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未滤波脑电图:脑生物学中直流电位的作用。

Uncensored EEG: The role of DC potentials in neurobiology of the brain.

机构信息

Department of Neurology and Institute of Translational Neurology, Westfälische Wilhelms-Universität Münster, Germany.

Epilepsy Research Center, Westfalische Wilhelms-University Münster, Münster, Germany.

出版信息

Prog Neurobiol. 2018 Jun-Aug;165-167:51-65. doi: 10.1016/j.pneurobio.2018.02.001. Epub 2018 Feb 8.

Abstract

Brain direct current (DC) potentials denote sustained shifts and slow deflections of cerebral potentials superimposed with conventional electroencephalography (EEG) waves and reflect alterations in the excitation level of the cerebral cortex and subcortical structures. Using galvanometers, such sustained displacement of the EEG baseline was recorded in the early days of EEG recordings. To stabilize the EEG baseline and eliminate artefacts, EEG was performed later by voltage amplifiers with high-pass filters that dismiss slow DC potentials. This left slow DC potential recordings as a neglected diagnostic source in the routine clinical setting over the last few decades. Brain DC waves may arise from physiological processes or pathological phenomena. Recordings of DC potentials are fundamental electro-clinical signatures of some neurological and psychological disorders and may serve as diagnostic, prognostic, and treatment monitoring tools. We here review the utility of both physiological and pathological brain DC potentials in different aspects of neurological and psychological disorders. This may enhance our understanding of the role of brain DC potentials and improve our fundamental clinical and research strategies for brain disorders.

摘要

脑直流电(DC)电位表示叠加在常规脑电图(EEG)波上的脑电位的持续偏移和缓慢偏转,反映了大脑皮层和皮质下结构兴奋水平的变化。早期的脑电图记录中,使用检流计记录了这种持续的脑电图基线偏移。为了稳定脑电图基线并消除伪迹,后来使用带有高通滤波器的电压放大器进行脑电图检查,以消除缓慢的 DC 电位。在过去几十年的常规临床环境中,缓慢的 DC 电位记录作为一种被忽视的诊断源。脑 DC 波可能源于生理过程或病理现象。DC 电位记录是一些神经和心理障碍的基本电临床特征,可作为诊断、预后和治疗监测工具。我们在这里回顾了生理和病理脑 DC 电位在神经和心理障碍不同方面的应用。这可以增强我们对脑 DC 电位作用的理解,并改善我们针对脑障碍的基本临床和研究策略。

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