使用脑磁图研究中风后慢性失语症患者特定语言脑活动的时空模式。
Spatiotemporal patterns of language-specific brain activity in patients with chronic aphasia after stroke using magnetoencephalography.
作者信息
Breier Joshua I, Castillo Eduardo M, Boake Corwin, Billingsley Rebecca, Maher Lynn, Francisco Gerard, Papanicolaou Andrew C
机构信息
Department of Neurosurgery, Division of Clinical Neurosciences, Vivian L. Smith Center for Neurologic Research, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA.
出版信息
Neuroimage. 2004 Dec;23(4):1308-16. doi: 10.1016/j.neuroimage.2004.07.069.
Six participants with chronic aphasia secondary to first-ever ischemic stroke within the middle cerebral artery (MCA) distribution of the left hemisphere and six neurologically intact controls of similar age were given a running recognition memory task for words while the magnetic flux normal to the scalp surface was measured with a whole-head neuromagnetometer. This task had been previously shown to be valid for the localization and lateralization of brain activity specific to receptive language function. As expected, patients exhibited relatively decreased activation in areas known to be involved in receptive language function, including superior temporal gyrus (STG) in the left hemisphere, as well as increased activation of areas outside of the left STG that might potentially support language function. Decreased activation within left STG was associated with a reduction in receptive language in patients, as was increased activation outside of left STG. Results support hypotheses suggesting that peri-lesional areas outside premorbid language areas may assume receptive language function after aphasia secondary to stroke, but that better recovery occurs when putative premorbid language areas are able to normalize.
六名因首次发生的缺血性中风继发慢性失语症且病灶位于左半球大脑中动脉(MCA)分布区的参与者,以及六名年龄相仿、神经系统正常的对照组人员,在使用全头神经磁强计测量垂直于头皮表面的磁通量时,接受了一项单词连续识别记忆任务。此前已证明该任务对于特定接受性语言功能的脑活动定位和侧化是有效的。正如预期的那样,患者在已知参与接受性语言功能的区域,包括左半球颞上回(STG),表现出相对较低的激活,同时左STG以外可能支持语言功能的区域激活增加。左STG内的激活减少与患者接受性语言的降低相关,左STG以外的激活增加也与之相关。结果支持以下假设:中风继发失语症后,病前语言区域以外的病灶周围区域可能承担接受性语言功能,但当假定的病前语言区域能够恢复正常时,恢复情况会更好。