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Spatial Directionality Found in Frontal-Parietal Attentional Networks. 在额-顶叶注意网络中发现空间方向性。
Pub Date : 2018-08-30 eCollection Date: 2018-01-01 DOI: 10.1155/2018/7879895
Gahangir Hossain, Mark H Myers, Robert Kozma

Research in last few years on neurophysiology focused on several areas across the cortex during cognitive processing to determine the dominant direction of electrical activity. However, information about the frequency and direction of episodic synchronization related to higher cognitive functions remain unclear. Our aim was to determine whether neural oscillations carry perceptual information as spatial patterns across the cortex, which could be found in the scalp EEG of human subjects while being engaged in visual sensory stimulation. Magnitude squared coherence of neural activity during task states that "finger movement with Eyes Open (EO) or Eyes Wandering (EW)" among all electrode combinations has the smallest standard deviation and variations. Additionally, the highest coherence among the electrode pairs occurred between alpha (8-12 Hz) and beta (12-16 Hz) ranges. Our results indicate that alpha rhythms seem to be regulated during activities when an individual is focused on a given task. Beta activity, which has also been implicated in cognitive processing to neural oscillations, is seen in our work as a manner to integrate external stimuli to higher cognitive activation. We have found spatial network organization which served to classify the EEG epochs in time with respect to the stimuli class. Our findings suggest that cortical neural signaling utilizes alpha-beta phase coupling during cognitive processing states, where beta activity has been implicated in shifting cognitive states. Significance. Our approach has found frontoparietal attentional mechanisms in shifting brain states which could provide new insights into understanding the global cerebral dynamics of intentional activity and reflect how the brain allocates resources during tasking and cognitive processing states.

近年来的神经生理学研究主要集中在认知过程中大脑皮层的几个区域,以确定脑电活动的主导方向。然而,关于与高级认知功能相关的情景同步的频率和方向的信息仍不清楚。我们的目的是确定神经振荡是否以空间模式在皮层中携带感知信息,这可以在人类受试者在进行视觉感官刺激时的头皮脑电图中发现。任务期间神经活动的幅度平方相干性表明,在所有电极组合中,“睁眼(EO)或眼移(EW)”的手指运动具有最小的标准差和变化。此外,电极对之间的最高相干性发生在α (8-12 Hz)和β (12-16 Hz)范围之间。我们的研究结果表明,当一个人专注于给定的任务时,α节律似乎在活动中受到调节。β活动也与神经振荡的认知处理有关,在我们的工作中被视为将外部刺激整合到更高认知激活的一种方式。我们发现了空间网络组织,可以根据刺激类别对脑电时代进行时间分类。我们的研究结果表明,皮层神经信号在认知处理状态中利用α - β相耦合,其中β活动与认知状态的转移有关。的意义。我们的方法发现了转移大脑状态的额顶叶注意机制,这可以为理解有意活动的整体大脑动态提供新的见解,并反映大脑在任务和认知处理状态下如何分配资源。
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引用次数: 2
Hippocampal Pathophysiology: Commonality Shared by Temporal Lobe Epilepsy and Psychiatric Disorders. 海马病理生理学:颞叶癫痫和精神疾病的共性。
Pub Date : 2018-01-22 eCollection Date: 2018-01-01 DOI: 10.1155/2018/4852359
Soichiro Nakahara, Megumi Adachi, Hiroyuki Ito, Mitsuyuki Matsumoto, Katsunori Tajinda, Theo G M van Erp

Accumulating evidence points to the association of epilepsy, particularly, temporal lobe epilepsy (TLE), with psychiatric disorders, such as schizophrenia. Among these illnesses, the hippocampus is considered the regional focal point of the brain, playing an important role in cognition, psychosis, and seizure activity and potentially suggesting common etiologies and pathophysiology of TLE and schizophrenia. In the present review, we overview abnormal network connectivity between the dentate gyrus (DG) and the Cornus Ammonis area 3 (CA3) subregions of the hippocampus relative to the induction of epilepsy and schizophrenia. In light of our recent finding on the misguidance of hippocampal mossy fiber projection in the rodent model of schizophrenia, we discuss whether ectopic mossy fiber projection is a commonality in order to evoke TLE as well as symptoms related to schizophrenia.

