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Etiology, Symptoms, and Treatment of Epilepsy: Advances and Perspectives. 癫痫的病因、症状和治疗:进展与展望。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2026-01-14 DOI: 10.3390/brainsci16010089
Shampa Ghosh, Jitendra Kumar Sinha

Epilepsy is a chronic neurologic disorder characterized by recurrent and spontaneous seizures (Figure 1) [...].

癫痫是一种慢性神经系统疾病,其特征是反复发作和自发发作(图1)[…]。
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引用次数: 0
Mindfulness-Based Intervention for Treatment of Anxiety Disorders During the Postpartum Period: A 4-Week Proof-of-Concept Randomized Controlled Trial Protocol. 产后焦虑障碍的正念干预治疗:一项为期4周的概念验证随机对照试验方案
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2026-01-13 DOI: 10.3390/brainsci16010088
Zoryana Babiy, Benicio N Frey, Randi E McCabe, Peter J Bieling, Luciano Minuzzi, Christina Puccinelli, Sheryl M Green

Background/Objectives: Anxiety disorders (ADs) affect up to 20% of mothers in the postpartum period, characterized by psychological symptoms (e.g., emotion dysregulation; ER) and physical symptoms (e.g., disrupted bodily awareness). Although Cognitive Behavioural Therapy effectively reduces anxiety and mood symptoms, it shows limited efficacy in addressing ER difficulties and rarely targets interoceptive dysfunction-both common in postpartum ADs. This study evaluates the effectiveness of a brief mindfulness-based intervention in improving anxiety, ER, and interoception in mothers with postpartum ADs. A secondary aim is to examine changes in brain connectivity associated with these domains. Methods: This protocol describes a proof-of-concept randomized controlled trial involving 50 postpartum mothers with ADs. Participants will be randomized to receive either a 4-week mindfulness intervention plus treatment-as-usual (TAU) or TAU alone. Participants in the mindfulness + TAU group will complete a virtual 4-week group intervention adapted from Mindfulness-Based Cognitive Therapy. The TAU group will receive usual care for 4 weeks and then be offered the mindfulness intervention. Self-report measures of anxiety, ER, and interoception will be collected at baseline, post-intervention, and at a 3-month follow-up. Resting-state functional MRI will be conducted at baseline and post-intervention to assess functional connectivity changes. This trial has been registered on ClinicalTrials.gov (NCT07262801). Results: Improvements in anxiety, ER, and interoception are anticipated, along with decreased default mode network, and increased salience network connectivity post-intervention is hypothesized. Conclusions: This study will be the first to examine the combined psychological and neural effects of mindfulness in postpartum ADs, offering a potentially scalable mind-body treatment.

背景/目的:焦虑障碍(ADs)影响多达20%的产后母亲,其特征是心理症状(如情绪失调;ER)和身体症状(如身体意识中断)。尽管认知行为疗法有效地减少了焦虑和情绪症状,但它在解决内质网困难方面的效果有限,而且很少针对产后ad中常见的内感受功能障碍。本研究评估了一种基于正念的简短干预在改善产后ad母亲的焦虑、内质网和内感受方面的有效性。第二个目的是检查与这些领域相关的大脑连接的变化。方法:本方案描述了一项涉及50名患有ad的产后母亲的概念验证随机对照试验。参与者将随机接受为期4周的正念干预加常规治疗(TAU)或单独接受TAU治疗。正念+ TAU组的参与者将完成一个虚拟的为期4周的小组干预,该干预改编自正念认知疗法。TAU组将接受常规护理4周,然后进行正念干预。在基线、干预后和3个月的随访中收集焦虑、ER和间感受的自我报告测量。静息状态功能MRI将在基线和干预后进行,以评估功能连接的变化。该试验已在ClinicalTrials.gov (NCT07262801)上注册。结果:预期焦虑、内质反应和内感受的改善,以及默认模式网络的减少,并假设干预后显著性网络连接的增加。结论:这项研究将首次研究产后ad中正念对心理和神经的综合影响,提供一种潜在的可扩展的身心治疗方法。
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引用次数: 0
Extracting Weight of Evidence from p-Value via Bayesian Approach to Activation Likelihood Estimation Meta-Analysis. 激活似然估计荟萃分析中基于贝叶斯方法的p值证据权提取。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2026-01-12 DOI: 10.3390/brainsci16010087
Tommaso Costa, Jordi Manuello, Franco Cauda, Annachiara Crocetta, Donato Liloia

