Cao Chenglong, Song Jian, Yao Shun, Yan Yan, Li Shun, Peng Guibao, Ma Pan, Du Hao, Huang Cheng, Ding Huichao, He Yuanzhi, Sun Ronghui, Xu Guozheng
aGraduate School of Southern Medical University, Guangzhou bDepartment of Neurosurgery, Wuhan General Hospital, Wuhan cDepartment of Neurosurgery, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
Neuroreport. 2017 Mar 22;28(5):272-278. doi: 10.1097/WNR.0000000000000757.
Pituitary tumor is an intracranial tumor; because of the development of neuroimaging technology in recent years, morbidity is likely to increase. Evidence showed impaired cognitive ability of patients with pituitary adenoma. There is evidence that neurobehavioral disorders are common in pituitary adenoma patients. This disorder is because of the cognitive and emotional function of the important functional areas of the brain oppressed and hormone imbalance. Individuals' mental activity is controlled by the brain and the abnormal mental activity is caused by both the structural abnormalities of the brain and neurochemical dysfunction. Event-related potentials have been used widely in the early assessment of cognitive functions associated with disease, taking advantage of the high temporal resolution, and then analyzing the characteristics of emotional competence from the perspective of cognitive processing. A visual Go/Nogo task was used. A larger Nogo-N2 and Nogo-P3 was found in the control group compared with the pituitary group. This reflects the nonphysiological process of conflict monitoring and inhibitory control in pituitary patients. The results also showed that the difference waves between Go and Nogo conditions (N2d and P3d) over the frontal electrode sites were more robust and earlier in the control group compared with the pituitary group, which reflects frontal dysfunction in the pituitary group. These data suggest reduced earlier and later stages of inhibitory processes in pituitary individuals, implicating the dysfunction of conflict detection and inhibitory control.
垂体瘤是一种颅内肿瘤;由于近年来神经影像学技术的发展,其发病率可能会增加。有证据表明垂体腺瘤患者存在认知能力受损。有证据表明神经行为障碍在垂体腺瘤患者中很常见。这种障碍是由于大脑重要功能区域的认知和情感功能受到压迫以及激素失衡所致。个体的心理活动受大脑控制,异常的心理活动是由大脑结构异常和神经化学功能障碍共同引起的。事件相关电位因其高时间分辨率,已被广泛用于与疾病相关的认知功能的早期评估,然后从认知加工的角度分析情绪能力的特征。采用了视觉Go/Nogo任务。与垂体组相比,对照组中发现了更大的Nogo - N2和Nogo - P3。这反映了垂体患者冲突监测和抑制控制的非生理过程。结果还表明,与垂体组相比,额叶电极部位Go和Nogo条件下的差异波(N2d和P3d)在对照组中更明显且出现得更早,这反映了垂体组的额叶功能障碍。这些数据表明垂体个体在抑制过程的早期和晚期都有所减少,这意味着冲突检测和抑制控制功能障碍。