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梅耶斯-伊尔伦综合征/视觉应激(MISViS)的功能神经影像学案例研究。

A functional neuroimaging case study of Meares-Irlen syndrome/visual stress (MISViS).

机构信息

Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada.

出版信息

Brain Topogr. 2012 Jul;25(3):293-307. doi: 10.1007/s10548-011-0212-z. Epub 2011 Nov 29.

DOI:10.1007/s10548-011-0212-z
PMID:22124535
Abstract

The aim of this study is to evaluate the data from a participant in a reading study who had a diagnosis of Meares-Irlen syndrome/visual stress (MISViS). MISViS is characterised by visual distortions and somatic issues, which are remediated using coloured filters. The authors present a case study providing descriptive neurobiological comparisons of MISViS versus a control group. The study involved eleven English language speakers who participated in behavioural and neuroimaging versions of a language experiment with varied proportions of regular and exception words. Behavioural measures included accuracy and response times. Neuroimaging was conducted using a 1.5T Siemens Sonata MRI. The MISViS participant's data were removed from the overall experiment and analysed as a case study. Impulse response functions (IRFs) and percentage of active voxels were extracted from four regions of interest: BAs 17, 18, 19, and the postcentral gyrus (PG) and two control regions (BA6 and left BA45). The results indicated that significant differences existed between the control group and the MISViS participant for IRF intensity in two regions (BA6 and PG) and percentage of active voxels in four regions (BA17, BA19, PG, and BA6). No significant differences occurred in left BA45 for either variable of interest. No significant differences were found for behavioural measures. In conclusion, our findings offer one of the first neurobiological descriptions of differences in IRF intensity and percentage of active voxels in visual and somatosensory cortex during a language experiment for a participant with MISViS in the absence of migraine compared to controls.

摘要

本研究的目的是评估一名阅读研究参与者的数据,该参与者被诊断为梅尔斯-伊尔伦综合征/视觉应激(MISViS)。MISViS 的特点是存在视觉扭曲和躯体问题,可以通过有色滤光片进行矫正。作者提供了一个病例研究,对 MISViS 与对照组进行了描述性的神经生物学比较。该研究涉及 11 名以英语为母语的参与者,他们参与了一个具有不同规则词和例外词比例的语言实验的行为和神经影像学版本。行为测量包括准确性和反应时间。神经影像学使用 1.5T 西门子 Sonata MRI 进行。将 MISViS 参与者的数据从整个实验中删除,并作为一个案例研究进行分析。从四个感兴趣的区域(BA17、18、19 和后中央回(PG)和两个对照区域(BA6 和左侧 BA45)提取了脉冲响应函数(IRF)和活跃体素的百分比。结果表明,在两个区域(BA6 和 PG)的 IRF 强度和四个区域(BA17、BA19、PG 和 BA6)的活跃体素百分比方面,对照组和 MISViS 参与者之间存在显著差异。在左侧 BA45 中,两个感兴趣的变量均无显著差异。行为测量无显著差异。总之,我们的发现提供了首例在语言实验中,与对照组相比,MISViS 参与者在视觉和躯体感觉皮层中 IRF 强度和活跃体素百分比差异的神经生物学描述之一,且该参与者不存在偏头痛。

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