越来越多的证据表明,癫痫,特别是颞叶癫痫(TLE)与精神分裂症等精神疾病有关。在这些疾病中,海马体被认为是大脑的区域焦点,在认知、精神病和癫痫发作活动中发挥重要作用,并可能提示TLE和精神分裂症的共同病因和病理生理。在本综述中,我们概述了与癫痫和精神分裂症诱导相关的齿状回(DG)和海马角3区(CA3)亚区之间的异常网络连接。鉴于我们最近在精神分裂症啮齿动物模型中对海马苔藓纤维投射的误导的发现,我们讨论了异位苔藓纤维投射是否是一种共性,以唤起TLE以及精神分裂症相关的症状。
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引用次数: 41
Determining the Optimal Number of Stimuli per Cranial Site during Transcranial Magnetic Stimulation Mapping. 在经颅磁刺激制图中确定每个颅部位的最佳刺激数。
Pub Date : 2017-01-01 Epub Date: 2017-02-26 DOI: 10.1155/2017/6328569
Rocco Cavaleri, Siobhan M Schabrun, Lucy S Chipchase

The delivery of five stimuli to each cranial site is recommended during transcranial magnetic stimulation (TMS) mapping. However, this time-consuming practice restricts the use of TMS mapping beyond the research environment. While reducing the number of stimuli administered to each cranial site may improve efficiency and decrease physiological demand, doing so may also compromise the procedure's validity. Therefore, the aim of this study was to determine the minimum number of stimuli per cranial site required to obtain valid outcomes during TMS mapping. Map volume and centre of gravity (CoG) recordings obtained using five stimuli per cranial site were retrospectively compared to those obtained using one, two, three, and four stimuli per cranial site. For CoG longitude, one stimulus per cranial site produced valid recordings (ICC = 0.91, 95% CI 0.82 to 0.95). However, this outcome is rarely explored in isolation. As two stimuli per cranial site were required to obtain valid CoG latitude (ICC = 0.99, 95% CI 0.99 to 0.99) and map volume (ICC = 0.99, 95% CI 0.99 to 0.99) recordings, it is recommended that a minimum of two stimuli be delivered to each cranial site during TMS mapping in order to obtain valid outcomes.

在经颅磁刺激(TMS)测绘过程中,建议对每个颅部位进行5次刺激。然而,这种耗时的做法限制了TMS图谱在研究环境之外的使用。虽然减少对每个颅骨部位的刺激次数可以提高效率并减少生理需求,但这样做也可能损害手术的有效性。因此,本研究的目的是确定在TMS制图过程中获得有效结果所需的每个颅骨部位的最小刺激数。回顾性比较每个颅位使用5个刺激获得的地图体积和重心(CoG)记录与每个颅位使用1、2、3和4个刺激获得的记录。对于CoG经度,每个颅位一个刺激产生有效记录(ICC = 0.91, 95% CI 0.82至0.95)。然而,很少孤立地探讨这一结果。由于每个颅位需要两个刺激才能获得有效的CoG纬度(ICC = 0.99, 95% CI 0.99至0.99)和地图体积(ICC = 0.99, 95% CI 0.99至0.99)记录,因此建议在TMS测绘期间,每个颅位至少需要两个刺激,以获得有效的结果。
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引用次数: 8
Variability in Diagnosing Brain Death at an Academic Medical Center. 在学术医疗中心诊断脑死亡的可变性。
Pub Date : 2017-01-01 Epub Date: 2017-03-02 DOI: 10.1155/2017/6017958
Ashutosh Pandey, Pradeep Sahota, Premkumar Nattanmai, Christopher R Newey