Background: p-values are ubiquitous in scientific research, yet they fundamentally fail to quantify the strength of evidence for or against competing hypotheses. This limitation is particularly problematic in neuroimaging meta-analyses, where researchers need to assess how strongly the available data support specific and spatially consistent patterns of brain activation across studies.

Methods: In this work, we present a practical approach that transforms p-values into their corresponding upper bounds on the Bayes factor, which quantify the maximum plausible evidence in favor of the alternative hypothesis given the observed data. The method is illustrated within the framework of Activation Likelihood Estimation, the most widely used coordinate-based meta-analytic technique in neuroimaging and applied to a reference dataset comprising 73 finger-tapping experiments.

Results: The results show that effects traditionally classified as statistically significant using the canonical Activation Likelihood Estimation framework actually span a wide range of evidential strengths, with Bayes factor bounds varying approximately from 46 to 410. This finding reveals substantial heterogeneity in weight of evidence that is concealed by conventional threshold-based inference.

Conclusion: By enabling the construction of voxel-wise maps of evidential strength while remaining fully compatible with existing analysis pipelines, the proposed approach helps to avoid common misinterpretations of p-values and improves the interpretability and reliability of neuroimaging meta-analytic conclusions. It therefore provides a conservative, Bayesian-inspired complement to standard significance maps.

背景:p值在科学研究中无处不在,但它们从根本上无法量化支持或反对相互竞争的假设的证据的强度。这种限制在神经影像学荟萃分析中尤其成问题,研究人员需要评估现有数据在多大程度上支持跨研究的特定和空间一致的大脑激活模式。方法:在这项工作中,我们提出了一种实用的方法,将p值转换为贝叶斯因子的相应上界,该上界量化了在给定观测数据的情况下支持替代假设的最大可信证据。该方法在激活似然估计的框架内进行了说明,激活似然估计是神经影像学中使用最广泛的基于坐标的元分析技术,并应用于包含73个手指敲击实验的参考数据集。结果:结果表明,传统上使用规范激活似然估计框架归类为统计显著的效应实际上跨越了广泛的证据强度,贝叶斯因子界限大约在46到410之间变化。这一发现揭示了传统的基于阈值的推断所掩盖的证据权重的实质性异质性。结论:通过构建具有证据强度的体素图谱,同时与现有分析管道保持完全兼容,该方法有助于避免对p值的常见误解,提高神经影像学荟萃分析结论的可解释性和可靠性。因此,它为标准显著性图提供了一个保守的、受贝叶斯启发的补充。
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引用次数: 0
Achievement Motivation, Meaning in Life, and Well-Being Among Video Game Players. 成就动机、人生意义和电子游戏玩家的幸福感
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2026-01-12 DOI: 10.3390/brainsci16010086
Maciej Wierzbicki, Wojciech Rodzeń

Background/objectives: The present study aimed to examine the associations among achievement motivation, meaning in life, and well-being among video game players and to investigate differences between players with approach- and avoidance-oriented motivations.

Methods: The sample consisted of 296 university students who reported playing video games (192 men and 104 women), aged 18 to 35 years (M = 22.62; SD = 2.64). Participants completed a battery of self-report measures, including the Achievement Goal Questionnaire, the Meaning in Life Questionnaire, and the WHO-5 Well-Being Index, administered anonymously.

Results: Mediation analyses revealed that meaning in life was a significant mediator in the relationship between approach-oriented mastery goals and well-being (Ind = 0.07; 95% CI [0.02, 0.12]). However, no significant mediation effect was found for approach-oriented performance goals (Ind = 0.04; 95% CI [-0.01, 0.09]). Independent-samples t-tests indicated that participants with approach-oriented motivations reported significantly higher levels of meaning in life (t(294) = 4.44; p < 0.001), presence of meaning (t(294) = 5.74; p < 0.001), and well-being (t(294) = 5.52; p < 0.001) compared to those with avoidance-oriented motivations.

