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[退行性和慢性创伤后柯萨科夫综合征中的中央间脑电图关系]

[Intercentral EEG relationships in regressive and chronic post-traumatic Korsakoff syndrome].

作者信息

Grindel' O M, Voronov V G, Romanova N V, Skoriatina I G, Urakov S V

机构信息

Burdenko Institute of Neurosurgery, Russian Academy of Medical Sciences, Moscow.

出版信息

Zh Vyssh Nerv Deiat Im I P Pavlova. 2001 Sep-Oct;51(5):572-82.

Abstract

Dynamic EEG study of patients with posttraumatic Korsakoff's syndrome (KS) with the application of complex analysis methods revealed a complicated pathological structure of the intercentral relations of cortical electrical activity. The interhemispheric EEG coherence between symmetrical frontal cortical areas are sharply reduced, while the intrahemispheric coherence are increased in comparison with the normal values. The proposed technique of segregation of statistically homogeneous spectro-coherent characteristics made it possible to reveal the earlier intercentral EEG relations formed by stable and variable coherence spectra. The structure formed by the stable and variable coherence spectra in KS differs from that reflected in the mean coherence levels. During the KS regression, the EEG coherence between the right and left frontal areas increased to the normal level, and the variable spectra are revealed. In the chronic KS syndrome, the pathological intercentral relations persist, while the variable relations in the frontal areas are absent. A reduction of pathologically decreased intrahemispheric coherence selectively revealed in the right hemisphere during the KS regression and formation of variable relations in this hemisphere point to a leading role of the right hemisphere in development of compensatory processes in KS. The reciprocal relations between the intra- and interhemispheric coherence and coherence dynamics in the theta rhythm suggest that pathological activity in the basal diencephalic structures plays an important role in formation of the pathological EEG pattern in KS.

摘要

采用复杂分析方法对创伤后科萨科夫综合征(KS)患者进行动态脑电图研究,结果显示皮质电活动的中央间关系存在复杂的病理结构。与正常值相比,对称额叶皮质区域之间的半球间脑电图相干性急剧降低,而半球内相干性增加。所提出的统计同质频谱相干特征分离技术,使得揭示由稳定和可变相干谱形成的早期中央间脑电图关系成为可能。KS中由稳定和可变相干谱形成的结构不同于平均相干水平所反映的结构。在KS消退过程中,左右额叶区域之间的脑电图相干性增加至正常水平,并出现可变谱。在慢性KS综合征中,病理中央间关系持续存在,而额叶区域的可变关系则不存在。在KS消退过程中右半球选择性地出现病理降低的半球内相干性降低以及该半球可变关系的形成,表明右半球在KS代偿过程发展中起主导作用。半球内和半球间相干性与θ节律相干动力学之间的相互关系表明,基底间脑结构中的病理活动在KS病理脑电图模式形成中起重要作用。

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