Thoma R J, Hanlon F M, Sanchez N, Weisend M P, Huang M, Jones A, Miller G A, Canive J M
New Mexico VA Health Care System, Albuquerque, NM 87108, USA.
Neurol Clin Neurophysiol. 2004 Nov 30;2004:62.
Both an EEG P50 sensory gating deficit and abnormalities of the temporal lobe structure are considered characteristic of schizophrenia. The standard P50 sensory gating measure does not foster differential assessment of left- and right-hemisphere contributions, but its analogous MEG M50 component may be used to measure gating of distinct auditory source dipoles localizing to left- and right-hemisphere primary auditory cortex. The present study sought to determine how sensory gating ratio may relate to cortical thickness at the site of the auditory dipole localization. A standard auditory paired-click paradigm was used during MEG for patients (n=22) and normal controls (n=11). Sensory gating ratios were determined by measuring the strength of the 50 ms response to the second click divided by that of the first click (S2/S1). Cortical thickness was assessed by two reliable raters using 3D sMRI. Results showed that: (1) patients had a P50 and left M50 sensory gating deficit relative to controls; (2) cortex in both hemispheres was thicker in the control group; (3) in schizophrenia, poorer left-hemisphere M50 sensory gating correlated with thinner left-hemisphere auditory cortical thickness; and (4) poorer right-hemisphere M50 auditory sensory gating ratio correlated with thinner right-hemisphere auditory cortical thickness in patients. The MEG-assessed hemisphere-specific auditory sensory gating ratio may be driven by this structural abnormality in auditory cortex.
脑电图P50感觉门控缺陷和颞叶结构异常均被认为是精神分裂症的特征。标准的P50感觉门控测量方法无法促进对左右半球贡献的差异评估,但其类似的脑磁图M50成分可用于测量定位于左右半球初级听觉皮层的不同听觉源偶极子的门控。本研究旨在确定感觉门控比率与听觉偶极子定位部位的皮质厚度之间的关系。在脑磁图检查期间,对患者(n = 22)和正常对照者(n = 11)使用标准的听觉配对点击范式。感觉门控比率通过测量对第二次点击的50毫秒反应强度除以第一次点击的反应强度来确定(S2/S1)。由两名可靠的评估者使用3D结构磁共振成像评估皮质厚度。结果显示:(1)与对照组相比,患者存在P50和左侧M50感觉门控缺陷;(2)对照组双侧半球的皮质更厚;(3)在精神分裂症中,左侧半球较差的M50感觉门控与左侧半球较薄的听觉皮质厚度相关;(4)患者右侧半球较差的M50听觉感觉门控比率与右侧半球较薄的听觉皮质厚度相关。脑磁图评估的半球特异性听觉感觉门控比率可能由听觉皮层的这种结构异常所驱动。