Objective. Research continues to highlight variability in hospital policy and documentation of brain death. The aim of our study was to characterize how strictly new guidelines of American Academy of Neurology (AAN) for death by neurological criteria were practiced in our hospital prior to appointment of neurointensivists. Method. This is a retrospective study of adults diagnosed as brain dead from 2011 to 2015. Descriptive statistics compared five categories: preclinical testing, neurological examination, apnea tests, ancillary test, and documentation of time of death. Strict adherence to AAN guidelines for brain death determination was determined. Result. 76 patients were included in this study. Preclinical prerequisites were fulfilled in 53.9% and complete neurological examinations were documented in 76.3%. Apnea test was completed in 39.5%. Ancillary test was completed in 29.8%. Accurate documentation of time of death occurred in 59.2%. Overall, strict adherence to current AAN guidelines for death by neurological criteria was correctly documented in 38.2%. Conclusion. Our study shows wide variability in diagnosing brain death. These findings led us to update our death by neurological criteria policy and increase awareness of brain death determination with the goal of improving our documentation following current AAN guidelines.

目标。研究继续强调医院政策和脑死亡记录的差异。我们研究的目的是描述美国神经病学学会(AAN)关于神经学标准死亡的新指南在任命神经强化医生之前在我们医院的严格程度。方法。这是一项对2011年至2015年被诊断为脑死亡的成年人的回顾性研究。描述性统计比较了五个类别:临床前测试、神经系统检查、呼吸暂停测试、辅助测试和死亡时间记录。确定严格遵守AAN脑死亡判定指南。结果:76例患者纳入本研究。53.9%的患者满足临床前先决条件,76.3%的患者有完整的神经系统检查记录。39.5%的患者完成了呼吸暂停测试。辅助试验完成率为29.8%。准确记录死亡时间的占59.2%。总体而言,38.2%的患者严格遵守当前AAN指南的神经学死亡标准。结论。我们的研究显示在诊断脑死亡方面存在很大的差异。这些发现使我们更新了根据神经学标准确定死亡的政策,并提高了对脑死亡确定的认识,目的是根据当前的AAN指南改进我们的记录。
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引用次数: 15
Impact of Blood Vessel Quantity and Vascular Expression of CD133 and ICAM-1 on Survival of Glioblastoma Patients. 血管数量及血管CD133和ICAM-1表达对胶质母细胞瘤患者生存的影响
Pub Date : 2017-01-01 Epub Date: 2017-11-08 DOI: 10.1155/2017/5629563
Ave Minajeva, Marju Kase, Mikk Saretok, Aidi Adamson-Raieste, Sandra Kase, Kristi Niinepuu, Markus Vardja, Toomas Asser, Jana Jaal

Glioblastoma (GB) is the most angiogenic tumor. Nevertheless, antiangiogenic therapy has not shown significant clinical efficacy. The aim of this study was to assess blood vessel characteristics on survival of GB patients. Surgically excised GB tissues were histologically examined for overall proportion of glomeruloid microvascular proliferation (MP) and the total number of blood vessels. Also, immunohistochemical vascular staining intensities of CD133 and ICAM-1 were determined. Vessel parameters were correlated with patients' overall survival. The survival time depended on the number of blood vessels (p = 0.03) but not on the proportion of MP. Median survival times for patients with low (p = 0.02). For success in antiangiogenic therapy, better understanding about tumor vasculature biology is needed.

胶质母细胞瘤(GB)是血管生成能力最强的肿瘤。然而,抗血管生成治疗尚未显示出显著的临床疗效。本研究的目的是评估血管特征对GB患者生存的影响。对手术切除的GB组织进行组织学检查,观察肾小球微血管增生(glomerulloid microvascular proliferation, MP)总比例和血管总数。同时测定CD133和ICAM-1的免疫组化血管染色强度。血管参数与患者总生存期相关。存活时间与血管数目有关(p = 0.03),与MP比例无关。患者中位生存时间较低(p = 0.02)。为了抗血管生成治疗的成功,需要更好地了解肿瘤血管生物学。
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引用次数: 9
Corrigendum to "Young-Adult Male Rats' Vulnerability to Chronic Mild Stress Is Reflected by Anxious-Like instead of Depressive-Like Behaviors". “年轻成年雄性大鼠对慢性轻度压力的脆弱性是通过焦虑样行为而不是抑郁样行为来反映的”的更正。
Pub Date : 2017-01-01 Epub Date: 2017-04-06 DOI: 10.1155/2017/8952079
José Jaime Herrera-Pérez, Venus Benítez-Coronel, Graciela Jiménez-Rubio, Olivia Tania Hernández-Hernández, Lucía Martínez-Mota

