Polak T, Ehlis A-C, Langer J B M, Plichta M M, Metzger F, Ringel T M, Fallgatter A J
Laboratory for Psychophysiology and Functional Imaging, Department of Psychiatry and Psychotherapy, Julius-Maximilians-University, Würzburg, Germany.
J Neural Transm (Vienna). 2007;114(5):613-9. doi: 10.1007/s00702-007-0625-8. Epub 2007 Feb 19.
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.
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。
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