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不同半球脑梗死患者抑郁状态下宽带脑电图振荡的长程时间相关性

Long-range temporal correlations of broadband EEG oscillations for depressed subjects following different hemispheric cerebral infarction.

作者信息

Hou Dongzhe, Wang Chunfang, Chen Yuanyuan, Wang Weijie, Du Jingang

机构信息

Neurorehabilitation Department, Tianjin Huanhu Hospital, Tianjin, People's Republic of China.

Rehabilitation Medical Department, Tianjin Union Medical Center, Tianjin, 300121 People's Republic of China.

出版信息

Cogn Neurodyn. 2017 Dec;11(6):529-538. doi: 10.1007/s11571-017-9451-3. Epub 2017 Aug 21.

Abstract

Abnormal long-range temporal correlation (LRTC) in EEG oscillation has been observed in several brain pathologies and mental disorders. This study examined the relationship between the LRTC of broadband EEG oscillation and depression following cerebral infarction with different hemispheric lesions to provide a novel insight into such depressive disorders. Resting EEGs of 16 channels in 18 depressed (9 left and 9 right lesions) and 21 non-depressed (11 left and 10 right lesions) subjects following cerebral infarction and 19 healthy control subjects were analysed by means of detrended fluctuation analysis, a quantitative measurement of LRTC. The difference among groups and the correlation between the severity of depression and LRTC in EEG oscillation were investigated by statistical analysis. The results showed that LRTC of broadband EEG oscillations in depressive subjects was still preserved but attenuated in right hemispheric lesion subjects especially in left pre-frontal and right inferior frontal and posterior temporal regions. Moreover, an association between the severity of psychiatric symptoms and the attenuation of the LRTC was found in frontal, central and temporal regions for stroke subjects with right lesions. A high discriminating ability of the LRTC in the frontal and central regions to distinguish depressive from non-depressive subjects suggested potential feasibility for LRTC as an assessment indicator for depression following right hemispheric cerebral infarction. Different performance of temporal correlation in depressed subjects following the two hemispheric lesions implied complex association between depression and stroke lesion location.

摘要

在多种脑部疾病和精神障碍中均观察到脑电图振荡存在异常的长程时间相关性(LRTC)。本研究探讨了脑梗死伴不同半球病变后宽带脑电图振荡的LRTC与抑郁之间的关系,以期为这类抑郁症提供新的见解。采用去趋势波动分析(一种LRTC的定量测量方法)对18名抑郁症患者(9例左侧病变和9例右侧病变)、21名非抑郁症患者(11例左侧病变和10例右侧病变)脑梗死后的16通道静息脑电图以及19名健康对照者的脑电图进行分析。通过统计分析研究了各组之间的差异以及脑电图振荡中抑郁严重程度与LRTC之间的相关性。结果显示,抑郁患者宽带脑电图振荡的LRTC仍然存在,但在右侧半球病变患者中尤其是左侧前额叶、右侧额下回和颞后区域有所减弱。此外,在右侧病变的中风患者中,额叶、中央区和颞区发现精神症状严重程度与LRTC减弱之间存在关联。额叶和中央区的LRTC对区分抑郁和非抑郁受试者具有较高的鉴别能力,这表明LRTC作为右侧半球脑梗死伴发抑郁症评估指标具有潜在可行性。两种半球病变后抑郁患者的时间相关性表现不同,这意味着抑郁与中风病变位置之间存在复杂关联。

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