Jiang Sisi, Luo Cheng, Liu Zhixuan, Hou Changyue, Wang Pu, Dong Li, Zhong Chengqing, Lai Yongxiu, Xia Yang, Yao Dezhong
Key Laboratory for Neuroinformation of Ministry of Education, Center for Information in Medicine, High-Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan Province, University of Electronic Science and Technology of China, Chengdu 610054, China.
Key Laboratory for Neuroinformation of Ministry of Education, Center for Information in Medicine, High-Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan Province, University of Electronic Science and Technology of China, Chengdu 610054, China; Department of Neurology, Chongzhou People's Hospital, Chengdu 610000, China.
Neural Plast. 2016;2016:3547203. doi: 10.1155/2016/3547203. Epub 2015 Dec 28.
Purpose. The purpose of this study was to evaluate the regional synchronization of brain in patients with juvenile myoclonic epilepsy (JME). Methods. Resting-state fMRI data were acquired from twenty-one patients with JME and twenty-two healthy subjects. Regional homogeneity (ReHo) was used to analyze the spontaneous activity in whole brain. Two-sample t-test was performed to detect the ReHo difference between two groups. Correlations between the ReHo values and features of seizures were calculated further. Key Findings. Compared with healthy controls, patients showed significantly increased ReHo in bilateral thalami and motor-related cortex regions and a substantial reduction of ReHo in cerebellum and occipitoparietal lobe. In addition, greater ReHo value in the left paracentral lobule was linked to the older age of onset in patients. Significance. These findings implicated the abnormality of thalamomotor cortical network in JME which were associated with the genesis and propagation of epileptiform activity. Moreover, our study supported that the local brain spontaneous activity is a potential tool to investigate the epileptic activity and provided important insights into understanding the pathophysiological mechanisms of JME.
目的。本研究旨在评估青少年肌阵挛癫痫(JME)患者脑区的同步性。方法。采集了21例JME患者和22名健康受试者的静息态功能磁共振成像(fMRI)数据。采用局部一致性(ReHo)分析全脑的自发活动。进行两样本t检验以检测两组之间的ReHo差异。进一步计算ReHo值与癫痫发作特征之间的相关性。主要发现。与健康对照组相比,患者双侧丘脑和运动相关皮层区域的ReHo显著增加,而小脑和枕顶叶的ReHo则大幅降低。此外,左侧中央旁小叶中较高的ReHo值与患者的发病年龄较大有关。意义。这些发现提示JME中丘脑 - 运动皮层网络存在异常,这与癫痫样活动的发生和传播有关。此外,我们的研究支持局部脑自发活动是研究癫痫活动的潜在工具,并为理解JME的病理生理机制提供了重要见解。