过经颅磁刺激干扰第二方惩罚中左侧DLPFC和第三方惩罚中双侧DLPFC的功能,可以有效消除这种差异,使参与者惩罚不公平分享收益的频率与惩罚不公平分享损失的频率相同。在维护社会公平准则的利他主义惩罚中,右侧DLPFC功能的抑制会影响个体信息整合能力的偏差;左侧DLPFC功能的抑制会影响对违反公平准则程度的评估,削弱冲动控制,从而削弱得失情境对利他主义惩罚的调节作用。我们的研究结果强调了DLPFC与利他主义惩罚密切相关,并提供了因果关系的神经科学证据。
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引用次数: 0
Characterization of Second-Order Mixing Effects in Reconstructed Cross-Spectra of Random Neural Fields. 随机神经场重建交叉谱中二阶混合效应的特征。
IF 2.3 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2024-03-12 DOI: 10.1007/s10548-024-01040-8
Rikkert Hindriks

Functional connectivity in electroencephalography (EEG) and magnetoencephalography (MEG) data is commonly assessed by using measures that are insensitive to instantaneously interacting sources and as such would not give rise to false positive interactions caused by instantaneous mixing of true source signals (first-order mixing). Recent studies, however, have drawn attention to the fact that such measures are still susceptible to instantaneous mixing from lagged sources (i.e. second-order mixing) and that this can lead to a large number of false positive interactions. In this study we relate first- and second-order mixing effects on the cross-spectra of reconstructed source activity to the properties of the resolution operators that are used for the reconstruction. We derive two identities that relate first- and second-order mixing effects to the transformation properties of measurement and source configurations and exploit them to establish several basic properties of signal mixing. First, we provide a characterization of the configurations that are maximally and minimally sensitive to second-order mixing. It turns out that second-order mixing effects are maximal when the measurement locations are far apart and the sources coincide with the measurement locations. Second, we provide a description of second-order mixing effects in the vicinity of the measurement locations in terms of the local geometry of the point-spread functions of the resolution operator. Third, we derive a version of Lagrange's identity for cross-talk functions that establishes the existence of a trade-off between the magnitude of first- and second-order mixing effects. It also shows that, whereas the magnitude of first-order mixing is determined by the inner product of cross-talk functions, the magnitude of second-order mixing is determined by a generalized cross-product of cross-talk functions (the wedge product) which leads to an intuitive geometric understanding of the trade-off. All results are derived within the general framework of random neural fields on cortical manifolds.

脑电图(EEG)和脑磁图(MEG)数据中的功能连通性通常是通过使用对瞬时相互作用源不敏感的测量方法进行评估的,因此不会产生由真实源信号的瞬时混合(一阶混合)引起的假阳性相互作用。然而,最近的研究已经引起了人们的注意,即这类测量方法仍然容易受到来自滞后信号源的瞬时混合(即二阶混合)的影响,这可能会导致大量的假阳性相互作用。在本研究中,我们将一阶和二阶混合对重建源活动交叉谱的影响与用于重建的分辨率算子的特性联系起来。我们推导出两个等式,将一阶和二阶混合效应与测量和信号源配置的变换特性联系起来,并利用它们建立了信号混合的几个基本特性。首先,我们给出了对二阶混合最敏感和最不敏感的配置特征。结果表明,当测量位置相距较远且信号源与测量位置重合时,二阶混合效应最大。其次,我们从解析算子点扩散函数的局部几何角度描述了测量位置附近的二阶混合效应。第三,我们推导出了拉格朗日关于交调函数的特性,确定了一阶混合效应和二阶混合效应之间存在权衡。它还表明,一阶混合效应的大小是由交调函数的内积决定的,而二阶混合效应的大小则是由交调函数的广义交积(楔积)决定的,这使我们对权衡有了直观的几何理解。所有结果都是在皮质流形上随机神经场的一般框架内得出的。
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引用次数: 0
Correction to: Functional Connectivity Alterations in Patients with Post-stroke Epilepsy Based on Source-level EEG and Graph Theory. 更正:基于源级脑电图和图论的脑卒中后癫痫患者的功能连接性改变。
IF 2.3 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 DOI: 10.1007/s10548-024-01056-0
Dong Ah Lee, Taeik Jang, Jaeho Kang, Seongho Park, Kang Min Park
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引用次数: 0
Neuronal Control of Posture in Blind Individuals. 盲人姿势的神经元控制
IF 2.3 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2024-03-15 DOI: 10.1007/s10548-024-01041-7
I Helmich, R Gemmerich