Conclusions: The findings suggest that approach-oriented achievement motivations among players are positively associated with meaning in life and are indirectly associated with higher well-being, whereas avoidance-oriented motivations are associated with lower levels of well-being. These results carry potential implications for game design, education, and psychotherapy.

背景/目的:本研究旨在考察电子游戏玩家的成就动机、生活意义和幸福感之间的关系,并调查接近导向型动机和回避导向型动机的玩家之间的差异。方法:样本由296名大学生组成,他们报告玩电子游戏(192名男性和104名女性),年龄在18至35岁之间(M = 22.62; SD = 2.64)。参与者完成了一系列自我报告测量,包括匿名管理的实现目标问卷、生活意义问卷和世卫组织5幸福指数。结果:中介分析显示,生活意义在方法导向的掌握目标与幸福感之间具有显著的中介作用(Ind = 0.07; 95% CI[0.02, 0.12])。然而,方法导向的绩效目标没有发现显著的中介效应(Ind = 0.04; 95% CI[-0.01, 0.09])。独立样本t检验表明,具有方法导向动机的参与者报告的生活意义水平显著更高(t(294) = 4.44;P < 0.001),存在意义(t(294) = 5.74;P < 0.001),幸福感(t(294) = 5.52;P < 0.001)。结论:研究结果表明,玩家以方法为导向的成就动机与生活意义呈正相关,并间接与较高的幸福感相关,而以回避为导向的动机则与较低的幸福感相关。这些结果对游戏设计、教育和心理治疗都有潜在的启示。
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引用次数: 0
Efficient and Accurate Epilepsy Seizure Prediction and Detection Based on Multi-Teacher Knowledge Distillation RGF-Model. 基于多教师知识蒸馏rgf模型的高效准确癫痫发作预测与检测。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2026-01-09 DOI: 10.3390/brainsci16010083
Wei Cao, Qi Li, Anyuan Zhang, Tianze Wang

Background: Epileptic seizures are unpredictable, and while existing deep learning models achieve high accuracy, their deployment on wearable devices is constrained by high computational costs and latency. To address this, this work proposes the RGF-Model, a lightweight network that unifies seizure prediction and detection within a single causal framework.

Methods: By integrating Feature-wise Linear Modulation (FiLM) with a Ring-Buffer Gated Recurrent Unit (Ring-GRU), the model achieves adaptive task-specific feature conditioning while strictly enforcing causal consistency for real-time inference. A multi-teacher knowledge distillation strategy is employed to transfer complementary knowledge from complex teacher ensembles to the lightweight student, significantly reducing complexity without sacrificing accuracy.

Results: Evaluations on the CHB-MIT and Siena datasets demonstrate that the RGF-Model outperforms state-of-the-art teacher models in terms of efficiency while maintaining comparable accuracy. Specifically, on CHB-MIT, it achieves 99.54% Area Under the Curve (AUC) and 0.01 False Prediction Rate per hour (FPR/h) for prediction, and 98.78% Accuracy (Acc) for detection, with only 0.082 million parameters. Statistical significance was assessed using a random predictor baseline (p < 0.05).

Conclusions: The results indicate that the RGF-Model provides a highly efficient solution for real-time wearable epilepsy monitoring.

背景:癫痫发作是不可预测的,虽然现有的深度学习模型达到了很高的准确性,但它们在可穿戴设备上的部署受到高计算成本和延迟的限制。为了解决这个问题,这项工作提出了rgf模型,这是一个轻量级的网络,将癫痫发作预测和检测统一在一个单一的因果框架内。方法:通过将特征线性调制(FiLM)与环缓冲门控循环单元(Ring-GRU)相结合,该模型实现了自适应任务特定的特征调节,同时严格执行实时推理的因果一致性。采用多教师知识蒸馏策略,将互补知识从复杂的教师群体转移到轻量级的学生群体,在不牺牲准确性的情况下显著降低了复杂性。结果:对CHB-MIT和Siena数据集的评估表明,rgf模型在效率方面优于最先进的教师模型,同时保持相当的准确性。其中,在CHB-MIT上,仅使用0.082万个参数,预测的曲线下面积(AUC)达到99.54%,每小时错误预测率(FPR/h)达到0.01,检测的准确率(Acc)达到98.78%。采用随机预测基线评估统计学意义(p < 0.05)。结论:RGF-Model为可穿戴癫痫实时监测提供了一种高效的解决方案。
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引用次数: 0
Neurobiophilia.
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2026-01-09 DOI: 10.3390/brainsci16010085
Mohamed Hesham Khalil, Koen Steemers

