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脑干中迷走神经活动的无创测量——痴呆症早期诊断的方法学进展?

Non-invasive measurement of vagus activity in the brainstem - a methodological progress towards earlier diagnosis of dementias?

作者信息

Polak T, Ehlis A-C, Langer J B M, Plichta M M, Metzger F, Ringel T M, Fallgatter A J

机构信息

Laboratory for Psychophysiology and Functional Imaging, Department of Psychiatry and Psychotherapy, Julius-Maximilians-University, Würzburg, Germany.

出版信息

J Neural Transm (Vienna). 2007;114(5):613-9. doi: 10.1007/s00702-007-0625-8. Epub 2007 Feb 19.


DOI:10.1007/s00702-007-0625-8
PMID:17308983
Abstract

In Alzheimer's disease (AD), mild functional disturbances should precede gross structural damage and even more clinical symptoms, possibly by decades. Moreover, alterations in the brainstem are supposed to occur earlier as cortical affections. Based on these considerations, we developed a new method aiming at the measurement of vagal brainstem functioning by means of evoked potentials after electrical stimulation of the cutaneous representation of the vagus nerve in the external auditory channel. In the current study, a first sample of patients with Alzheimer's disease (n = 7) and mild cognitive impairment (n = 3) were investigated (6m, 4f, range from 57 to 78 y, mean age 68.6 years). Vagus somatosensory evoked potentials (VSEP) were characterized by significantly longer latencies as compared to healthy age- and gender-matched controls (p < 0.05). Future large scale studies - also including preclinical stages of AD - have to assess the value of this non-invasive, fast and cheap method in the early diagnosis of neurodegenerative disorders.

摘要

在阿尔茨海默病(AD)中,轻度功能障碍应先于明显的结构损伤,甚至更多的临床症状出现,可能提前数十年。此外,脑干的改变被认为比皮质病变更早发生。基于这些考虑,我们开发了一种新方法,旨在通过对外耳道内迷走神经皮肤代表区进行电刺激后利用诱发电位来测量迷走神经脑干功能。在当前研究中,对首批阿尔茨海默病患者样本(n = 7)和轻度认知障碍患者样本(n = 3)进行了研究(6名男性,4名女性,年龄范围为57至78岁,平均年龄68.6岁)。与年龄和性别匹配的健康对照组相比,迷走神经体感诱发电位(VSEP)的潜伏期明显更长(p < 0.05)。未来的大规模研究——也包括AD的临床前阶段——必须评估这种非侵入性、快速且廉价的方法在神经退行性疾病早期诊断中的价值。

相似文献

[1]
Non-invasive measurement of vagus activity in the brainstem - a methodological progress towards earlier diagnosis of dementias?

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[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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Cureus. 2025-5-9

[2]
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J Neural Transm (Vienna). 2025-3

[3]
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Brain Behav. 2021-11

[4]
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PLoS One. 2021

[5]
Cortical Responses to Vagus Nerve Stimulation Are Modulated by Brain State in Nonhuman Primates.

Cereb Cortex. 2021-10-22

[6]
Stress and Tinnitus; Transcutaneous Auricular Vagal Nerve Stimulation Attenuates Tinnitus-Triggered Stress Reaction.

Front Psychol. 2020-9-17

[7]
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Brain Stimul. 2020-2-23

[8]
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J Anat. 2020-4

[9]
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Front Neurosci. 2019-8-9

[10]
Near-infrared spectroscopy (NIRS) and vagus somatosensory evoked potentials (VSEP) in the early diagnosis of Alzheimer's disease: rationale, design, methods, and first baseline data of the Vogel study.

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本文引用的文献

[1]
Vagus nerve stimulation: a new form of therapeutic brain stimulation.

CNS Spectr. 2000-11

[2]
Vagal nerve stimulation: a review of its applications and potential mechanisms that mediate its clinical effects.

Neurosci Biobehav Rev. 2005-5

[3]
Age effect on far field potentials from the brain stem after transcutaneous vagus nerve stimulation.

Int J Psychophysiol. 2005-4

[4]
[Vagus nerve stimulation, repetitive transcranial magnetic stimulation, and electroconvulsive therapy in the treatment of depressive disorders].

Nervenarzt. 2005-1

[5]
DemTect: a new, sensitive cognitive screening test to support the diagnosis of mild cognitive impairment and early dementia.

Int J Geriatr Psychiatry. 2004-2

[6]
Far field potentials from the brain stem after transcutaneous vagus nerve stimulation.

J Neural Transm (Vienna). 2003-12

[7]
Idiopathic Parkinson's disease: possible routes by which vulnerable neuronal types may be subject to neuroinvasion by an unknown pathogen.

J Neural Transm (Vienna). 2003-5

[8]
Quality-of-Life Assessment in Patients Treated with Vagus Nerve Stimulation.

Epilepsy Behav. 2001-6

[9]
Exploration of Changes in Health-Related Quality of Life after 3 Months of Vagus Nerve Stimulation.

Epilepsy Behav. 2001-10

[10]
Effects of Vagal Nerve Stimulation on Cognition and Quality of Life in Epilepsy.

Epilepsy Behav. 2001-2

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