The control of posture is guided by the integration of sensory information. Because blind individuals cannot apply visual information to control posture as sighted individuals do they must compensate by the remaining senses. We therefore hypothesize that blind individuals alter their brain activation in the sensorimotor cortex during postural control to compensate for balance control without vision by the increased integration of somatosensory information. Ten blind and ten sighted (matched) individuals controlled posture during conditions with (I) eyes closed / open, and (II) stable / unstable surface conditions. Postural sway was recorded by applying a pressure distribution measuring plate. Brain activation was collected by functional Near InfraRed Spectroscopy (fNIRS) above motor-sensory cortices of the right and left hemispheres. Blind individuals showed significantly increased postural sway when balancing with open eyes on an unstable surface and when compared to sighted individuals. Whereas blind individuals showed significantly increased brain activation when balancing with open eyes on stable and unstable surface conditions, sighted individuals increased their brain oxygenation only during closed eyes and unstable surface conditions. Overall conditions, blind individuals presented significantly increased brain activation in two channels of the left and right hemispheric motor-sensory cortex when compared to sighted individuals. We therefore conclude that sighted individuals increase their brain oxygenation in the sensorimotor cortex during postural control tasks that demand sensory integration processes. Blind individuals are characterized by increased brain activation overall conditions indicating additional sensory integration during postural control. Thus, the sensorimotor cortex of blind individuals adapts to control posture without vision.

姿势的控制是在感官信息整合的指导下进行的。由于盲人无法像明眼人那样运用视觉信息来控制姿势,他们必须通过其他感官来进行补偿。因此,我们假设盲人在控制姿势时会改变其感觉运动皮层的大脑激活,以通过增加躯体感觉信息的整合来补偿没有视觉的平衡控制。十名盲人和十名视力正常(匹配)的人在(I)闭眼/睁眼和(II)稳定/不稳定表面条件下控制姿势。通过压力分布测量板记录姿势摇摆。通过功能性近红外光谱(fNIRS)收集左右半球运动感觉皮层的脑激活情况。与视力正常的人相比,盲人在不稳定的表面上睁眼平衡时的姿势摇摆明显增加。盲人在稳定和不稳定表面条件下睁眼保持平衡时,大脑活化明显增加,而明眼人仅在闭眼和不稳定表面条件下大脑氧合增加。与视力正常的人相比,盲人左右半球运动感觉皮层两个通道的大脑激活度在整体条件下明显增加。因此,我们得出结论:在需要进行感觉整合的姿势控制任务中,明眼人会增加感觉运动皮层的脑供氧量。盲人的特点是大脑整体激活增加,这表明在姿势控制过程中需要额外的感觉整合。因此,盲人的感觉运动皮层能够适应在没有视觉的情况下控制姿势。
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引用次数: 0
Neurophenomenological Investigation of Mindfulness Meditation "Cessation" Experiences Using EEG Network Analysis in an Intensively Sampled Adept Meditator. 利用脑电图网络分析,对正念冥想 "停止 "体验进行神经现象学研究。
IF 2.3 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2024-05-04 DOI: 10.1007/s10548-024-01052-4
Remko van Lutterveld, Avijit Chowdhury, Daniel M Ingram, Matthew D Sacchet

