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缺血性脑卒中运动性失语患者静息状态下的功能连接

[Functional connectivity in ischemia stroke motor aphasia patients during resting state].

作者信息

Wang Weizhuo, Wang Meihao, Liu Huiru, Yuan Binke, Wang Juan, Li Haiyan, Zhou Xiaojun, Wang Xin, Tao Jiejie, Li Jiance

机构信息

Department of Radiology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China.

Department of Radiology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China. Email:

出版信息

Zhonghua Yi Xue Za Zhi. 2014 Jul 15;94(27):2135-8.

Abstract

OBJECTIVE

To investigate the changes of Broca's area functional connectivity in ischemia stroke patients with motor aphasia during resting state using functional magnetic resonance imaging (fMRI).

METHODS

The functional connectivity of Broca's area was analyzed by observing the correlation between low frequency signal fluctuations in Broca's area and those in all brain regions.

RESULTS

In the normal controls group, there was multiple brain area positively correlated with Broca's area during resting state. The patients group compared with controls group, the functional connectivity between Broca's area and adjacent brain regions around its is most significant, and its controlateral brain area correlated with Broca's area reduced, but some cerebellum, occipital lobe, middle temporal gyrus and corpus callosum spenium correlated with Broca's area strengthened.

CONCLUSION

There is a wide range of motor function of language network during resting state. The right anterior cingulate gyrus, knee of corpus callosum and hemisphere play an important part in motor language function network. The enhancement functional connectivity between the adjacent brain regions surrounding Broca's area, the right cerebellum, occipital lobe, middle temporal gyrus and spenium of corpus callosum and Broca's area may be one compensatory mechanism remodeling for the language recover of ischemia stroke patients with motor aphasia.

摘要

目的

采用功能磁共振成像(fMRI)研究静息状态下运动性失语缺血性脑卒中患者布洛卡区的功能连接变化。

方法

通过观察布洛卡区低频信号波动与全脑各区域低频信号波动之间的相关性,分析布洛卡区的功能连接。

结果

在正常对照组中,静息状态下有多个脑区与布洛卡区呈正相关。患者组与对照组相比,布洛卡区与其周围相邻脑区的功能连接最为显著,其对侧脑区与布洛卡区的相关性降低,但部分小脑、枕叶、颞中回和胼胝体压部与布洛卡区的相关性增强。

结论

静息状态下存在广泛的语言运动功能网络。右侧前扣带回、胼胝体膝部和半球在语言运动功能网络中起重要作用。布洛卡区周围相邻脑区、右侧小脑、枕叶、颞中回和胼胝体压部与布洛卡区之间增强的功能连接可能是运动性失语缺血性脑卒中患者语言恢复的一种代偿机制重塑。

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