Despite unprecedented disconnection from nature and increased urbanisation, the brain still shows an affinity for nature. However, biophilia lacks a neuroscience foundation despite growing evidence of how the brain changes in response to the contrasting influences of urban and natural environments. To address this timely gap, this paper establishes Neurobiophilia through four objectives. First, it identifies seven neuro-needs (7NNs) and establishes their hierarchical order and interconnected outcomes. Second, it maps how natural environments fulfil each of the brain's 7NNs. Third, it explores whether climate change is turning nature into a harmful environment for the brain, specifically with respect to temperature extremes. Fourth, it examines how built environments vary in their enrichment with respect to the 7NNs. This paper highlights critical environmental enrichment challenges in natural environments caused by climate change and in built environments. The novel Neurobiophilia framework established herein identifies these gaps and provides recommendations to achieve neurosustainability through environmental enrichment that sustains adaptive brain responses throughout the lifespan.

尽管前所未有地与自然隔绝,城市化进程加快,但大脑仍然显示出对自然的亲和力。然而,尽管越来越多的证据表明大脑如何响应城市和自然环境的不同影响而发生变化,但亲生命性缺乏神经科学基础。为了解决这一及时的差距,本文通过四个目标建立了神经生物学。首先,它确定了7个神经需求(7nn),并建立了它们的等级顺序和相互关联的结果。其次,它描绘了自然环境如何实现大脑的每一个7nn。第三,它探讨了气候变化是否正在将自然变成一个对大脑有害的环境,特别是在极端温度方面。第四,它考察了建筑环境在7nn富集方面的变化。本文重点介绍了气候变化引起的自然环境和建筑环境中的环境富集挑战。本文建立的新的神经亲生物性框架确定了这些差距,并提供了通过在整个生命周期中维持适应性大脑反应的环境富集来实现神经可持续性的建议。
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引用次数: 0
TSCL-LwF: A Cross-Subject Emotion Recognition Model via Multi-Scale CNN and Incremental Learning Strategy. 基于多尺度CNN和增量学习策略的跨主体情绪识别模型。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2026-01-09 DOI: 10.3390/brainsci16010084
Chunting Wan, Xing Tang, Cong Hu, Juan Yang, Shaorong Zhang, Dongyi Chen

Background/Objectives: Wearable affective human-computer interaction increasingly relies on sparse-channel EEG signals to ensure comfort and practicality in real-life scenarios. However, the limited information provided by sparse-channel EEG, together with pronounced inter-subject variability, makes reliable cross-subject emotion recognition particularly challenging. Methods: To address these challenges, we propose a cross-subject emotion recognition model, termed TSCL-LwF, based on sparse-channel EEG. It combines a multi-scale convolutional network (TSCL) and an incremental learning strategy with Learning without Forgetting (LwF). Specifically, the TSCL is utilized to capture the spatio-temporal characteristics of sparse-channel EEG, which employs diverse receptive fields of convolutional networks to extract and fuse the interaction information within the local prefrontal area. The incremental learning strategy with LwF introduces a limited set of labeled target domain data and incorporates the knowledge distillation loss to retain the source domain knowledge while enabling rapid target domain adaptation. Results: Experiments on the DEAP dataset show that the proposed TSCL-LwF achieves accuracy of 77.26% for valence classification and 80.12% for arousal classification. Moreover, it also exhibits superior accuracy when evaluated on the self-collected dataset EPPVR. Conclusions: The successful implementation of cross-subject emotion recognition based on a sparse-channel EEG will facilitate the development of wearable EEG technologies with practical applications.

