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冷热水刺激诱发眩晕期间神经活动的脑磁图测量

Magneto-encephalographic measurement of neural activity during period of vertigo induced by cold caloric stimulation.

作者信息

Kandori Akihiko, Oe Hiroshi, Miyashita Kotaro, Ohira Shinji, Naritomi Hiroaki, Chiba Yoshihide, Ogata Kuniomi, Murakami Masahiro, Miyashita Tsuyoshi, Tsukada Keiji

机构信息

Medical System Research Department, Central Research Laboratory, Hitachi, Ltd., 1-280 Higashi-Koigakubo, Kokubunji-shi, 185-8601, Tokyo, Japan.

出版信息

Neurosci Res. 2003 Jul;46(3):281-8. doi: 10.1016/s0168-0102(03)00092-0.

DOI:10.1016/s0168-0102(03)00092-0
PMID:12804789
Abstract

The aim of this study was to investigate neural activity during period of vertiginous sensation, induced by caloric stimulation. After caloric vestibular stimulation (CVS) by cold water of five volunteers (n=5, age: 30+/-10), auditory evoked magnetic fields (AEFs) during the subsequent period of vertiginous sensations were measured by magnetoencephalography (MEG). Current-arrow maps (CAMs) were produced to estimate the spatial current distribution of the AEF responses, and a rotation value (dI(rot)) was calculated from the CAM. The worth of the dI(rot) values as indicators of vertigo was evaluated by comparing them with earlier reported values for elderly control (n=11, age: 67+/-5) and chronic dizziness (CD) (n=27, age: 68+/-8) groups (obtained from AEF responses with no the CVS). Although all volunteers felt vertigo during the AEF measurements, the AEF waveforms and CAM pattern only showed slight changes. While the dI(rot) values (1.43+/-0.73) just after CVS were not significantly different from those (1.59+/-0.46) for the elderly controls, they were significantly different from those (3.54+/-1.34) for the CD patients. These findings suggest that (i) the new parameter (dI(rot)) is more sensitively indicates dizziness (non-rotatory sensation) than vertigo (ii) the auditory cortical region may play an important role in body-balance perception of floating sensations.

摘要

本研究旨在调查由冷热刺激诱发的眩晕感期间的神经活动。对五名志愿者(n = 5,年龄:30±10岁)进行冷水冷热前庭刺激(CVS)后,通过脑磁图(MEG)测量随后眩晕感期间的听觉诱发磁场(AEF)。绘制电流箭头图(CAM)以估计AEF反应的空间电流分布,并从CAM计算旋转值(dI(rot))。通过将dI(rot)值与先前报道的老年对照组(n = 11,年龄:67±5岁)和慢性头晕(CD)组(n = 27,年龄:68±8岁)(从无CVS的AEF反应中获得)的值进行比较,评估dI(rot)值作为眩晕指标的价值。尽管所有志愿者在AEF测量期间都感到眩晕,但AEF波形和CAM模式仅显示出轻微变化。虽然CVS后立即的dI(rot)值(1.43±0.73)与老年对照组的值(1.59±0.46)无显著差异,但与CD患者的值(3.54±1.34)有显著差异。这些发现表明:(i)新参数(dI(rot))比眩晕更能敏感地指示头晕(非旋转感觉);(ii)听觉皮层区域可能在身体平衡的漂浮感觉感知中起重要作用。

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