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儿童孤独症脑电图光刺激相干的大脑两半球间不对称性。

Interhemispheric asymmetry in EEG photic driving coherence in childhood autism.

机构信息

Laboratory of Neurobiology and Clinical Neurophysiology, Fernandes Figueira Institute, Oswaldo Cruz Foundation, Ministry of Health, Rio de Janeiro, Brazil.

出版信息

Clin Neurophysiol. 2010 Feb;121(2):145-52. doi: 10.1016/j.clinph.2009.10.010. Epub 2009 Dec 1.

Abstract

OBJECTIVE

Examination of the EEG photic driving coherence during intermittent photic stimulation in autistic patients with relatively intact verbal and intellectual functions in order to enhance the likely latent interhemispheric asymmetry in neural connectivity.

METHODS

Fourteen autistic boys, aged 6-14years, free of drug treatment, with I.Q. 91.4+/-22.8, and 19 normally developing boys were subject to stimulation of 12 fixed frequencies of 3-27Hz. The number of high coherent connections (HCC) (coherence >0.6-0.8) was estimated among 7 leads in each hemisphere.

RESULTS

In contrast to the spectral characteristics showing the right hemisphere deficit in the photic driving reactivity, the number of HCC differentiated the groups only in the left hemisphere where it was higher in autistics at the EEG frequencies corresponding to those of stimulation at 6-27Hz without asymmetry at other frequencies, the left-side prevalence increasing with frequency. No asymmetry was observed in the resting state.

CONCLUSIONS

Spectral and coherence characteristics of the EEG photic driving show different aspects of latent abnormal interhemispheric asymmetry in autistics: the right hemisphere "hyporeactivity" and potential "hyperconectivity" of likely compensatory nature in the left hemisphere.

SIGNIFICANCE

The EEG photic driving can reveal functional topographic alterations not present in the spontaneous EEG.

摘要

目的

在语言和智力功能相对完整的自闭症患者中,通过间歇性光刺激检查 EEG 光驱动相干性,以增强神经连接中潜在的左右半球不对称性。

方法

14 名年龄在 6-14 岁、未接受药物治疗、智商为 91.4+/-22.8 的自闭症男孩和 19 名正常发育的男孩接受了 12 种固定频率(3-27Hz)的刺激。在每个半球的 7 个导程中估计了高相干连接(HCC)(相干性>0.6-0.8)的数量。

结果

与光驱动反应中右半球缺陷的光谱特征相反,只有在左半球,HCC 的数量可以区分两组,自闭症患者的 HCC 数量较高,在 EEG 频率与 6-27Hz 的刺激频率相对应,而在其他频率则没有不对称性,随着频率的增加,左侧的优势增加。在静息状态下没有观察到不对称性。

结论

EEG 光驱动的光谱和相干特征显示了自闭症患者潜在的左右半球不对称性的不同方面:右半球“低反应性”和左半球可能具有补偿性质的“超连接性”。

意义

EEG 光驱动可以揭示自发 EEG 中不存在的功能拓扑改变。

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