背景/目的:可穿戴式情感人机交互越来越依赖于稀疏通道脑电图信号,以确保现实场景中的舒适性和实用性。然而,稀疏通道脑电图提供的有限信息,加上明显的主体间可变性,使得可靠的跨主体情感识别尤其具有挑战性。为了解决这些问题,我们提出了一种基于稀疏通道EEG的跨主体情感识别模型,称为TSCL-LwF。它结合了多尺度卷积网络(TSCL)和无遗忘学习(LwF)的增量学习策略。具体而言,利用TSCL捕捉稀疏通道脑电图的时空特征,利用卷积网络的不同感受野提取和融合局部前额叶区域内的交互信息。基于LwF的增量学习策略引入一组有限的标记目标领域数据,并结合知识蒸馏损失来保留源领域知识,同时实现快速的目标领域适应。结果:在DEAP数据集上的实验表明,TSCL-LwF的效价分类准确率为77.26%,唤醒分类准确率为80.12%。此外,在自收集数据集EPPVR上进行评估时,它也显示出更高的准确性。结论:基于稀疏通道脑电图的跨主体情绪识别的成功实现,将促进可穿戴脑电图技术的实际应用发展。
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引用次数: 0
"Prideful Apathy": A Phenomenological-Psychopathological Study of Emotion Engagement and Regulation Tasks. “傲慢的冷漠”:情绪投入和调节任务的现象学-精神病理学研究。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2026-01-07 DOI: 10.3390/brainsci16010080
Aleš Oblak, Sara Rigler, Liam Korošec Hudnik, Jurij Bon

Background/Objectives: Emotion dysregulation is central to many psychiatric disorders. Laboratory-based tasks designed to assess emotion processing and regulation often rely on standardized affective stimuli whose ecological validity remains unclear. We contextualize this study in our broader research program of neurophenomenological reflection of standard paradigms in experimental cognitive psychology. Methods: This study investigates the lived experience of 27 patients with affective disorders as they performed a cognitive-affective task combining working memory demands with exposure to negative emotional images. Phenomenological interviews were used to collect data on their experience of the task. Results: We identified three key experiential domains: whether the stimuli are capable of eliciting a spontaneous emotional response, voluntary construction of an emotional responses, and its temporal dynamics. Patients reported on two alterations in affectivity that are associated with dysregulation: (a) affective enchantment, characterized by intense emotions combined with superstitious appraisal; and (b) disintwinement (a sense of detachment and emotional blunting). Emotional responses exhibited complex unfolding across moment-to-hour timescales, sometimes persisting and blending across trials (impressionability), reflecting clinical phenomena such as rumination. Additionally, patients employed a range of explicit and implicit regulation strategies, many acquired through therapy or long-term coping. Conclusions: Our findings reveal the limitations of rapid, static image-based paradigms in eliciting authentic and spontaneous affectivity in clinical populations, highlighting the need for more ecologically valid experimental designs. Furthermore, inclusion of reports on such subtle affective states as vital feelings in laboratory-based experimental assessments is necessary for a comprehensive understanding of altered phenomenology of affectivity in affective disorders.

