应用视觉诱发电位(VEPS)研究精神分裂症和偏头痛患者P100潜伏期和P100振幅的相关性

G. Sulejmanpasić, A. Serdarević, S. Hajrić
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摘要

背景:vep提供了一种客观的脑功能测量,分析了视觉处理的完整性。对于患有精神分裂症的患者,实施VEP的变化是明显的,例如脉冲的对称减速(振幅降低)和潜伏期的持续,这表明一种退行性疾病,提示存在视神经炎或偏盲并伴有上述颅内疾病。目的:探讨精神分裂症患者与偏头痛患者P100潜伏期和P100振幅(µV)的相关性。应用视觉诱发电位(vep)。方法:80例受试者:a) S组40例精神分裂症患者(男性21例;b) H组:40例健康偏头痛患者(男性10例;30雌性)。这项研究是在萨拉热窝大学临床中心精神病学、神经病学和放射科进行的。结果:精神分裂症患者双眼左视野区P100潜伏期和右眼区P100振幅与左眼区呈正相关(p=0.01)。结论:研究结果表明,精神分裂症患者的认知障碍不仅是由于认知高级方面的缺陷,而且还包括早期感觉加工的显著缺陷。我们的研究有助于为进一步的研究提出新的问题和建议,特别是关于精神分裂症患者大脑枕叶的变化。枕叶体积的变化非常明显,需要进一步的研究来更好地了解大脑的进行性变化是如何影响精神分裂症枕叶的结构、功能和代谢活动的。
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The Correlation of P100 Latency and P100 Amplitude in Patients with Schizophrenia and Migraine Headache Using Visual Evoked Potentials (VEPS)
Background: The VEPs provide an objective measure of brain function, analyzing integrity of visual processing. With patients affected with schizophrenia, the changes with the implementation of VEP are evident, such as symmetrical deceleration of the impulse (reduction of the amplitude) and the continuance of latency, which points to a degenerative illness, suggesting the presence of optical neuritis or hemianopsia conjoined with mentioned intracranial illness. Objective: The aim of the study was to determine the correlation of l P100 latency and P100 amplitude (µV) between patients with schizophrenia and patients with migraine headache. Visual evoked potentials (VEPs) were applied. Methods: The sample included 80 subjects: a) S group- 40 patients with schizophrenia (21 males; 19 females), b) H group-40 healthy subjects with migraine headache (10 males; 30 females). The study was conducted at the Department of Psychiatry, Neurology and Radiology, University Clinical Center Sarajevo. Results: Our research revealed positive correlations were registered in P100 latency in left view field of both eyes and in P100 amplitude in the region of right eye (p=0.01) in comparison with left eye region (p=0.05) in patients with schizophrenia. Conclusion: Results imply that the cognitive impairment seen in schizophrenia is not just due to deficits in higher order aspects of cognition but also encompasses significant deficits in early sensory processing. Our study is useful to initiate new questions and recommendations for further studies, specifically on changes in the occipital lobe in the schizophrenic patient’s brain. Changes in the volume in the occipital lobe are quite evident and further studies are required to better understand how the progressive brain changes affect the structural, functional, and metabolic activities of the occipital lobe in schizophrenia.
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