[This corrects the article DOI: 10.1155/2016/5317242.].

[这更正了文章DOI: 10.1155/2016/5317242.]。
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引用次数: 2
Seizure Detection and Network Dynamics of Generalized Convulsive Seizures: Towards Rational Designing of Closed-Loop Neuromodulation. 全面性惊厥发作的检测和网络动力学:走向闭环神经调节的合理设计。
Pub Date : 2017-01-01 Epub Date: 2017-12-13 DOI: 10.1155/2017/9606213
Puneet Dheer, Ganne Chaitanya, Diana Pizarro, Rosana Esteller, Kaushik Majumdar, Sandipan Pati

Objective: Studies have demonstrated the utility of closed-loop neuromodulation in treating focal onset seizures. There is an utmost need of neurostimulation therapy for generalized tonic-clonic seizures. The study goals are to map the thalamocortical network dynamics during the generalized convulsive seizures and identify targets for reliable seizure detection.

Methods: Local field potentials were recorded from bilateral cortex, hippocampi, and centromedian thalami in Sprague-Dawley rats. Pentylenetetrazol was used to induce multiple convulsive seizures. The performances of two automated seizure detection methods (line length and P-operators) as a function of different cortical and subcortical structures were estimated. Multiple linear correlations-Granger's Causality was used to determine the effective connectivity.

Results: Of the 29 generalized tonic-clonic seizures analyzed, line length detected 100% of seizures in all the channels while the P-operator detected only 35% of seizures. The detection latencies were shortest in the thalamus in comparison to the cortex. There was a decrease in amplitude correlation within the thalamocortical network during the seizure, and flow of information was decreased from thalamus to hippocampal-parietal nodes.

Significance: The preclinical study confirms thalamus as a superior target for automated detection of generalized seizures and modulation of synchrony to increase coupling may be a strategy to abate seizures.