背景/目的:情绪失调是许多精神疾病的核心。旨在评估情绪处理和调节的实验室任务通常依赖于标准化的情感刺激,其生态有效性尚不清楚。我们在实验认知心理学中标准范式的神经现象学反映的更广泛的研究计划中,将这项研究置于背景中。方法:研究了27例情感性障碍患者在工作记忆要求与负面情绪图像接触相结合的认知-情感任务中的生活体验。使用现象学访谈来收集他们对任务体验的数据。结果:我们确定了三个关键的经验域:刺激是否能够引发自发的情绪反应,情绪反应的自愿构建,以及它的时间动态。患者报告了两种与失调相关的情感改变:(a)情感迷恋,其特征是强烈的情绪与迷信的评价相结合;(b)疏离(一种疏离和情感钝化的感觉)。情绪反应在每一刻到每小时的时间尺度上表现出复杂的展开,有时在不同的试验中持续存在和混合(印象性),反映了诸如反刍等临床现象。此外,患者采用了一系列显性和隐性调节策略,其中许多是通过治疗或长期应对获得的。结论:我们的研究结果揭示了快速,静态图像为基础的范式在临床人群中引发真实和自发的情感的局限性,强调需要更多的生态有效的实验设计。此外,在以实验室为基础的实验评估中纳入诸如至关重要的情感等微妙情感状态的报告,对于全面理解情感障碍中情感现象学的改变是必要的。
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引用次数: 0
Increase in Comforting Behavior (Allogrooming) During Social Interaction in Male Mice Deficient for the Slp Gene of Complement Component C4. 补体成分C4 Slp基因缺失的雄性小鼠在社会交往中的安慰行为(异体梳理)增加。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2026-01-07 DOI: 10.3390/brainsci16010081
Yasuhiko Yamamoto, Anpei Zhang, Anna A Shabalova, Ai Harashima, Kyota Fujita, Teruko Yuhi, Yu Oshima, Pinyue Fu, Sei-Ichi Munesue, Kana Minami, Kazuhiro Higashida, Hirokazu Kumazaki, Chiharu Tsuji, Haruhiro Higashida

Background: Oxytocin (OT) is a nonapeptide hormone produced in the hypothalamus, released into the brain and peripheral circulation, and plays a key role in social behavior. Recent studies indicate that complement component C4a is an OT-binding protein, which modulates plasma OT concentrations in mice. However, the role of C4a is unclear as to whether it contributes to consolation behavior. Methods: Social behavior, especially allogrooming, which is a form of empathy that depends on detecting the emotional states of others, was measured in wild-type or C4a/Slp knockout (Slp-/-) male mice. Results: Observer mice of both genotypes exhibited comforting (allogrooming) behavior toward a cage-mate demonstrator during reunion after brief isolation of the demonstrator mice. When demonstrator mice experienced body restraint stress during isolation, the allogrooming behavior was significantly increased in both genotypes, with a markedly greater increase in Slp-/- than in Slp+/+ mice. Allogrooming behavior in observer Slp-/- mice was significantly suppressed by an OT receptor antagonist. Furthermore, immunohistochemical analysis revealed that activation was significantly elevated in OT-positive hypothalamic neurons in observer Slp-/- mice that interacted with stressed demonstrator mice. OT release from the isolated hypothalamus, stimulated via CD38 and TRPM2 channel activation, was greater in Slp-/- mice than in Slp+/+ mice. Conclusions: Our results highlight that the data are consistent with a potential role for C4a in modulating neural circuits, possibly via its peripheral action on OT bioavailability. Direct evidence for C4a's action within the brain remains a hypothesis for future investigation, for example, via site-specific manipulations.

背景:催产素(OT)是一种产生于下丘脑的非肽类激素,释放到大脑和外周循环中,在社会行为中起关键作用。最近的研究表明补体成分C4a是一种OT结合蛋白,可调节小鼠血浆OT浓度。然而,C4a的作用是否有助于安慰行为尚不清楚。方法:在野生型或C4a/Slp敲除(Slp-/-)雄性小鼠中测量社会行为,特别是异体修饰,这是一种依赖于检测他人情绪状态的同理心形式。结果:两种基因型的观察小鼠在短暂隔离示范小鼠后重聚时对示范小鼠表现出安慰(异源修饰)行为。当证明小鼠在隔离期间经历身体约束应激时,两种基因型小鼠的异体修饰行为均显著增加,Slp-/-明显高于Slp+/+小鼠。观察Slp-/-小鼠的异源修饰行为被OT受体拮抗剂显著抑制。此外,免疫组织化学分析显示,Slp-/-观察小鼠与应激示范小鼠相互作用后,ot阳性下丘脑神经元的活化显著升高。通过CD38和TRPM2通道激活刺激下丘脑的OT释放,Slp-/-小鼠比Slp+/+小鼠更多。结论:我们的研究结果强调了C4a在调节神经回路中的潜在作用,可能是通过其对OT生物利用度的外周作用。C4a在大脑中作用的直接证据仍然是未来研究的假设,例如,通过特定部位的操作。
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引用次数: 0
Is Migraine a Risk Factor for Non-Arteritic Anterior Ischemic Optic Neuropathy? Insights from a National Case-Control Study. 偏头痛是非动脉性前缺血性视神经病变的危险因素吗?来自全国病例对照研究的见解。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2026-01-07 DOI: 10.3390/brainsci16010082
Itamar Ben Shitrit, Eyal Walter, Erel Domany, Nir Amitai, Tomer Kerman, Erez Tsumi, Assaf Kratz, Asaf Honig