Mindfulness meditation is a contemplative practice that is informed by Buddhism. It has been proven effective for improving mental and physical health in clinical and non-clinical contexts. To date, mainstream dialogue and scientific research on mindfulness has focused primarily on short-term mindfulness training and applications of mindfulness for reducing stress. Understanding advanced mindfulness practice has important implications for mental health and general wellbeing. According to Theravada Buddhist meditation, a "cessation" event is a dramatic experience of profound clarity and equanimity that involves a complete discontinuation in experience, and is evidence of mastery of mindfulness meditation. Thirty-seven cessation events were captured in a single intensively sampled advanced meditator (over 6,000 h of retreat mindfulness meditation training) while recording electroencephalography (EEG) in 29 sessions between November 12, 2019 and March 11, 2020. Functional connectivity and network integration were assessed from 40 s prior to cessations to 40 s after cessations. From 21 s prior to cessations there was a linear decrease in large-scale functional interactions at the whole-brain level in the alpha band. In the 40 s following cessations these interactions linearly returned to prior levels. No modulation of network integration was observed. The decrease in whole-brain functional connectivity was underlain by frontal to left temporal and to more posterior decreases in connectivity, while the increase was underlain by wide-spread increases in connectivity. These results provide neuroscientific evidence of large-scale modulation of brain activity related to cessation events that provides a foundation for future studies of advanced meditation.

正念冥想是一种源自佛教的沉思练习。事实证明,在临床和非临床环境中,正念冥想能有效改善身心健康。迄今为止,关于正念的主流对话和科学研究主要集中在短期正念训练和正念在减压方面的应用。了解高级正念练习对心理健康和总体福祉具有重要意义。根据上座部佛教禅修,"止息 "事件是一种深刻明晰、心平气和的戏剧性体验,包括体验的完全中断,是掌握正念禅修的证据。在2019年11月12日至2020年3月11日期间的29个疗程中,在记录脑电图(EEG)的同时,对一名高级禅修者(超过6000小时的闭关正念禅修训练)进行了密集采样,捕捉到了37个停止事件。从停止前 40 秒到停止后 40 秒,对功能连接和网络整合进行了评估。从停药前21秒开始,α波段全脑水平的大规模功能交互呈线性下降。在停止后的 40 秒内,这些相互作用线性地恢复到之前的水平。没有观察到网络整合的调节。全脑功能连通性的下降是由额叶到左颞叶以及更后部的连通性下降所造成的,而连通性的增加则是由广泛的连通性增加所造成的。这些结果提供了与戒烟事件相关的大脑活动大规模调节的神经科学证据,为今后的高级冥想研究奠定了基础。
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引用次数: 0
Altered Cortical Activity during a Finger Tap in People with Stroke. 中风患者手指敲击时皮层活动的改变
IF 2.3 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2024-05-09 DOI: 10.1007/s10548-024-01049-z
Priya Balasubramanian, Roxanne P De Leon, Dylan B Snyder, Scott A Beardsley, Allison S Hyngstrom, Brian D Schmit

This study describes electroencephalography (EEG) measurements during a simple finger movement in people with stroke to understand how temporal patterns of cortical activation and network connectivity align with prolonged muscle contraction at the end of a task. We investigated changes in the EEG temporal patterns in the beta band (13-26 Hz) of people with chronic stroke (N = 10, 7 F/3 M) and controls (N = 10, 7 F/3 M), during and after a cued movement of the index finger. We quantified the change in beta band EEG power relative to baseline as activation at each electrode and the change in task-based phase-locking value (tbPLV) and beta band task-based coherence (tbCoh) relative to baseline coherence as connectivity between EEG electrodes. Finger movements were associated with a decrease in beta power (event related desynchronization (ERD)) followed by an increase in beta power (event related resynchronization (ERS)). The ERS in the post task period was lower in the stroke group (7%), compared to controls (44%) (p < 0.001) and the transition from ERD to ERS was delayed in the stroke group (1.43 s) compared to controls (0.90 s) in the C3 electrode (p = 0.007). In the same post movement period, the stroke group maintained a heightened tbPLV (p = 0.030 for time to baseline of the C3:Fz electrode pair) and did not show the decrease in connectivity in electrode pair C3:Fz that was observed in controls (tbPLV: p = 0.006; tbCoh: p = 0.023). Our results suggest that delays in cortical deactivation patterns following movement coupled with changes in the time course of connectivity between the sensorimotor and frontal cortices in the stroke group might explain clinical observations of prolonged muscle activation in people with stroke. This prolonged activation might be attributed to the combination of cortical reorganization and changes to sensory feedback post-stroke.

