Li Mei, Kuroiwa Yoshiyuki, Wang Lihong, Kamitani Toshiaki, Takahashi Tatsuya, Suzuki Yume, Omoto Shu
Department of Neurology, School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, 236-0004 Yokohama, Japan.
Parkinsonism Relat Disord. 2003 Aug;9(6):329-40. doi: 10.1016/s1353-8020(02)00094-9.
To observe sensory and cognitive information processing in Parkinson's disease (PD), 34 PD patients and 26 controls were investigated. A visual oddball paradigm and an S1-S2 paradigm were employed to record the early (P1, N1, P2) and late (N2, P3) event-related potentials (ERPs) at Cz, Pz and Oz. Results showed: (1) enlarged P1 amplitude at all electrode locations on both tasks, (2) shortened N1 latency and enlarged P2 amplitude at Oz on both tasks, (3) enlarged N1 amplitude at Cz during an oddball paradigm, (4) delayed N2 latency and decreased N2, P3 amplitude on both tasks, and (5) delayed P3 latency and reaction time during the S1-S2 paradigm. Abnormal ERP changes were correlated with worsened scores on Wechsler Adult Intelligence Scale-Revised and motor dysfunction scales in PD. We surmise overactive aspects or failed inhibitory modulation of sensory information processing in the early ERP stage and deficient cognitive information processing during the late ERP stage in PD.
为观察帕金森病(PD)患者的感觉和认知信息处理情况,对34例PD患者和26名对照者进行了研究。采用视觉Oddball范式和S1-S2范式,在Cz、Pz和Oz记录早期(P1、N1、P2)和晚期(N2、P3)事件相关电位(ERP)。结果显示:(1)两项任务中所有电极位置的P1波幅增大;(2)两项任务中Oz电极处N1潜伏期缩短、P2波幅增大;(3)Oddball范式期间Cz电极处N1波幅增大;(4)两项任务中N2潜伏期延迟、N2和P3波幅降低;(5)S1-S2范式期间P3潜伏期和反应时间延迟。ERP异常变化与PD患者韦氏成人智力量表修订版得分及运动功能障碍量表得分恶化相关。我们推测,PD患者在ERP早期阶段感觉信息处理的某些方面过度活跃或抑制调节失败,而在ERP晚期阶段认知信息处理不足。