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精神分裂症中幻觉的神经功能组织:意识中病理出现的多感官解体

Neural functional organization of hallucinations in schizophrenia: multisensory dissolution of pathological emergence in consciousness.

作者信息

Jardri Renaud, Pins Delphine, Bubrovszky Maxime, Lucas Bernard, Lethuc Vianney, Delmaire Christine, Vantyghem Vincent, Despretz Pascal, Thomas Pierre

机构信息

Laboratoire de Neurosciences Fonctionnelles et Pathologies, CNRS UMR-8160, Hôpital Roger Salengro, Université Lille Nord de France, Centre Hospitalier Universitaire de Lille, 59037 Lille cedex, France.

出版信息

Conscious Cogn. 2009 Jun;18(2):449-57. doi: 10.1016/j.concog.2008.12.009. Epub 2009 Feb 6.

DOI:10.1016/j.concog.2008.12.009
PMID:19201210
Abstract

Although complex hallucinations are extremely vivid, painful symptoms in schizophrenia, little is known about the underlying mechanisms of multisensory integration in such a phenomenon. We investigated the neural basis of these altered states of consciousness in a patient with schizophrenia, by combining state of the art neuroscientific exploratory methods like functional MRI, diffusion tensor imaging, cortical thickness analysis, electrical source reconstruction and trans-cranial magnetic stimulation. The results shed light on the functional architecture of the hallucinatory processes, in which unimodal information from different modalities is strongly functionally connected to higher-order integrative areas.

摘要

尽管复杂幻觉在精神分裂症中极为生动且令人痛苦,但对于这种现象中多感官整合的潜在机制却知之甚少。我们通过结合功能磁共振成像、扩散张量成像、皮层厚度分析、电源重建和经颅磁刺激等先进的神经科学探索方法,研究了一名精神分裂症患者这些意识改变状态的神经基础。研究结果揭示了幻觉过程的功能结构,其中来自不同模态的单峰信息与高阶整合区域在功能上紧密相连。

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