本研究描述了中风患者在做简单的手指运动时的脑电图(EEG)测量结果,以了解皮质激活和网络连接的时间模式如何与任务结束时肌肉的长时间收缩保持一致。我们研究了慢性中风患者(10 人,7 个女性/3 个男性)和对照组(10 人,7 个女性/3 个男性)在食指运动过程中和运动后,脑电图在 beta 波段(13-26 Hz)的时间模式变化。我们将β波段脑电图功率相对于基线的变化量化为每个电极的激活,将基于任务的锁相值(tbPLV)和基于任务的β波段相干性(tbCoh)相对于基线相干性的变化量化为脑电图电极之间的连通性。手指运动与 beta 功率下降(事件相关非同步化 (ERD))有关,随后 beta 功率上升(事件相关再同步化 (ERS))。与对照组(44%)相比,脑卒中组在任务后阶段的 ERS 较低(7%)(p
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引用次数: 0
Decoding Single and Paired Phonemes Using 7T Functional MRI. 利用 7T 功能磁共振成像解码单个和成对音素
IF 2.3 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2024-01-23 DOI: 10.1007/s10548-024-01034-6
Maria Araújo Vitória, Francisco Guerreiro Fernandes, Max van den Boom, Nick Ramsey, Mathijs Raemaekers

Several studies have shown that mouth movements related to the pronunciation of individual phonemes are represented in the sensorimotor cortex. This would theoretically allow for brain computer interfaces that are capable of decoding continuous speech by training classifiers based on the activity in the sensorimotor cortex related to the production of individual phonemes. To address this, we investigated the decodability of trials with individual and paired phonemes (pronounced consecutively with one second interval) using activity in the sensorimotor cortex. Fifteen participants pronounced 3 different phonemes and 3 combinations of two of the same phonemes in a 7T functional MRI experiment. We confirmed that support vector machine (SVM) classification of single and paired phonemes was possible. Importantly, by combining classifiers trained on single phonemes, we were able to classify paired phonemes with an accuracy of 53% (33% chance level), demonstrating that activity of isolated phonemes is present and distinguishable in combined phonemes. A SVM searchlight analysis showed that the phoneme representations are widely distributed in the ventral sensorimotor cortex. These findings provide insights about the neural representations of single and paired phonemes. Furthermore, it supports the notion that speech BCI may be feasible based on machine learning algorithms trained on individual phonemes using intracranial electrode grids.

多项研究表明,与单个音素发音相关的口腔运动在感觉运动皮层中有所表现。从理论上讲,这样就可以根据感觉运动皮层中与单个音素发音相关的活动来训练分类器,从而实现能够解码连续语音的脑计算机接口。为了解决这个问题,我们利用感觉运动皮层的活动研究了单个音素和成对音素(间隔一秒连续发音)试验的可解码性。15 名参与者在 7T 功能磁共振成像实验中发音了 3 个不同的音素和 3 个相同音素的组合。我们证实,支持向量机 (SVM) 可以对单个和成对音素进行分类。重要的是,通过结合在单个音素上训练的分类器,我们能够以 53% 的准确率(33% 的概率水平)对成对音素进行分类,这表明孤立音素的活动在组合音素中是存在和可区分的。SVM 搜索光分析表明,音素表征广泛分布于腹侧感觉运动皮层。这些发现为单个音素和成对音素的神经表征提供了启示。此外,它还支持这样一种观点,即基于使用颅内电极网格对单个音素进行训练的机器学习算法,语音 BCI 是可行的。
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引用次数: 0
An MRI Study of Morphology, Asymmetry, and Sex Differences of Inferior Precentral Sulcus. 下前脑沟形态、不对称和性别差异的核磁共振成像研究。
IF 2.3 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2024-02-19 DOI: 10.1007/s10548-024-01035-5
Xinran Zhao, Yu Wang, Xiaokang Wu, Shuwei Liu

