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静息态 EEG 节律的皮质源在未感染 HIV 的受试者中异常。

Cortical sources of resting-state EEG rhythms are abnormal in naïve HIV subjects.

机构信息

University of Foggia, Department of Clinical and Experimental Medicine, Foggia, Italy.

出版信息

Clin Neurophysiol. 2012 Nov;123(11):2163-71. doi: 10.1016/j.clinph.2012.06.002. Epub 2012 Aug 13.

Abstract

OBJECTIVE

The aim of the study was to test the hypothesis that cortical sources of resting-state electroencephalographic (EEG) rhythms show peculiar frequency/spatial features in naïve human subjects with human immunodeficiency virus (HIV) compared to healthy control subjects.

METHODS

Resting-state eyes-closed EEG data were recorded in 18 naïve HIV subjects (15 males; mean age 39 years±2.0 standard error of mean, SEM) and in 18 age-matched cognitively normal subjects (15 males; 38.7years±2.2 SEM). EEG rhythms of interest were delta (2-4Hz), theta (4-8Hz), alpha1 (8-10Hz), alpha2 (10-12Hz), beta1 (13-20Hz) and beta2 (20-30Hz). Cortical EEG sources were estimated by normalised, low-resolution electromagnetic tomography (LORETA).

RESULTS

Mini Mental State Evaluation (MMSE) score was lower in HIV (26.5 ± 0.7 SEM) than in healthy (29.2 ± 0.5 SEM) subjects (p<0.05). Central and parietal delta sources showed higher amplitude in the HIV than in control subjects. Furthermore, topographically widespread, cortical sources of resting-state alpha rhythms were lower in amplitude in HIV subjects than in control subjects.

CONCLUSIONS

The present results suggest that topography and frequency of the cortical sources of resting-state EEG rhythms can distinguish groups of HIV and control subjects.

SIGNIFICANCE

These results encourage future studies in an enlarged cohort of HIV subjects to test the hypothesis that the present methodological approach provides clinically useful information for an early detection of the effect of HIV infection on brain and cognitive functions.

摘要

目的

本研究旨在检验如下假设,即在未经治疗的人类免疫缺陷病毒(HIV)感染者与健康对照者中,静息态脑电图(EEG)节律的皮质源具有独特的频率/空间特征。

方法

记录 18 例未经治疗的 HIV 患者(15 例男性;平均年龄 39 岁±2.0 标准误差均值,SEM)和 18 例年龄匹配的认知正常者(15 例男性;38.7 岁±2.2 SEM)的静息状态闭眼 EEG 数据。感兴趣的 EEG 节律包括 delta(2-4Hz)、theta(4-8Hz)、alpha1(8-10Hz)、alpha2(10-12Hz)、beta1(13-20Hz)和 beta2(20-30Hz)。通过归一化低分辨率电磁层析成像(LORETA)估计皮质 EEG 源。

结果

HIV 患者的简易精神状态检查(MMSE)评分(26.5±0.7 SEM)低于健康对照组(29.2±0.5 SEM)(p<0.05)。与对照组相比,HIV 患者的中央和顶叶 delta 源的振幅更高。此外,与对照组相比,HIV 患者静息态 alpha 节律的皮质源在空间上更为广泛,但振幅较低。

结论

本研究结果表明,静息态 EEG 节律的皮质源的拓扑结构和频率可以区分 HIV 组和对照组。

意义

这些结果鼓励在更大的 HIV 患者队列中进行进一步研究,以检验如下假设,即本方法学方法可以提供有临床意义的信息,有助于早期发现 HIV 感染对大脑和认知功能的影响。

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