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极低出生体重儿成年后的局部脑电图(EEG)频谱功率和半球相干性

Regional electroencephalogram (EEG) spectral power and hemispheric coherence in young adults born at extremely low birth weight.

作者信息

Miskovic Vladimir, Schmidt Louis A, Boyle Michael, Saigal Saroj

机构信息

McMaster Institute for Neuroscience Discovery and Study, McMaster University, Hamilton, Ont., Canada L8S 4K1.

出版信息

Clin Neurophysiol. 2009 Feb;120(2):231-8. doi: 10.1016/j.clinph.2008.11.004. Epub 2008 Dec 23.

Abstract

OBJECTIVES

We examined the effects of extremely low birth weight (ELBW<1000 g) on adult brain functioning.

METHODS

We measured baseline regional EEG spectral power and hemispheric coherence in a cohort of 154 (M age=23 years) non-impaired young adults who were born at ELBW (n=71; M birth weight=874 g, M gestation age=27.5 weeks) and in a control group of full-term adults born at normal birth weight (NBW; n=83).

RESULTS

ELBW adults exhibited significantly more power in the low EEG frequency bands (delta and theta) and less in the high EEG frequency bands (alpha and beta) than the NBW adults. This relative difference in the amount of high to low-frequency power was especially salient in the frontal regions. ELBW adults also exhibited significantly more short-distance EEG coherence in the right hemisphere compared to the NBW adults.

CONCLUSIONS

Our results suggest that even among ELBW survivors without impairments, adverse events early in life may result in subtle neurological abnormalities.

SIGNIFICANCE

This study provides a unique EEG profile of young adult survivors of ELBW showing that maturational delays of the brain may persist into late adolescence and emerging adulthood.

摘要

目的

我们研究了极低出生体重(ELBW<1000克)对成人脑功能的影响。

方法

我们测量了154名(平均年龄=23岁)未受损的年轻成人队列的基线区域脑电图频谱功率和半球连贯性,这些成人出生时为极低出生体重(n=71;平均出生体重=874克,平均胎龄=27.5周),并与一组出生时体重正常的足月成人对照组(NBW;n=83)进行了比较。

结果

与NBW成人相比,ELBW成人在脑电图低频波段(δ波和θ波)的功率显著更高,而在高频脑电图波段(α波和β波)的功率则更低。高低频功率量的这种相对差异在额叶区域尤为明显。与NBW成人相比,ELBW成人右半球的短距离脑电图连贯性也显著更高。

结论

我们的结果表明,即使在没有损伤的ELBW幸存者中,生命早期的不良事件也可能导致细微的神经异常。

意义

本研究提供了ELBW年轻成人幸存者独特的脑电图特征,表明大脑成熟延迟可能会持续到青春期后期和成年早期。

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