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极早早产儿出生后儿童的长程相位同步和皮质激活改变。

Altered Long-Range Phase Synchronization and Cortical Activation in Children Born Very Preterm.

作者信息

Doesburg Sam M, Ribary Urs, Herdman Anthony T, Cheung Teresa, Moiseev Alexander, Weinberg Hal, Whitfield Michael F, Synnes Anne, Liotti Mario, Weeks Daniel, Grunau Ruth E

机构信息

Pediatrics, University of British Columbia, Vancouver, Canada.

出版信息

IFMBE Proc. 2010 Jan 1;29(9):250-253. doi: 10.1007/978-3-642-12197-5_57.

Abstract

Children born very preterm, even with broadly normal IQ, commonly show selective difficulties in visuospatial processing and executive functioning. Very little, however, is known what alterations in cortical processing underlie these deficits. We recorded MEG while eight children born very preterm (≤32 weeks gestational age) and eight full-term controls performed a visual short-term memory task at mean age 7.5 years (range 6.4 - 8.4). Previously, we demonstrated increased long-range alpha and beta band phase synchronization between MEG sensors during STM retention in a group of 17 full-term children age 6-10 years. Here we present preliminary evidence that long-range phase synchronization in very preterm children, relative to controls, is reduced in the alpha-band but increased in the theta-band. In addition, we investigated cortical activation during STM retention employing synthetic aperture magnetometry (SAM) beamformer to localize changes in gamma-band power. Preliminary results indicate sequential activation of occipital, parietal and frontal cortex in control children, as well as reduced activation in very preterm children relative to controls. These preliminary results suggest that children born very preterm exhibit altered inter-regional functional connectivity and cortical activation during cognitive processing.

摘要

极早产出生的儿童,即使智商大致正常,通常在视觉空间处理和执行功能方面也会出现选择性困难。然而,对于这些缺陷背后的皮层处理改变却知之甚少。我们记录了8名极早产出生(胎龄≤32周)的儿童和8名足月儿对照在平均年龄7.5岁(范围6.4 - 8.4岁)时执行视觉短期记忆任务时的脑磁图(MEG)。此前,我们在一组17名6 - 10岁的足月儿中证明,在短期记忆保持期间,MEG传感器之间的长程α和β波段相位同步增加。在此我们提供初步证据表明,相对于对照组,极早产儿童的长程相位同步在α波段降低,但在θ波段增加。此外,我们采用合成孔径磁力测量(SAM)波束形成器研究了短期记忆保持期间的皮层激活,以定位γ波段功率的变化。初步结果表明,对照儿童枕叶、顶叶和额叶皮层依次激活,并且相对于对照组,极早产儿童的激活减少。这些初步结果表明,极早产出生的儿童在认知处理过程中表现出区域间功能连接和皮层激活的改变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9031/3039420/dc68e09cb9d3/nihms265781f1.jpg

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