抽动秽语综合征中的动作抑制

Action inhibition in Tourette syndrome.

作者信息

Ganos Christos, Kühn Simone, Kahl Ursula, Schunke Odette, Feldheim Jan, Gerloff Christian, Roessner Veit, Bäumer Tobias, Thomalla Götz, Haggard Patrick, Münchau Alexander

机构信息

Department of Neurology, University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany; Sobell Department of Motor Neuroscience and Movement Disorders, University College London Institute of Neurology, London, United Kingdom; Department of Paediatric and Adult Movement Disorders and Neuropsychiatry, Institute of Neurogenetics, University of Lübeck, Lübeck, Germany.

出版信息

Mov Disord. 2014 Oct;29(12):1532-8. doi: 10.1002/mds.25944. Epub 2014 Jul 3.

Abstract

Tourette syndrome is a neuropsychiatric disorder characterized by tics. Tic generation is often linked to dysfunction of inhibitory brain networks. Some previous behavioral studies found deficiencies in inhibitory motor control in Tourette syndrome, but others suggested normal or even better-than-normal performance. Furthermore, neural correlates of action inhibition in these patients are poorly understood. We performed event-related functional magnetic resonance imaging during a stop-signal reaction-time task in 14 uncomplicated adult Tourette patients and 15 healthy controls. In patients, we correlated activations in stop-signal reaction-time task with their individual motor tic frequency. Task performance was similar in both groups. Activation of dorsal premotor cortex was stronger in the StopSuccess than in the Go condition in healthy controls. This pattern was reversed in Tourette patients. A significant positive correlation was present between motor tic frequency and activations in the supplementary motor area during StopSuccess versus Go in patients. Inhibitory brain networks differ between healthy controls and Tourette patients. In the latter the supplementary motor area is probably a key relay of inhibitory processes mediating both suppression of tics and inhibition of voluntary action.

摘要

抽动秽语综合征是一种以抽动为特征的神经精神障碍。抽动的产生通常与抑制性脑网络功能障碍有关。先前的一些行为研究发现抽动秽语综合征患者存在抑制性运动控制缺陷,但其他研究表明其表现正常甚至优于正常水平。此外,对这些患者动作抑制的神经关联了解甚少。我们对14名无并发症的成年抽动秽语综合征患者和15名健康对照者进行了停止信号反应时任务期间的事件相关功能磁共振成像。在患者中,我们将停止信号反应时任务中的激活与他们各自的运动抽动频率进行了关联。两组的任务表现相似。在健康对照者中,停止成功时背侧运动前区的激活比执行“继续”任务时更强。在抽动秽语综合征患者中,这种模式则相反。在患者停止成功与执行“继续”任务时,运动抽动频率与辅助运动区的激活之间存在显著正相关。健康对照者和抽动秽语综合征患者的抑制性脑网络存在差异。在后者中,辅助运动区可能是介导抽动抑制和随意动作抑制的抑制过程的关键中继站。

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