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强迫症患者的自发性脑磁图活动。

Spontaneous magnetoencephalographic activity in patients with obsessive-compulsive disorder.

作者信息

Maihöfner Christian, Sperling Wolfgang, Kaltenhäuser Martin, Bleich Stefan, de Zwaan Martina, Wiltfang Jens, Thürauf Norbert, Elstner Samuel, Reulbach Udo, Lewczuk Piotr, Kornhuber Johannes, Ropohl Axel

机构信息

Department of Neurology, Friedrich-Alexander-University of Erlangen-Nuremberg, Schwabachanlage 6, 91054 Erlangen, Germany.

出版信息

Brain Res. 2007 Jan 19;1129(1):200-5. doi: 10.1016/j.brainres.2006.10.048. Epub 2006 Dec 6.

Abstract

Non-invasive functional imaging techniques have begun to delineate the underlying neurophysiological basis of obsessive-compulsive disorder (OCD). In the present study, we investigated slow (2-6 Hz) and fast (12.5-30 Hz) spontaneous magnetoencephalographic (MEG) activity in ten patients with obsessive-compulsive disorders compared to ten healthy control subjects. Fast MEG activity was significantly elevated in OCD patients. The corresponding dipole density maxima were concentrated on the left superior temporal gyrus. Although no differences were detected in the absolute dipole numbers between controls and OCD patients regarding slow MEG activity, only the latter showed a clustering of slow MEG activity over their left dorsolateral prefrontal cortex. We conclude that alterations of spontaneous MEG activity in prefrontal and temporal cortices may be linked to the pathogenesis of OCD. Therefore, we provide further functional neuroimaging evidence that the complex features of OCD have neural correlates, which may help in a future understanding of this disease.

摘要

非侵入性功能成像技术已开始描绘强迫症(OCD)潜在的神经生理基础。在本研究中,我们调查了10名强迫症患者与10名健康对照者的慢(2 - 6赫兹)和快(12.5 - 30赫兹)自发脑磁图(MEG)活动。强迫症患者的快MEG活动显著升高。相应的偶极密度最大值集中在左侧颞上回。虽然在慢MEG活动方面,对照组和强迫症患者之间的绝对偶极数量未检测到差异,但只有后者在其左侧背外侧前额叶皮质显示出慢MEG活动的聚集。我们得出结论,前额叶和颞叶皮质自发MEG活动的改变可能与强迫症的发病机制有关。因此,我们提供了进一步的功能神经影像学证据,表明强迫症的复杂特征具有神经相关性,这可能有助于未来对这种疾病的理解。

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