Numerous studies utilizing magnetic resonance imaging (MRI) have observed sex and interhemispheric disparities in sulcal morphology, which could potentially underpin certain functional disparities in the human brain. Most of the existing research examines the precentral sulcus comprehensively, with a rare focus on its subsections. To explore the morphology, asymmetry, and sex disparities within the inferior precentral sulcus (IPCS), we acquired 3.0T magnetic resonance images from 92 right-handed Chinese adolescents. Brainvisa was used to reconstruct the IPCS structure and calculate its mean depth (MD). Based on the morphological patterns of IPCS, it was categorized into five distinct types. Additionally, we analyzed four different types of spatial relationships between IPCS and inferior frontal sulcus (IFS). There was a statistically significant sex disparity in the MD of IPCS, primarily observed in the right hemisphere. Females exhibited significantly greater asymmetry in the MD of IPCS compared to males. No statistically significant sex or hemispheric variations were identified in sulcal patterns. Our findings expand the comprehension of inconsistencies in sulcal structure, while also delivering an anatomical foundation for the study of related regions' function.

利用磁共振成像(MRI)进行的大量研究观察到了大脑沟形态的性别差异和半球间差异,这可能是人脑某些功能差异的潜在基础。现有研究大多全面研究了前中央沟,很少关注其分支。为了探索下额沟的形态、不对称性和性别差异,我们采集了92名右撇子中国青少年的3.0T磁共振图像。Brainvisa 用于重建 IPCS 结构并计算其平均深度(MD)。根据IPCS的形态模式,我们将其分为五种不同的类型。此外,我们还分析了IPCS与额下沟(IFS)之间四种不同类型的空间关系。在统计学上,IPCS的MD存在明显的性别差异,主要在右半球观察到。女性与男性相比,IPCS的MD不对称程度明显更高。在脑沟模式方面,没有发现有统计学意义的性别或半球差异。我们的发现拓展了对脑沟结构不一致性的理解,同时也为研究相关区域的功能提供了解剖学基础。
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引用次数: 0
Impact of Chronic Pain on Use-Dependent Plasticity: Corticomotor Excitability and Motor Representation in Musicians With and Without Pain. 慢性疼痛对使用依赖性可塑性的影响:有痛和无痛音乐家的皮层运动兴奋性和运动表象
IF 2.3 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2024-01-18 DOI: 10.1007/s10548-023-01031-1
Anna M Zamorano, Enrico De Martino, Ainhoa Insausti-Delgado, Peter Vuust, Herta Flor, Thomas Graven-Nielsen

Long-term musical training induces adaptive changes in the functional representation of the motor cortex. It is unknown if the maladaptive plasticity associated with chronic pain, frequently affecting trained musicians, may alter the use-dependent plasticity in the motor cortex. This study investigated the interaction between adaptive and maladaptive plasticity in the motor pathways, in particular how chronic pain influences long-term use-dependent plasticity. Using transcranial magnetic stimulation (TMS), corticospinal excitability was assessed by measuring the amplitude of the motor-evoked potential (MEP), area of the motor map, volume, and center of gravity of the first dorsal interosseous muscle in 19 pain-free musicians, 17 upper limb/neck pain chronic pain musicians, and 19 pain-free non-musicians as controls. Motor map volume and MEP amplitude were smaller for both pain-free and chronic pain musicians compared to pain-free controls (P < 0.011). No significant differences were found between musicians with and without chronic pain. These findings confirm that long-term musical training can lead to focalized and specialized functional organization of the primary motor cortex. Moreover, the adaptive use-dependent plasticity acquired through fine-motor skill acquisition is not significantly compromised by the maladaptive plasticity typically associated with chronic pain, highlighting the potential of long-term sensorimotor training to counteract the effects of chronic pain in the motor system.

