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抽动秽语综合征患儿静息态脑电图复杂性的改变:一项初步研究。

Altered resting-state EEG complexity in children with Tourette syndrome: A preliminary study.

作者信息

Weng Wen-Chin, Chang Chi-Feng, Wong Lee Chin, Lin Jui-Hsiang, Lee Wang-Tso, Shieh Jiann-Shing

机构信息

Department of Pediatrics, National Taiwan University Hospital.

Department of Mechanical Engineering, Yuan Ze University.

出版信息

Neuropsychology. 2017 May;31(4):395-402. doi: 10.1037/neu0000363. Epub 2017 Mar 20.

Abstract

OBJECTIVE

Tourette syndrome is a developmental neuropsychiatric disorder in children, and abnormal corticobasal ganglion connectivity is implied for the pathophysiology. Multiscale entropy, an entropy-based method to measure dynamic complexity at multiple temporal scales, is helpful to disclose the information of brain connectivity. This preliminary study investigated the complexity of resting-state electroencephalogram signals using multiscale entropy in children with Tourette syndrome.

METHOD

Resting-state electroencephalographic (EEG) signals were analyzed by sample entropy and multiscale entropy methods in 10 children with Tourette syndrome and 10 healthy gender- and age-matched controls.

RESULTS

Except for the Fp2 channel, the complexity index values in all channels were reduced in children with Tourette syndrome compared with those in normal controls. A statistically significant reduction in EEG complexity was found in the bilateral central, parietal, occipital, and left temporal regions, indicating disturbed brain connectivity in Tourette syndrome. Although there was no difference of complexity in the higher frequency spectra, there was a statistically significant difference of complexity in lower frequency in F3 channel, pointing to the importance of examining a range of time scales in exploring EEG signals.

CONCLUSIONS

Our preliminary study demonstrated that EEG complexity was significantly lower in children with Tourette syndrome than in normal controls. This difference may serve as a marker of disturbed brain connectivity in such individuals and suggests that further clinical studies are warranted. (PsycINFO Database Record

摘要

目的

抽动秽语综合征是一种儿童发育性神经精神障碍,其病理生理学暗示皮质基底神经节连接异常。多尺度熵是一种基于熵的在多个时间尺度上测量动态复杂性的方法,有助于揭示脑连接信息。这项初步研究使用多尺度熵研究抽动秽语综合征患儿静息态脑电图信号的复杂性。

方法

采用样本熵和多尺度熵方法对10例抽动秽语综合征患儿及10例年龄、性别匹配的健康对照者的静息态脑电图(EEG)信号进行分析。

结果

与正常对照组相比,抽动秽语综合征患儿除Fp2通道外,所有通道的复杂性指数值均降低。在双侧中央、顶叶、枕叶和左侧颞叶区域发现脑电图复杂性有统计学意义的降低,表明抽动秽语综合征存在脑连接紊乱。虽然高频谱的复杂性没有差异,但F3通道低频的复杂性有统计学意义的差异,这表明在探索脑电图信号时检查一系列时间尺度的重要性。

结论

我们的初步研究表明,抽动秽语综合征患儿的脑电图复杂性显著低于正常对照组。这种差异可能是此类个体脑连接紊乱的一个标志,并提示有必要进行进一步的临床研究。(PsycINFO数据库记录)

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