Begré Stefan, Kleinlogel Horst, Kiefer Claus, Strik Werner, Dierks Thomas, Federspiel Andrea
University Hospital/Inselspital, Department of General Internal Medicine, Division of Psychosomatic Medicine, Bern, Switzerland.
Neurobiol Dis. 2008 May;30(2):270-80. doi: 10.1016/j.nbd.2008.01.013. Epub 2008 Feb 23.
Patients with schizophrenia have reduced execution functions and white matter alterations indicating cerebral disconnectivity. Here we investigated the relationship between white matter integrity and event related potentials (ERP) during a continuous performance test (CPT). Anisotropy values were correlated with the brain electrical P300 microstate duration and P300 latency associated to the NoGo- and the Go-stimuli of the CPT in 11 patients with first episode schizophrenia and 11 matched healthy controls. Both groups showed significant positive correlations of the NoGo-microstate duration with the white matter signal in the superior frontal region, the optic radiation, the posterior cingulate, and the inferolateral fascicle. In addition, patients with first episode schizophrenia had significant correlations with the right radiation and the left genu of the corpus callosum, bilateral geniculate, and the left middle and the superior temporal regions. We interpreted these findings as a sign of functional correlates of extended circuits for the active inhibition of a motor response in the visual CPT as compared to controls.
精神分裂症患者的执行功能减退,且白质改变提示大脑存在连接障碍。在此,我们在连续作业测试(CPT)期间研究了白质完整性与事件相关电位(ERP)之间的关系。在11例首发精神分裂症患者和11例匹配的健康对照中,各向异性值与CPT中与“否”刺激和“是”刺激相关的脑电P300微状态持续时间及P300潜伏期相关。两组患者的“否”微状态持续时间与额上区、视辐射、后扣带回及下外侧束的白质信号均呈显著正相关。此外,首发精神分裂症患者与右侧辐射、胼胝体左膝部、双侧膝状体以及左侧颞中区和颞上区存在显著相关性。与对照组相比,我们将这些发现解释为在视觉CPT中主动抑制运动反应的扩展回路功能相关性的一个标志。