目的:研究表明闭环神经调节在治疗局灶性癫痫发作中的作用。对于全身性强直阵挛性癫痫,迫切需要神经刺激治疗。研究的目的是绘制全身性惊厥发作时丘脑皮质网络的动态,并确定可靠的癫痫发作检测的目标。方法:分别记录sd大鼠双侧皮质、海马和丘脑中央区的局部场电位。戊四唑用于诱导多次惊厥发作。估计了两种自动癫痫检测方法(线长和p算子)作为不同皮层和皮层下结构函数的性能。多重线性相关-格兰杰因果关系用于确定有效连通性。结果:在分析的29例全身性强直阵挛发作中,线长检测到所有通道中100%的癫痫发作,而p算子仅检测到35%的癫痫发作。与大脑皮层相比,丘脑的检测潜伏期最短。在癫痫发作期间,丘脑皮质网络内的振幅相关性降低,从丘脑到海马顶叶节点的信息流减少。意义:临床前研究证实丘脑是自动检测全身性癫痫发作的优越靶点,调节同步以增加耦合可能是减轻癫痫发作的一种策略。
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引用次数: 3
Gait Training in Chronic Stroke Using Walk-Even Feedback Device: A Pilot Study 使用步行均匀反馈装置进行慢性中风的步态训练:一项初步研究
Pub Date : 2016-11-24 DOI: 10.1155/2016/6808319
Vennila Krishnan, I-Hung Khoo, P. Marayong, K. Demars, J. Cormack
Asymmetrical gait and a reduction in weight bearing on the affected side are a common finding in chronic stroke survivors. The purpose of this pilot study was to determine the effectiveness of a shoe insole device that we developed, called Walk-Even, in correcting asymmetric gait in chronic stroke survivors. Six individuals with chronic (>6 months) stroke underwent 8 weeks of intervention with 2 sessions/week, each consisting of 20 minutes of gait training and 20 minutes of lower-extremity strength training. The 2 control participants underwent conventional gait training, while 4 participants underwent gait training using the Walk-Even. Following intervention, all the participants improved on most of the gait measures: peak pressure of the foot, time of transfer of weight from heel-to-forefoot, center of pressure (COP) trajectory, COP velocity, asymmetry ratio of stance, mean-force-heel, mean-force-metatarsals, Timed “Up and Go,” and Activities-specific Balance Scale. The improvement was more pronounced in the 4 participants that underwent training with Walk-Even compared to the control participants. This pilot study suggests that a combination of strength and gait training with real-time feedback may reduce temporal asymmetry and enhance weight-bearing on the affected side in chronic stroke survivors. A large randomized controlled study is needed to confirm its efficacy.
步态不对称和患侧负重减轻是慢性中风幸存者的常见发现。这项初步研究的目的是确定我们开发的鞋垫装置的有效性,叫做Walk-Even,在纠正慢性中风幸存者的不对称步态方面。6例慢性中风患者接受为期8周的干预,每周2次,每次包括20分钟的步态训练和20分钟的下肢力量训练。2名对照组接受常规步态训练,4名参与者使用Walk-Even进行步态训练。干预后,所有参与者在大多数步态测量上都有所改善:足部峰值压力、重量从脚跟转移到前脚的时间、压力中心(COP)轨迹、COP速度、站立不对称比、平均力-脚跟、平均力-跖骨、定时“上走”和特定活动平衡量表。与对照组相比,接受Walk-Even训练的4名参与者的改善更为明显。这项初步研究表明,结合实时反馈的力量和步态训练可以减少慢性中风幸存者的时间不对称,增强患侧负重。需要一项大型随机对照研究来证实其有效性。
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引用次数: 14
Evaluation of Knee Proprioception and Factors Related to Parkinson's Disease 膝关节本体感觉与帕金森病相关因素的评价
Pub Date : 2016-09-08 DOI: 10.1155/2016/6746010
Nathalie Ribeiro Artigas, G. D. Eltz, Alexandre Severo do Pinho, V. Torman, A. Hilbig, C. Rieder
Background. Changes in proprioception may contribute to postural instability in individuals with neurological disorders. Objectives. Evaluate proprioception in the lower limbs of patients with Parkinson's disease (PD) and the association between proprioception and cognitive ability, motor symptoms, postural instability, and disease severity. Methods. This is a cross-sectional, controlled study that evaluated proprioception in PD patients and healthy age- and sex-matched individuals. Kinetic postural proprioception of the knee was evaluated using an isokinetic dynamometer (Biodex® Multi-Joint System 4 Pro). Participants were evaluated using the Montreal Cognitive Assessment (MoCA), the Hoehn and Yahr rating scale and postural instability (pull test and stabilometric analysis), and