长期的音乐训练会引起运动皮层功能表征的适应性变化。与慢性疼痛相关的适应不良可塑性(经常影响受过训练的音乐家)是否会改变运动皮层的使用依赖可塑性,目前尚不清楚。本研究调查了运动通路中适应性可塑性和适应性不良可塑性之间的相互作用,特别是慢性疼痛如何影响长期使用依赖性可塑性。研究人员使用经颅磁刺激(TMS),通过测量运动诱发电位(MEP)的振幅、运动图面积、体积和第一背侧骨间肌的重心来评估皮质脊髓的兴奋性,对照组包括 19 名无痛音乐家、17 名上肢/颈部慢性疼痛音乐家和 19 名无痛非音乐家。与无痛对照组相比,无痛和慢性疼痛音乐家的运动图谱体积和 MEP 振幅均较小(P
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引用次数: 0
Increased Delta and Theta Power Density in Sickle Cell Disease Individuals with Chronic Pain Secondary to Hip Osteonecrosis: A Resting-State Eeg Study. 镰状细胞病患者伴髋关节骨坏死继发慢性疼痛的δ和θ能量密度增高:静息状态脑电图研究
IF 2.3 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2023-12-07 DOI: 10.1007/s10548-023-01027-x
Tiago S Lopes, Jamille E Santana, Wellington S Silva, Francisco J Fraga, Pedro Montoya, Katia N Sá, Larissa C Lopes, Rita Lucena, Yossi Zana, Abrahão F Baptista

Purpose: Identify the presence of a dysfunctional electroencephalographic (EEG) pattern in individuals with sickle cell disease (SCD) and hip osteonecrosis, and assess its potential associations with depression, anxiety, pain severity, and serum levels of brain-derived neurotrophic factor (BDNF).

Methods: In this cross-sectional investigation, 24 SCD patients with hip osteonecrosis and chronic pain were matched by age and sex with 19 healthy controls. Resting-state EEG data were recorded using 32 electrodes for both groups. Power spectral density (PSD) and peak alpha frequency (PAF) were computed for each electrode across Delta, Theta, Alpha, and Beta frequency bands. Current Source Density (CSD) measures were performed utilizing the built-in Statistical nonparametric Mapping Method of the LORETA-KEY software.

Results: Our findings demonstrated that SCD individuals exhibited higher PSD in delta and theta frequency bands when compared to healthy controls. Moreover, SCD individuals displayed increased CSD in delta and theta frequencies, coupled with decreased CSD in the alpha frequency within brain regions linked to pain processing, motor function, emotion, and attention. In comparison to the control group, depression symptoms, and pain intensity during hip abduction were positively correlated with PSD and CSD in the delta frequency within the parietal region. Depression symptoms also exhibited a positive association with PSD and CSD in the theta frequency within the same region, while serum BDNF levels showed a negative correlation with CSD in the alpha frequency within the left insula.

Conclusion: This study indicates that individuals with SCD experiencing hip osteonecrosis and chronic pain manifest a dysfunctional EEG pattern characterized by the persistence of low-frequency PSD during a resting state. This dysfunctional EEG pattern may be linked to clinical and biochemical outcomes, including depression symptoms, pain severity during movement, and serum BDNF levels.

目的:确定镰状细胞病(SCD)和髋部骨坏死患者存在功能障碍脑电图(EEG)模式,并评估其与抑郁、焦虑、疼痛严重程度和血清脑源性神经营养因子(BDNF)水平的潜在关联。方法:在横断面调查中,24例伴有髋关节骨坏死和慢性疼痛的SCD患者与19例健康对照者按年龄和性别进行匹配。两组采用32个电极记录静息状态脑电图数据。计算每个电极在Delta、Theta、alpha和Beta频段的功率谱密度(PSD)和峰值α频率(PAF)。电流源密度(CSD)测量是利用LORETA-KEY软件内置的统计非参数映射方法进行的。结果:我们的研究结果表明,与健康对照相比,SCD个体在δ和θ波段表现出更高的PSD。此外,SCD个体在与疼痛处理、运动功能、情绪和注意力相关的大脑区域中表现出δ和θ频率的CSD增加,而α频率的CSD减少。与对照组相比,抑郁症状和髋关节外展时疼痛强度与顶骨区的δ频率PSD和CSD呈正相关。抑郁症状与同一区域内theta频率的PSD和CSD呈正相关,而血清BDNF水平与左脑岛α频率的CSD呈负相关。结论:本研究表明,伴有髋关节骨坏死和慢性疼痛的SCD患者表现出一种功能失调的脑电图模式,其特征是静息状态下低频PSD的持续存在。这种功能失调的脑电图模式可能与临床和生化结果有关,包括抑郁症状、运动时疼痛的严重程度和血清BDNF水平。
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引用次数: 0
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Brain Topography
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