Purpose: While migraine is linked to increased cerebrovascular risk, its association with non-arteritic anterior ischemic optic neuropathy (NAION) remains underexplored. Methods: We conducted a retrospective case-control study using population-based electronic medical records. NAION patients were compared to propensity score-matched controls regarding migraine prevalence and clinical characteristics. Results: From 2001 to 2022, among 6,566,619 patients, 1629 NAION cases (mean age 67 ± 13 years; 45% female) and 6433 propensity matched controls were identified. The prevalence of migraine was similar in both groups (3.8% vs. 3.3%, p = 0.3). Among migraine patients, those with NAION (n = 62, age 62 ± 11) and controls (n = 212, age 60 ± 11) had comparable baseline characteristics, except for congestive heart failure (9.7% vs. 2.4%, p = 0.027). Within the NAION cohort, migraineurs (n = 64) were younger (62 ± 12 vs. 67 ± 13 years, p < 0.001), and had lower rates of diabetes mellitus (35% vs. 57%, p < 0.001) and peripheral vascular disease (1.6% vs. 9.6%, p = 0.03). Female migraineurs developed NAION at a younger age than females without migraine (60 ± 12 vs. 69 ± 12 years, p < 0.001); no such difference was seen in males. Multinomial logistic regression revealed that migraine was independently associated with younger age at NAION onset, particularly in patients aged <59 (OR = 5.8, p = 0.001) compared with those >70. An independent 1:4 migraine to non-migraine matched cohort (n = 310) showed similar age-dependent trends. Conclusions: While migraine was not more prevalent among NAION patients, females with migraine developed NAION at a younger age and had fewer vascular comorbidities. Congestive heart failure was more prevalent among migraine patients who developed NAION, suggesting a potential contributory role of systemic hypoperfusion.

目的:虽然偏头痛与脑血管风险增加有关,但其与非动脉性前缺血性视神经病变(NAION)的关系仍未得到充分研究。方法:我们采用基于人群的电子病历进行回顾性病例对照研究。将NAION患者与倾向评分匹配的对照组进行偏头痛患病率和临床特征的比较。结果:2001年至2022年,在656619例患者中,发现1629例NAION病例(平均年龄67±13岁,女性45%)和6433例倾向匹配对照。两组的偏头痛患病率相似(3.8% vs. 3.3%, p = 0.3)。在偏头痛患者中,NAION患者(n = 62,年龄62±11)和对照组(n = 212,年龄60±11)具有相似的基线特征,除了充血性心力衰竭(9.7%对2.4%,p = 0.027)。在NAION队列中,偏头痛患者(n = 64)较年轻(62±12岁对67±13岁,p < 0.001),糖尿病(35%对57%,p < 0.001)和周围血管疾病(1.6%对9.6%,p = 0.03)的发生率较低。女性偏头痛患者发生NAION的年龄比非偏头痛女性年轻(60±12岁vs 69±12岁,p < 0.001);在男性中没有发现这种差异。多项逻辑回归显示,偏头痛与NAION发病年龄较小独立相关,特别是在年龄p = 0.001的患者中。一项独立的1:4偏头痛与非偏头痛匹配队列(n = 310)显示出类似的年龄依赖性趋势。结论:虽然偏头痛在NAION患者中并不普遍,但女性偏头痛患者在更年轻的年龄发展为NAION,并且血管合并症较少。充血性心力衰竭在发生NAION的偏头痛患者中更为普遍,提示系统性灌注不足可能起促进作用。
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Brain Sciences
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