motor function (UPDRS-III) tests. Results. A total of 40 individuals were enrolled in the study: 20 PD patients and 20 healthy controls (CG). The PD patients had higher angular errors on the proprioceptive ratings than the CG participants (p = 0.002). Oscillations of the center of pressure (p = 0.002) were higher in individuals with PD than in the controls. Proprioceptive errors in the PD patients were associated with the presence of tremors as the dominant symptom and more impaired motor performance. Conclusion. These findings show that individuals with PD have proprioceptive deficits, which are related to decreased cognitive ability and impaired motor symptoms.
背景。本体感觉的改变可能导致神经系统疾病患者的体位不稳定。目标。评估帕金森病(PD)患者下肢本体感觉,以及本体感觉与认知能力、运动症状、姿势不稳定和疾病严重程度之间的关系。方法。这是一项横断面对照研究,评估PD患者和健康的年龄和性别匹配的个体的本体感觉。采用等速测力仪(Biodex®Multi-Joint System 4 Pro)评估膝关节的动态体位本体感觉。参与者使用蒙特利尔认知评估(MoCA)、Hoehn和Yahr评定量表、姿势不稳定性(拉力测试和稳定性分析)和运动功能(UPDRS-III)测试进行评估。结果。共有40人参加了这项研究:20名PD患者和20名健康对照(CG)。PD组本体感觉评分的角度误差高于CG组(p = 0.002)。PD患者的压力中心振荡(p = 0.002)高于对照组。PD患者本体感觉错误与震颤为主要症状和更多的运动功能受损有关。结论。这些发现表明,PD患者存在本体感觉缺陷,这与认知能力下降和运动症状受损有关。
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引用次数: 6
An Outcome Study of Anterior Cervical Discectomy and Fusion among Iranian Population 伊朗人群前路颈椎椎间盘切除术和融合的结果研究
Pub Date : 2016-08-18 DOI: 10.1155/2016/4654109
A. Haghnegahdar, M. Sedighi
Background and Aim. First-line treatment strategy for managing cervical disc herniation is conservative measures. In some cases, surgery is indicated either due to signs/symptoms of severe/progressive neurological deficits, or because of persistence of radicular pain despite 12 weeks of conservative treatment. Success for treatment of cervical disc herniation using ACDF has been successfully reported in the literature. We aim to determine the outcome of ACDF in treatment of cervical disc herniation among Iranians. Methods and Materials/Patients. In a retrospective cohort study, we evaluated 68 patients who had undergone ACDF for cervical disc herniation from March 2006 to March 2011. Outcome tools were as follows: (1) study-designed questionnaire that addressed residual and/or new complaints and subjective satisfaction with the operation; (2) recent (one week prior to the interview) postoperative VAS for neck and upper extremity radicular pain; (3) Japanese Orthopaedic Association Myelopathy Evaluation Questionnaire (JOACMEQ) (standard Persian version); and (4) follow-up cervical Magnetic Resonance Imaging (MRI) and lateral X-ray. Results. With mean follow-up time of 52.93 (months) ± 31.89 SD (range: 13–131 months), we had success rates with regard to ΔVAS for neck and radicular pain of 88.2% and 89.7%, respectively. Except QOL functional score of JOAMEQ, 100% success rate for the other 4 functional scores of JOAMEQ was achieved. Conclusion. ACDF is a successful surgical technique for the management of cervical disc herniation among Iranian population.
背景和目的。治疗颈椎间盘突出的一线治疗策略是保守措施。在一些病例中,由于严重/进行性神经功能缺损的体征/症状,或由于保守治疗12周后神经根疼痛持续存在,需要手术。文献中已经成功报道了使用ACDF治疗颈椎间盘突出症。我们的目的是确定ACDF治疗伊朗人颈椎间盘突出症的结果。方法和材料/患者。在一项回顾性队列研究中,我们评估了从2006年3月至2011年3月间接受ACDF治疗颈椎间盘突出的68例患者。结果工具如下:(1)研究设计问卷,解决剩余和/或新的投诉和对手术的主观满意度;(2)近期(访谈前一周)颈部和上肢神经根性疼痛的术后VAS;(3)日本骨科协会脊髓病评估问卷(JOACMEQ)(标准波斯语版);(4)随访宫颈磁共振成像(MRI)和侧位x线。结果。平均随访时间为52.93(月)±31.89 SD(范围:13-131个月),治疗颈部和神经根性疼痛ΔVAS的成功率分别为88.2%和89.7%。除JOAMEQ的QOL功能评分外,其余4个JOAMEQ功能评分的成功率均为100%。结论。ACDF是治疗伊朗人群颈椎间盘突出症的一种成功的手术技术。
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引用次数: 4
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